Evolution, Not Revolution: Opioid Safety in 2021

Chronic pelvic pain (CPP) affects nearly 26% of the worldÕs population and often co-occurs with other debilitating conditions. These coexisting conditions, often termed chronic overlapping pain conditions, are more prevalent in women and include, but are not limited to, vulvodynia, endometriosis, irritable bowel syndrome, temporomandibular disorders, fibromyalgia, chronic tension-type and migraine headache, and chronic low back pain. Many of these lead to CPP and affect visceral structures; however, other frequent and important types of pain are somatic and neurologic in origin. When initially evaluating a patient suffering from CPP, it is imperative to perform a detailed and structured history and physical exam to promptly identify and initiate treatment for all the potential conditions leading to pain. This is also important since it will lead to creating an individualized team to treat the patientÕs conditions and needs in an interdisciplinary fashion. This presentation will identify the best tools to collect, organize, and review a patientÕs history and physical exam findings. We will review how to identify somatic, neurologic, and visceral causes of CPP.