Talk:Pelvic pain

Controversial?
Why is endometriosis regarded as being a "very controversial" cause of chronic pelvic pain? This seems to contradict generally accepted wisdom (and medical advice/information). While often endometriosis causes cyclical pain that only occurs at certain points of the menstrual cycle, it's certainly not unheard of for it to lead to chronic pain all month long (that may be worse at certain times). 86.3.150.116 (talk) 00:28, 29 November 2007 (UTC)
 * As there doesn't seem to be anyone answering this point, I've deleted the "(very controversial)" statement from besides endometriosis, as the linked articles themselves seem to confirm that endometriosis can cause chronic pelvic pain - either through the disease itself or via secondary scarring, adhesions or neurological complications. If anyone can produce peer reviewed evidence to show there is a great deal of controversy over endometriosis as a cause of chronic pelvic pain (over and above the other mechanisms listed) then I've no problem with it being returned. However, as there is no definitive cause for CPP and it can result from a number of conditions that may or may not cause CPP, it seems somewhat confusing as to why endometriosis was picked out above the others. 86.3.150.116 (talk) 20:27, 9 December 2007 (UTC)

Move
Moved to pelvic pain as not all the conditions mentioned here are chronic. Doc James (talk · contribs · email) 16:39, 17 February 2010 (UTC)


 * Unfortunately, the intro still discusses "CPP" and mentions chronic. Should have discussed it first? ► RATEL ◄ 22:39, 17 February 2010 (UTC)


 * Thanks and removed this. Is was strange to have pelvic pain redirect to chronic pelvic pain.  Anyway if this expands sufficiently the chronic aspect may be slip off but as it stands many of these causes are also acute. Doc James  (talk · contribs · email) 22:42, 17 February 2010 (UTC)

Redirect from Pain in the ass?!
This is absurd. You don't experience pelvic pain when you have haemorrhoids. Also it doesn't cover the figurative use of the phrase or variants such as Malakula.--87.162.1.58 (talk) 19:48, 22 February 2010 (UTC)


 * Agree and have redirected it to rectal pain. Will create that page as it does not appear to exist. Doc James  (talk · contribs · email) 20:03, 22 February 2010 (UTC)

Review 2010
Doc James (talk · contribs · email) 19:16, 6 September 2011 (UTC)

Improving the explanation of pelvic pain in the introduction
There are two issues with the definitions: firstly, pelvic pain itself is not defined (where is the pain, I mean - that is, pain in the pelvic area, ideally explained). Secondly, the way chronic is phrased after the preceding sentence gives the impression that it's usually traumatic in origin.

Good explanations that might be useful in re-formulating:

AHRQ for consumers: "Chronic pelvic pain (CPP) is ongoing pain in your pelvic area (the area between your hips and below your belly button) that lasts for 3 or more months." Formal definition at : "Chronic pelvic pain is defined by the American College of Obstetrics and Gynecology as intermittent or constant pain over at least 6 months in the lower abdomen or pelvic area. Pain may occur in the lower abdomen or pelvis, including the abdominal wall at or below the umbilicus, lumbosacral back, or the buttocks. The pain is sufficiently severe that it impedes activities of daily living or causes functional disability or leads to medical care. In practice and in current research, the diagnosis of CPP may be made as early as 3 months after onset of pain."

ACOG: "Chronic pelvic pain is pain in the pelvic area that lasts for 6 months or longer. Chronic pain can come and go, or it can be constant. Sometimes chronic pelvic pain follows a regular cycle. For example, it may occur during menstruation. It also can occur only at certain times, such as before or after eating, while urinating, or during sex." (Their Practice Bulletin is PMID: 14990428 )

This PMID: 18581833 (with free AFP full text): "Chronic pelvic pain is defined in a variety of ways. A useful clinical definition of chronic pelvic pain is noncyclic pain that lasts six months or more; is localized to the pelvis, the anterior abdominal wall at or below the umbilicus, or the buttocks; and is of sufficient severity to cause functional disability or require medical care.1 Other definitions do not require that the pain be noncyclic." — Preceding unsigned comment added by Hildabast (talk • contribs) 12:49, 8 June 2014 (UTC) Sorry - forgot to sign Hildabast (talk) 23:39, 8 June 2014 (UTC)
 * Agree and have adjusted some. Doc James  (talk · contribs · email) (if I write on your page reply on mine) 04:50, 11 June 2014 (UTC)