Chronic Pelvic Pain Linked to Illness, Abuse

By Bell, John R. | Clinical Psychiatry News, May 2006 | Go to article overview

Chronic Pelvic Pain Linked to Illness, Abuse


Bell, John R., Clinical Psychiatry News


Pelvic disease, psychological morbidity, and a history of abuse are the factors most strongly associated with chronic pelvic pain in women, according to a metaanalysis including data on more than 90,000 patients.

Dr. Pallavi Latthe and colleagues at the University of Birmingham (England) evaluated 122 studies that examined dysmenorrhea, dyspareunia, and noncyclical pelvic pain, including recurrent pelvic pain. The reports included were published in six languages and were extracted from several large databases; a total of 94,927 women were assessed.

Studies were chosen based on inclusion of relevant clinical and statistical terms, as well as quality of the research design (BMJ 2006;332:749-55).

Patient characteristics associated with dysmenorrhea were being at least 30 years of age, having a body mass index of less than 20 kg/[m.sup.2], smoking, menarche before the age of 12, irregular or heavy menstrual flow, premenstrual symptoms, clinically suspected pelvic inflammatory disease, sterilization, and history of being sexually assaulted.

The factors associated with decreased risk were use of oral contraceptives, being married, having children, exercising, and including fish in the diet. …

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