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Sexual victimization and chronic pelvic pain
1Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
Obstetrics and Gynecology Clinics of North America
|December 1, 1993
Summary
Women with chronic pelvic pain often report a history of sexual victimization. This review examines the evidence linking pelvic pain to sexual abuse and other trauma, offering management strategies for healthcare providers.
Area of Science:
- Reproductive Medicine
- Psychology
- Trauma Studies
Background:
- Chronic pelvic pain (CPP) is a prevalent condition affecting women's quality of life.
- A significant correlation exists between CPP and a history of sexual victimization.
- Understanding this association is crucial for effective patient care.
Purpose of the Study:
- To review the evidence linking chronic pelvic pain in women to sexual victimization.
- To explore the association of CPP with other forms of abuse.
- To examine the relationship between sexual trauma and other physical health issues.
Main Methods:
- Systematic literature review of studies investigating CPP and sexual victimization.
- Analysis of research on co-occurring abuse and physical sequelae.
- Synthesis of findings to inform clinical practice.
Main Results:
- Strong evidence supports a link between chronic pelvic pain and a history of sexual victimization.
- Sexual trauma may be associated with other forms of abuse and various physical health problems.
- The review highlights the complex interplay between trauma history and pain conditions.
Conclusions:
- Healthcare providers should screen for a history of sexual trauma in women with chronic pelvic pain.
- Integrated care approaches are necessary to address both the pain and the trauma.
- Further research is needed to elucidate causal pathways and optimize treatment.