Johnson Christina M, Makai Gretchen E H
Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Christiana Care Health System, Newark, Delaware.
Semin Reprod Med. 2018 Mar;36(2):136-142. doi: 10.1055/s-0038-1676090. Epub 2018 Dec 19.
Fibromyalgia and irritable bowel syndrome are common disorders which often coexist in women with chronic pelvic pain. Like pelvic pain, these disorders describe symptoms without pathologic findings. Women with chronic pelvic pain have a higher prevalence of fibromyalgia (4-31%) and irritable bowel syndrome (8-41%) than the general population. Aberrant pain processing and psychosocial stressors are implicated in the co-occurrence of these pain syndromes (chronic overlapping pain conditions), but active epidemiologic, psychosocial, and neurobiologic research is ongoing. Given the higher prevalence of fibromyalgia and irritable bowel syndrome in women with chronic pelvic pain, gynecologists should have more education in diagnosis and treatment of these and other chronic overlapping pain conditions to improve care for women.
纤维肌痛和肠易激综合征是常见疾病，常共存于患有慢性盆腔疼痛的女性中。与盆腔疼痛一样，这些疾病描述的是没有病理发现的症状。患有慢性盆腔疼痛的女性中，纤维肌痛（4%-31%）和肠易激综合征（8%-41%）的患病率高于普通人群。异常的疼痛处理和社会心理压力源与这些疼痛综合征（慢性重叠性疼痛病症）的共现有关，但积极的流行病学、社会心理和神经生物学研究仍在进行中。鉴于慢性盆腔疼痛女性中纤维肌痛和肠易激综合征的患病率较高，妇科医生应接受更多关于这些及其他慢性重叠性疼痛病症诊断和治疗的教育，以改善对女性的护理。
