Modesto Waleska Oliveira, Bahamondes Luis
Human Reproduction Unit, Department of Obstetrics and Gynecology, School of Medical Sciences and National Institute of Hormones and Women's Health, University of Campinas, Campinas, São Paulo, Brazil.
J Reprod Med. 2011 Sep-Oct;56(9-10):425-30.
To evaluate the effect of functional constipation on women with and without chronic pelvic pain (CPP).
One hundred women ages 18-50 were separated into three groups: (A) women without CPP, (B) women with CPP but without functional constipation, and (C) women with CPP with functional constipation according to Rome III criteria. All participants were followed over 3 months, completing a questionnaire on pain and constipation daily. CPP was evaluated using a visual analog scale (VAS).
In Group A, 16 of 31 women complained of lumpy or hard stools; 13 had symptoms of functional constipation. In Group B, 4 of 19 women had lumpy or hard stools. In Group C, 46 of 50 reported straining or incomplete bowel movements and 49 reported lumpy or hard stools. Regarding CPP, no significant differences were found in VAS pain score between Groups B and C; no changes were found in VAS pain score throughout the 12-week evaluation period. The most common diagnoses associated with CPP were idiopathic pain, endometriosis, and pelvic adhesions.
Functional constipation was significantly more prevalent in women with CPP than women without CPP; however, it does not appear to have a role in worsening the pain.
评估功能性便秘对患有和未患有慢性盆腔疼痛（CPP）的女性的影响。
100名年龄在18至50岁之间的女性被分为三组：（A）无CPP的女性，（B）有CPP但无功能性便秘的女性，以及（C）根据罗马III标准患有CPP且伴有功能性便秘的女性。所有参与者随访3个月，每天完成一份关于疼痛和便秘的问卷。使用视觉模拟量表（VAS）评估CPP。
在A组中，31名女性中有16名抱怨粪便结块或坚硬；13名有功能性便秘症状。在B组中，19名女性中有4名有粪便结块或坚硬的情况。在C组中，50名中有46名报告有排便费力或排便不尽，49名报告有粪便结块或坚硬。关于CPP，B组和C组之间在VAS疼痛评分上未发现显著差异；在整个12周的评估期内，VAS疼痛评分没有变化。与CPP相关的最常见诊断是特发性疼痛、子宫内膜异位症和盆腔粘连。
与无CPP的女性相比，功能性便秘在患有CPP的女性中更为普遍；然而，它似乎并未在加重疼痛方面起作用。
