Despite the great forward leaps in gynaecological training, chronic pelvic pain has not been addressed by any structured training programmes. Furthermore, a multidisciplinary approach to consider nongynaecological causes does not exist, or at best is fractured and incoherent. Such approach is most important as chronic pelvic pain is hardly ever caused by one problem. The team should include interested and experienced Gynaecologist, Urologist, Colorectal Surgeon Gastroenterologist, Pain Management Specialists, Counsellors, Physiotherapist and Nutritionist. The lead person should be a Nurse Cordinator to arrange the smooth running of the unit, and to make sure that no patient should fall through the net. Use of special protocols, patients questionaires, 3D ultrasound and minimally invasive surgical techniques have improved the outcome for these patients in many dedicated units.
The information in this website is meant to raise the awareness of young gynaecologists to such an important issue, which has negative effects on the lives of many young women. Primary care providers have the main responsibility with parents to make sure that young adolescents with chronic pelvic pelvic pain should see a specialist. On the other hand, senior doctors with no special expertise in this field should pass over patients with such a problem to other colleagues who are involved day in and day out in the management of this problem. This is specially important when surgery is required, since the first procedure usually is the most important to deal with patients' problems. Furthermore, regular follow up of these patients in such dedicated clinics under the supervision of experienced practitioners usually gives better final clinical outcome.