女性の慢性骨盤痛:トラウマインフォームド評価からエビデンスに基づく治療まで
Kimberly Weikel1, Elyse Watkins, Megan Orlando
1Kimberly Weikel is an assistant professor, lead APP in the Department of Obstetrics & Gynecology, and lead APP in the UC Health Center for Endometriosis and Chronic Pelvic Pain at the University of Colorado in Aurora, CO; she also serves as president of Academia de Asociados Médicos de Puerto Rico (AAMPR). Elyse Watkins is an associate professor in and associate chair of the DMSc program at Northeastern University in Boston, MA. Megan Orlando is an assistant professor at the University of Colorado and co-director of the UC Health Center for Endometriosis and Chronic Pelvic Pain. E. Watkins serves as a clinical editor for JAAPA. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
Abstract:
Female chronic pelvic pain (CPP) is a common, complex, multifactorial disorder that can negatively affect sexual functioning and emotional well-being. Effective assessment necessitates a comprehensive patient history and trauma-informed physical examination. The differential diagnosis is extensive, but a methodical investigation often leads to an appropriate diagnosis. Management strategies encompass a range of pharmacologic and nonpharmacologic interventions, including neuropathic medications, hormone therapies, pelvic floor physical therapy, trigger point injections, and behavioral health interventions. A multidisciplinary, evidence-based approach is essential for patients with CPP.
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