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Chronic pelvic pain

Has multifactorial etiologies.

Common as asthma and chronic back pain.

Major affect on the quality of life of women.

Accounts for 10% of outpatient gynecologic visits.

Accounts for 40% of ref2242als for diagnostic laparoscopy.

Findings at laparoscopy only occasionally beneficial.

Pain nerves and parasympathetic ganglia in the uterosacral ligaments carry pain fibers from the uterus, cervix and other pelvic structures.

Evaluation includes complete history, including social, family, medical and surgical along with physical examination with pelvic examination.

Focal pain on pelvic examination is associated with pelvic disease in 97% of cases and endometriosis in 66% of patients (Ripps BA).

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