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Management of Chronic Pelvic Pain: A Practical Manual 1st Edition

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Chronic pelvic pain is a common debilitating condition that impairs quality of life and reproductive function in the female population worldwide. It is also an area in which the level of knowledge is generally poor among gynecologists. This book will help gynecologists and pain management specialists optimize assessment and treatment of women with chronic pelvic pain.

It addresses the most common conditions causing chronic pelvic pain in women and offers practical guidelines for treatment. Exploring issues such as pudendal neuralgia and pain caused by pelvic nerve injuries and pelvic mesh. Other sections are dedicated to examining the psychological impact of pelvic pain and the impact of pain on sexuality and relationships. Algorithms on how to work-up and treat patients with chronic pelvic pain are a valuable addition, as well as advice on what to do in situations where known treatments have failed

A new addition to the Gynecology in Practice series, Chronic Pelvic Pain provides a practical guide to diagnosing and treating chronic pelvic pain in women. Emphasizing diagnosis, management and psychological aspects, the book assists gynecologists to better care for their patients suffering from this condition. As a part of the series, various feature boxes are highlighted throughout.

“Tips and Tricks” give suggestions on how to improve outcomes through practical technique or patient questioning. In addition, “Caution” warning boxes supply helpful advice on how to avoid problems and “Science Revisited” boxes offer quick reminders of the basic science principles necessary for understanding the presented concepts

The International Association for the Study of Pain defines pain as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in term of that damage. Chronic pain is much more than noxious nociception; it is a complex condition with sensory, adaptive, and affective components. Whereas acute pain has biologic utility, chronic pain does not appear to confer any evolutionary advantage

Chronic pelvic pain (CPP) has a prevalence in the general population of 15%, and in about 4% of all women is of sufficient severity to cause them to seek medical care. In spite of being a common condition, the evaluation of CPP remains a complex and perplexing diagnostic problem. The differential diagnosis in CPP should be directed toward identifying not only potential etiologic diseases, but also any disorders that may contribute to CPP (?pain generators?). It is important during the diagnostic evaluation to recognize that pain itself may be a diagnosis due to neurologic disorders such as neuropathic pain and centralization.

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