Psychogenic causes of chronic pelvic pain, and its impact on psychological status
Graziottin A. Psychogenic causes of chronic pelvic pain, and its impact on psychological status in: Vercellini P. (Ed), Chronic pelvic pain, Wiley-Blackwell, 2011, p. 29-39
Psychogenic factors can be powerful contributors of CPP, as predisposing, precipitating or maintaining factors of chronic stress. One of the currently most credited pathophysiologic reading is through the corticotropin-releasing factor (CRF) signaling pathways. The paper: - updates the word ”psychogenic”; - suggests a pathophysiologic reading of the psychogenic contribute to CPP, via the stress-induced corticotropin-releasing factor (CRF) signaling pathways, and differentiates predisposing, precipitating and maintaining factors; - summarizes the pertinent evidence; - focuses on the differential diagnosis between prominent “psychogenic” vs somatic etiology of CPP; - highlights the common diagnostic mistakes with a focus on iatrogenic factors and nocebo effect; - discusses the psychological and sexual consequences of CPP.
FAIR USE: The content of this paper can be downloaded, printed and read for strictly personal and non-profit use. Any citation for didactic and/or scientific purpose must quote the title of the document, the name of the author(s), the data of the book or journal, and the URL of the site (www.fondazionegraziottin.org).
WARNING: Every therapy must be discussed, tailored, prescribed and monitored by the M.D. personally consulted. Every information presented in this website can not surrogate the personal relationship with the caring physician nor be utilized without specific medical advice.