Topic
Pelvic pain
About: Pelvic pain is a research topic. Over the lifetime, 9212 publications have been published within this topic receiving 227649 citations.
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TL;DR: A healthy 25-year-old woman presents with worsening dysmenorrhea, pain of recent onset in the left lower quadrant, and dyspareunia.
Abstract: A healthy 25-year-old woman presents with worsening dysmenorrhea, pain of recent onset in the left lower quadrant, and dyspareunia She has regular menstrual cycles, and her last menstrual period was 3 weeks before presentation How should this patient be evaluated and treated?
1,493 citations
TL;DR: Turk, Melzack, and Katz as discussed by the authors proposed the McGill Pain Questionnaire: Appraisal and current status to assess patients with chronic pain, and used it to measure the dimensions and stages of pain.
1,492 citations
TL;DR: No studies have yet demonstrated that women on oral pills are at increased risk for growth of these tumors, and low-dose contraceptives should not be contraindicated in patients with leiomyomata if they desire to use this form of contraceptive.
1,455 citations
TL;DR: The disease process is reviewed from theories regarding origin to the molecular basis for disease sequelae and a thorough understanding of the histopathogenesis and pathophysiology of endometriosis is essential to the development of novel diagnostic and treatment approaches for this debilitating condition.
1,066 citations
TL;DR: Routine universal screening and sensitive in-depth assessment of women presenting with frequent gynecological, chronic stress-related, or central nervous system complaints are needed to support disclosure of domestic violence.
Abstract: Background: Domestic violence results in long-term and immediate health problems. This study compared selected physical health problems of abused and never abused women with similar access to health care. Methods: A case-control study of enrollees in a multisite metropolitan health maintenance organization sampled 2535 women enrollees aged 21 to 55 years who responded to an invitation to participate; 447 (18%) could not be contacted, 7 (0.3%) were ineligible, and 76 (3%) refused, yielding a sample of 2005. The Abuse Assessment Screen identified women physically and/or sexually abused between January 1, 1989, and December 31, 1997, resulting in 201 cases. The 240 controls were a random sample of never abused women. The general health perceptions subscale of the Medical Outcomes Study 36Item Short-Form Health Survey measured general health. The Miller Abuse Physical Symptom and Injury Scale measured abuse-specific health problems. tal status, educational level, and income. Direct weights were used to standardize for comparisons. Significance was tested using logistic and negative binomial regressions. Abused women had more (P.05) headaches, back pain, sexually transmitted diseases, vaginal bleeding, vaginal infections, pelvic pain, painful intercourse, urinary tract infections, appetite loss, abdominal pain, and digestive problems. Abused women also had more (P.001) gynecological, chronic stress–related, central nervous system, and total health problems. Conclusions: Abused women have a 50% to 70% increase in gynecological, central nervous system, and stressrelated problems, with women sexually and physically abused most likely to report problems. Routine universal screening and sensitive in-depth assessment of women presenting with frequent gynecological, chronic stress– related, or central nervous system complaints are needed to support disclosure of domestic violence. Arch Intern Med. 2002;162:1157-1163
1,055 citations