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NEW ORLEANS--Gynecologic sources--most often endometriosis--accounted for the vast majority of chronic pelvic pain cases in a recent case series.
The findings suggest that empiric therapy for chronic pelvic pain, rather than diagnostic laparoscopy with excision, may be an appropriate approach to treatment, Dr. James E. Carter said at an international congress sponsored by the Society of Laparoendoscopic Surgeons.
Of 500 consecutive chronic pelvic pain patients in a general gynecology practice setting, 70% were found to have gynecologic sources of the pain; 15% had myofascial or musculoskeleral diagnoses, pelvic floor pain syndrome, and/or hernias; 10% had gastrointestinal sources of pain; and 5% had genitourinary sources, said Dr. Carter of the University of California, Irvine.
...Source: HighBeam Research, Endometriosis accounts for most cases of pelvic pain. (Empiric...