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An interdisciplinary approach to endometriosis-associated persistent pelvic pain

An interdisciplinary approach to endometriosis-associated persistent pelvic pain

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Article Type: REVIEW

Article Subject: Medical treatment

DOI:10.5301/jeppd.5000284

Authors

Catherine Allaire, Tuba Aksoy, Mohamed Bedaiwy, Susannah Britnell, Heather L. Noga, Holly Yager, Paul J. Yong

Abstract

Endometriosis-associated pelvic pain is a common and often challenging problem. For certain patients, pain persists or recurs despite adequate medical or surgical therapy targeted to endometriosis. In this patient population, there is often the presence of coexisting pain conditions such as irritable bowel syndrome, painful bladder syndrome and myofascial pain as well central sensitisation. An interdisciplinary approach where both peripheral pain triggers and central sensitization are addressed is likely to lead to improved pain and quality of life. The approach to the evaluation and treatment of the patients with persistent/chronic pelvic pain and endometriosis is outlined in this article.

Article History

Disclosures

Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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Authors

Affiliations

  • BC Women’s Centre for Pelvic Pain and Endometriosis, BC Women’s Hospital + Health Centre, Vancouver - Canada
  • Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver - Canada
  • Women’s Health Research Institute at BC Women’s Hospital and Health Centre, Vancouver - Canada

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