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Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This article suggests the valuable role a social worker can play as a researcher on a multidisciplinary team. In a study conducted by a gynecologist, a social worker, a psychiatrist, and a psychologist, women experiencing chronic pelvic pain were found to be profoundly affected by factors other than organic disease, such as traumatic early childhoods, psychopathology, and incest in a significant number of cases.
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PMID:Incest and pelvic pain: the social worker as part of a research team. 666 2

Twenty-five gynecologic patients with chronic pelvic pain were evaluated in a multidisciplinary study. Gynecologic evaluation revealed most patients had normal pelvic exams. Psychiatric evaluation showed all of the patients to have significant psychopathology, with Borderline Syndrome, and Hysterical Character Disorder the most frequent diagnoses. A significant incidence of early childhood family dysfunction and incest were found. Psychological testing corroborated the high incidence of severe psychopathology.
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PMID:Borderline syndrome and incest in chronic pelvic pain patients. 738 Jun 19

The family physician dealing with gynecologic pelvic pain (acute or chronic) enters at the beginning of the problem as diagnostician, refers the patient to a specialist in the interim, and resumes care in the follow-up period. Patients with chronic pelvic pain (pelvic pain that has lasted for at least six months) can be difficult to treat because they often have a history of dysfunctional family life, sexual and marital problems, and often a hidden history of sexual molestation or incest. The family physician can best care for the patient with empathy, a long ventilated history, complete physical and pelvic examination, and pelvic ultrasonograpy if necessary. Laparoscopy normally shows pelvic adhesions in one third of these patients, minimal endometriosis in one third, and a normal pelvis in the final third. The family physician should specifically reassure patients with normal results that they do not have cancer. The ideal therapy combines both stimulation-produced analgesia and treatment of the psychological, emotional, sociological, and environmental aspects of the disease.
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PMID:Gynecologic pelvic pain. 2124 70