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ISRN PainVolume 2013 2013, Article ID 469575, 8 pages

Review ArticleDepartment of Obstetrics and Gynecology, Universidade Federal de Minas Gerais UFMG, Avenida Alfredo Balena 110, Santa Efigênia, 30150-270 Belo Horizonte, MG, Brazil

Received 30 August 2012; Accepted 4 October 2012

Academic Editors: C. M. Cendán, C. Forster, and F. F. Verit

Copyright © 2013 Sara Paiva and Márcia Mendonça Carneiro. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Chronic pelvic pain CPP is defined as pain of at least 6 months’ duration that occurs in the lower abdomen or below the umbilicus and has resulted in functional or psychological disability or required intervention and treatment. Therapeutic interventions center around the treatment of CPP as a diagnosis in and of itself, and treatment of specific disorders that may be related to CPP. A multidisciplinary approach for diagnosis and treatment seems to be most effective for symptomatic relief. This paper reviews the evidence for such interventions as psychological treatments including the use of complementary and alternative medicine techniques for CPP in women. Unfortunately, finding the best evidence in this setting is difficult as only very few randomized controlled trials are available. A combination of treatments is usually required over time for the treatment of refractory CPP. The multifactorial nature of CPP needs to be discussed with the patient and a good rapport as well as a partnership needs to be developed to plan a management program with regular followup. Promotion of a multidisciplinary approach which includes complementary and alternative medicine techniques in managing CPP in women seems to yield the best results.





Autor: Sara Paiva and Márcia Mendonça Carneiro

Fuente: https://www.hindawi.com/



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