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April 2005 · Vol. 17, No. 4

UPDATE on CHRONIC PELVIC PAIN

New Developments That Are Changing Patient Care

Maybe it’s nerves: Common pathway may explain pain

New studies also shed light on transvaginal ultrasound, laparoscopic excision, adhesions, hysterectomy, drug therapy.


Anthony  R.  Scialli,  MD

Principal Scientist, Sciences
International, Inc, Alexandria, Va;
Adjunct Professor, Obstetrics
and Gynecology, Georgetown
University Medical Center,
Washington, DC

Many gynecologists now recognize that surgery is of little benefit in the initial diagnosis and treatment of the syndrome of chronic pelvic pain, but effective alternatives have not been well established either. Within the last year, however, new research has given us a better understanding of its causes, evaluation, and management. This Update discusses new findings on the following patient care issues:

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