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Il trattamento del dolore pelvico cronico


{ITA} Il dolore pelvico cronico (CPP) è un dolore ricorrente o costante all’addome inferiore che dura da almeno 6 mesi. Possibili cause vanno dalla sindrome del colon irritabile (50-80% dei casi), a disturbi urologici (tra cui cistite interstiziale, 5-10% dei casi), all’endometriosi e aderenze pelviche (circa 5% dei casi). In circa la metà dei casi ci si può trovare davanti a cause concomitanti.
Si deve quindi sempre partire da una corretta diagnosi delle diverse componenti di CPP presenti in quella specifica paziente. Bisogna poi focalizzarsi alla comprensione di quali meccanismi si sono alterati, se solo periferici o anche centrali, per capire se quella specifica paziente possa beneficiare anche da un trattamento psicologico/psicoattivo. Il trattamento del CPP spiegato in questa review narrativa deve essere sempre multidisciplinare, può essere o comportamentale/medico o chirurgico o combinato e non si deve focalizzare irrimediabilmente sulla rimozione chirurgica della presunta causa di CPP, soprattutto in patologie complesse quali l’endometriosi.

{ENG} Chronic Pelvic Pain (CPP) is a recurrent or constant pain in the lower abdomen that lasts for at least 6 months. Possible causes range from irritable bowel syndrome (50-80% of cases), to urological disorders (including interstitial cystitis, 5-10% of cases), to endometriosis and pelvic adherence (about 5% of cases). In about half of the cases concomitant multiple causes are found. Therefore, it is always necessary to start with a proper diagnosis of the various CPP components present in the specific subject. Then it is important to focus on understanding which mechanisms have been altered, if only peripheral or even central, to understand whether the specific subject can also benefit from psychological/psychoactive treatments. The treatment of the CPP explained in this narrative review must always be multidisciplinary, be either behavioral/medical or surgical or combined and it should not irreparably focus on the surgical removal of the presumed CPP cause, especially in complex diseases such as endometriosis.


Sondaggio sulla PCOS

Partecipate al sondaggio sulla PCOS (in inglese) per valutare come il professionista medico (endocrinologo, ginecologo) valuta la paziente PCOS

I prossimi appuntamenti Aige
Le novità in tema di terapie in Ginecologia Endocrinologica
Dec 13⁠–Dec 15  

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  • Corso
  • Evento AIGE

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Percorsi integrati per il benessere riproduttivo e sessuale
Mar 07⁠–Mar 09 2025  
Firenze, Italia

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  • Congresso
  • Evento AIGE

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La contraccezione come terapia
Feb 17⁠–Jun 17 2025  

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  • Corso
  • Evento AIGE

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