La douleur pelvienne chronique chez la femme : prise en charge initiale
(2024) Louvain médical — Vol. 143, p. 47-52 (2024)
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- Abstract
- (en) Chronic pelvic pain in women: initial management Chronic pelvic pain (CPP) is a common complaint and a major clinical challenge due to its often multifactorial etiology, including visceral, neuro-musculoskeletal, and psychosocial causes. It is defined as “pain perceived as originating from organs or structures of the pelvic or lower abdominal region that persists for more than 6 months, often accompanied by negative cognitive, behavioral, sexual, and emotional consequences, as well as symptoms suggestive of lower urinary, sexual, bowel, myofascial, or gynecologic dysfunction”. CPP is now considered to be the result of dysregulation of nociceptive signals and central sensitization. This nociplastic pain is mainly due to a dysfunction of sensory processing by the central nervous system. A comp rehensive initial assessment is required and a therapeutic relationship should be established from the outset. Optimal management of CPP is based on a biopsychosocial approach and requires a multidisciplinary approach tailored to this type of complaint.
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Citations
Maillard, C., Gerday, A., Squifflet, J.-L., Luyckx, M., Dessy, F., & Jadoul, P. (2024). La douleur pelvienne chronique chez la femme : prise en charge initiale. Louvain médical, 143, 47-52. https://hdl.handle.net/2078.5/245604 (Original work published 2024)