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Noncyclic Chronic Pelvic Pain Therapies for Women

Slide: 16 of 24

Comparative Effectiveness of Non-surgical Interventions for Noncyclic CPP: Pain Outcomes (2 of 2)

Non-surgical interventions that were evaluated in the included studies, in addition to hormonal therapies, were pharmacological agents such as gabapentin, amitriptyline, and botulinum toxin; allied health approaches such as pelvic floor muscle therapy; and behavioral therapies such as counseling with or without photographic reinforcement. Another non-surgical intervention that was evaluated was an integrated treatment approach—defined as equal attention devoted to organic, psychological, dietary, and environmental causes of pain without routine laparoscopy. The evidence was assessed as being insufficient to determine the relative effectiveness of these treatment modalities in reducing pain. This was due to the quality of all studies being poor or at best fair and due to the significant variation between studies in definition of pelvic pain, patient populations, outcome measures, interventions, timing of outcome measures and participant followup, and comparators.