Chronic Pelvic Pain: It isn't all in her head
By Steven D. McCarus, MD

Chronic pelvic pain poses a significant problem in women's health care in the United States for patients and clinicians, and in overall costs to the health care system. An estimated 9 million American women, or nearly 15% of women in their reproductive years, have chronic pelvic pain (CPP), defined as pelvic pain that lasts longer than 6 months.

Three of 4 women who experience CPP do not recognize the serious implications and do not seek consistent medical management. More than half never receive any diagnosis. Instead, they rely on over-the-counter pain medications, jumping from physician to physician or visiting urgent care centers whenever symptoms worsen. Only about 10% of women with CPP are under the care of a physician for this condition.

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