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Intractable Chronic Pelvic Pain

Describe your topic.
Discuss management of intractable chronic pelvic pain from known causes that have failed standard therapy or when evaluation does not find a cause. Discuss diagnosis of causes not covered in other documents. P: Women experiencing symptoms of Chronic Pelvic Pain I: Pelvic physical therapy, TENS, Botox, behavioral therapy, neuropathic medications, antidepressant medications, counseling, opioid and non-opioid analgesics, procedural therapies (nerve blocks, trigger point blocks, epidural injections, complementary or alternative medicine therapies (herbal and nutritional therapies, magnetic field therapy, acupuncture, other) C: No treatment O: Reduction of chronic pelvic pain, improvement in quality of life
Describe why this topic is important.
Chronic pelvic pain (CPP) is a common, burdensome, and costly condition disproportionately affecting women. A systematic review of high-quality studies by the World Health Organization in 2006 found the prevalence to range from approximately 2% to 24% for noncyclical pain, 8% to 22% for dyspareunia, and 17% to 81% for dysmenorrhea (Latthe 2006). An updated review published in 2014 used a more stringent definition (noncyclical pain lasting at least 6 months) and found prevalence estimates ranging from 5.7% to 26.6% (Ahangari 2014).
Tell us why you are suggesting this topic.
There is a gap in evidence evaluation for diagnosis and management of chronic pelvic pain.
Target Date.
 
Describe what you are doing currently and what you are hoping will change because of a new evidence report.
We have other documents that touch briefly on Chronic Pelvic Pain. However, this report would strength the evidence platform to allow us to develop a more in depth document on this topic that we'd then provide to our membership.
How will you or your group use the information from a new evidence report?
We will use this report to inform our clinical guidance.
How would you or your group plan to disseminate information from the report? Who would you plan to disseminate it to?
We would disseminate the information to our membership of OBGYNs
Do you know of organizations that could use an evidence report to change clinical practice? Are you a part of, or have you been in contact with, any organizations that might implement the research findings of an evidence report?
Yes, we are part of a medical organization that would disseminate and implement the research findings from this evidence report
Information About You: (optional)
Provide a description of your role or perspective.
Research Manager
If you are you making a suggestion on behalf of an organization, please state the name of the organization.
American College of Obstetricians and Gynecologists
Please tell us how you heard about the Effective Health Care Program.
 
Page last reviewed May 2018
Page originally created March 2018

Internet Citation: Intractable Chronic Pelvic Pain. Content last reviewed May 2018. Effective Health Care Program, Agency for Healthcare Research and Quality, Rockville, MD.
https://effectivehealthcare.ahrq.gov/get-involved/nominated-topics/31703

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