Chronic Pelvic Pain (ACOG PB 218)

Chronic pelvic pain is more complex than previously thought, with a broader range of causes outlined in a recent ACOG bulletin. Key topics include the usefulness of the Carnett test and the effectiveness of trigger point injections. The discussion also delves into the role of SNRI medications and highlights the limited success of routine laparoscopic adhesiolysis. Emphasis is placed on the importance of accurate diagnosis, physical therapy, and strategies to reduce opioid dependency for better management of this condition.