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Criteria that indicate endometriosis is the cause of chronic pelvic pain.

Publication ,  Journal Article
Hurd, WW
Published in: Obstet Gynecol
December 1998

Chronic pelvic pain and endometriosis remain two of the most perplexing problems in gynecology. In some women with both conditions, endometriosis might not be the cause of their pain. The problem is determining when the pain is caused by endometriosis. On the basis of clinical studies, I suggest three criteria that should be met before attributing chronic pelvic pain to endometriosis. First, the pelvic pain should be cyclic because endometriosis is a hormonally responsive disease. Second, endometriosis should be diagnosed surgically to avoid overdiagnosing this condition. Finally, medical or surgical treatment of endometriosis should result in prolonged pain relief. Application of these evidence-based criteria reminds us that endometriosis often can be asymptomatic, even in some women with chronic pelvic pain. These criteria might help gynecologists determine the women for whom surgical therapy will resolve the pain; however, only prospective evaluation can determine their ultimate usefulness.

Duke Scholars

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Published In

Obstet Gynecol

DOI

ISSN

0029-7844

Publication Date

December 1998

Volume

92

Issue

6

Start / End Page

1029 / 1032

Location

United States

Related Subject Headings

  • Pelvic Pain
  • Obstetrics & Reproductive Medicine
  • Humans
  • Female
  • Endometriosis
  • Chronic Disease
  • 3215 Reproductive medicine
  • 1114 Paediatrics and Reproductive Medicine
 

Citation

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Hurd, W. W. (1998). Criteria that indicate endometriosis is the cause of chronic pelvic pain. Obstet Gynecol, 92(6), 1029–1032. https://doi.org/10.1016/s0029-7844(98)00283-x
Hurd, W. W. “Criteria that indicate endometriosis is the cause of chronic pelvic pain.Obstet Gynecol 92, no. 6 (December 1998): 1029–32. https://doi.org/10.1016/s0029-7844(98)00283-x.
Hurd WW. Criteria that indicate endometriosis is the cause of chronic pelvic pain. Obstet Gynecol. 1998 Dec;92(6):1029–32.
Hurd, W. W. “Criteria that indicate endometriosis is the cause of chronic pelvic pain.Obstet Gynecol, vol. 92, no. 6, Dec. 1998, pp. 1029–32. Pubmed, doi:10.1016/s0029-7844(98)00283-x.
Hurd WW. Criteria that indicate endometriosis is the cause of chronic pelvic pain. Obstet Gynecol. 1998 Dec;92(6):1029–1032.
Journal cover image

Published In

Obstet Gynecol

DOI

ISSN

0029-7844

Publication Date

December 1998

Volume

92

Issue

6

Start / End Page

1029 / 1032

Location

United States

Related Subject Headings

  • Pelvic Pain
  • Obstetrics & Reproductive Medicine
  • Humans
  • Female
  • Endometriosis
  • Chronic Disease
  • 3215 Reproductive medicine
  • 1114 Paediatrics and Reproductive Medicine