4.5 Review

Non-pharmacological therapies for treating chronic pelvic pain in women: A review

Journal

MEDICINE
Volume 101, Issue 49, Pages -

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000031932

Keywords

acupuncture; chronic pelvic pain; non-pharmacological therapy; psychotherapy; therapeutic intervention

Funding

  1. China Academy of Chinese Medical Sciences Innovation Fund [CI2021A03518]

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This study reviews the literature on non-pharmacologic therapies for chronic pelvic pain (CPP) in adult women, and summarizes the most commonly used non-pharmacologic treatments. By evaluating the effectiveness and safety of each therapy, the study concludes that non-pharmacologic therapies should be included in the initial treatment plan due to their high degree of safety and low rate of side effects. The study provides evidence to fill the lack of data on non-pharmacologic therapies for CPP.
Chronic pelvic pain (CPP) is an intricate condition with multiple etiologies that lead to indefinite pain mechanisms. Physicians and researchers are challenged in its treatment, and the combined therapy of pharmacologic and non-pharmacologic treatment has been recognized as a multidisciplinary approach cited by guidelines and adopted in clinical practice. As an alternative therapy for CPP, non-pharmacologic therapies benefit patients and deserve further study. This study reviews the literature published from January 1991 to April 2022 on non-pharmacologic therapies for CPP in adult women. Based on a survey, this review found that the most commonly used non-pharmacological therapies for CPP include pelvic floor physical therapy, psychotherapy, acupuncture, neuromodulation, and dietary therapy. By evaluating the efficacy and safety of each therapy, this study concluded that non-pharmacological therapies should be included in the initial treatment plan because of their high degree of safety and low rate of side effects. To fill the lack of data on non-pharmacologic therapies for CPP, this study provides evidence that may guide treatment and pain management.

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