Chronic pelvic pain and symptom flare

Chronic pelvic pain (CPP) remains a serious issue affecting up to 26.6% of women globally. Pelvic pain symptoms include dysmenorrhea, dyspareunia, non-cyclical pelvic pain, dysuria, and dyschezia. Many women experience multiple pains along with other pelvic symptoms like heavy menstrual bleeding, urinary frequency/urgency, and altered bowel function. 

A recent study that quantified the variation, triggers, and impact on the quality of life of symptom flares in these women found that 76% of women with CPP experience symptom flares of at least one length (short, medium, and/or long). These flares can deliver painful and non-painful symptoms. The frequency, duration, symptoms, and triggers for flares vary largely. >60% of women felt that these flares stop them from doing things they would usually do; >80% considered the symptoms of flares to be preoccupying and bothersome.

The prevalence and clinical significance of flares in CPP cannot be overstated. This study underscores the need for further research to elucidate the mechanisms and characteristics underlying these flares. Clinicians must incorporate discussions about flares into patient consultations, as it could lead to developing strategies to mitigate their impact. 

Coxon L, Lugt C, Horne AW, et al. Vincent, K. Symptom flares in women with chronic pelvic pain: Questionnaire study within a cohort study (translational research in pelvic pain (TRiPP)). BJOG: An International Journal of Obstetrics & Gynaecology. https://doi.org/10.1111/1471-0528.17915