title: [Chronic pelvic pain in women].
abstract: BACKGROUND
  Chronic pelvic pain in women represents a difficult diagnostic and therapeutic problem in the gynecological practice which is always a challenge when dealing with affected women.
  Possible gynecological causes are endometriosis, adhesions and/or pelvic inflammatory disease (PID), pelvic varicosis and ovarian retention syndrome/ovarian remnant syndrome. Other somatic causes are irritable bowel syndrome, bladder pain syndrome, interstitial cystitis and fibromyalgia.
  Psychosocial causes contributing to chronic pelvic pain are a high comorbidity with psychological factors, such as anxiety disorders and substance abuse or depression but the influence of social factors is less certain. The association with physical and sexual abuse also remains unclear.
  
  
  METHODS
  Important diagnostic steps are recording the patient history, a gynecological examination and laparoscopy. Multidisciplinary therapeutic approaches are considered to be very promising. Basic psychosomatic care and psychotherapy should be integrated into the therapeutic concept at an early stage.
authors.affiliation: Klinik für Gynäkologie und Geburtshilfe, Martin-Luther-Krankenhaus, Caspar-Theyß-Str. 27-31, 14193, Berlin, Deutschland, friederike.siedentopf@gmx.de.
authors.forename: F
authors.initials: F
authors.lastname: Siedentopf
authors.forename: M
authors.initials: M
authors.lastname: Sillem
mesh_terms: D059350:Chronic Pain / Q000209:etiology / Q000628:therapy*; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010535:Laparoscopy; D017699:Pelvic Pain / Q000209:etiology / Q000628:therapy*; D012307:Risk Factors; D013001:Somatoform Disorders / Q000209:etiology / Q000628:therapy