For the Causes of Chronic Pelvic Pain, Search Beyond Endometriosis

Fewer than 25% of women undergoing hysterectomy for chronic pelvic pain had endometriosis.

Although hysterectomy is common for management of chronic pelvic pain (CPP) — a condition that may be associated with endometriosis — the prevalence of surgically confirmed endometriosis in women with CPP is not definitively known. Investigators conducted a retrospective cohort study of 9622 women undergoing laparoscopic or abdominal hysterectomy for benign indications as part of the Michigan Surgical Quality Collaborative. Endometriosis was documented by review of surgical pathology reports and operative notes; adenomyosis was not reported.

Among hysterectomies, 39% had a preoperative indication of CPP, 13% of endometriosis, 9% of both CPP and endometriosis, and 57% of another benign condition. In all, 15% of women undergoing hysterectomy w…

Reviewing Author

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

For the Causes of Chronic Pelvic Pain, Search Beyond Endometriosis

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Reviewing Author