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Kroniske bekkensmerte hos kvinner
Engelsk titel: Chronic pelvic pain in women Läs online Författare: Kirste U ; Haugstad GK ; Leganger S ; Blomhoff S ; Malt UF Språk: Nor Antal referenser: 46 Dokumenttyp: Översikt UI-nummer: 02071690

Tidskrift

Tidsskrift for Den Norske Laegeforening 2002;122(12)1223-7 ISSN 0029-2001 E-ISSN 0807-7096 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

INTERPRETATION : Empathic medical evaluation and follow-up within a biopsychosocial framework is recommended. Analgesic, hormonal and, if appropriate, surgical treatment can relieve pain. Additional benefits may be obtained by adding sensory awareness-directed physiotherapy aimed at changing painful muscle tensions, body attitude, movement pattern and dysfunctional respiration pattern. Co-morbid psychiatric disorders should be diagnosed and treated. Cognitive-behavioural stress management intervention aimed at improving coping with pain and current life-situation may be indicated in a subsample of patients. RESULTS : The aetiology of medically unexplained chronic pelvic pain is disputed but likely to be multifactorial. A history of interpersonal difficulties and a stressful life is common, and comorbid psychiatric disorders occur frequently. No treatment of choice emerges from the few controlled treatment trials, though a flexible biopsychosocial approach seems the most promising. MATERIAL AND METHODS : Clinical experience from an ongoing randomised treatment trial supplemented by computer-assisted reviews of studies obtained by a Premedline and Medline search (1996 to February 2002) and data from the Cochrane Database of Systematic Reviews and the EBM database of Abstracts of Reviews of Effectiveness. BACKGROUND : This paper reviews empirical and clinical evidence of the aetiology and treatment of medically unexplained chronic pelvic pain in women.