Interventions for treating chronic pelvic pain in women
RHL practical aspects by Vazquez-Cabrera J and Vazquez JC
FIRST CONTACT (PRIMARY CARE) LEVEL
Chronic pelvic pain is a complex problem which may be difficult to manage at the primary care level. At this level of care the most appropriate strategy is to determine whether the pain is due to acute and life-threatening causes such as ectopic pregnancy and acute pelvic inflammatory disease.
REFERRAL HOSPITAL (SECONDARY CARE) LEVEL
The available evidence is not compelling enough for any of the interventions discussed. At this level of care ultrasound scanning for reassurance and medroxyprogesterone acetate could be used if they are available, keeping in mind that the evidence for implementation of these interventions is based on scanty data.
AT HOME OR IN THE COMMUNITY
This document should be cited as: Vazquez-Cabrera J and Vazquez JC. Interventions for treating chronic pelvic pain in women : RHL practical aspects (last revised: 13 March 2006). The WHO Reproductive Health Library; Geneva: World Health Organization.