Psychological and Somatic Factors in Women with Pain Due to Pelvic Congestion

  • Richard Beard
  • Philip Reginald
  • Shirley Pearce
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 245)


Chronic pelvic pain in association with dilated pelvic veins and polycystic ovaries is a common complaint in women in the reproductive years, regardless of whether or not they have been pregnant. These women have a higher incidence of deaths and illnesses amongst family members and close relatives which makes them pay more attention to physical complaints such as pain which may make them more susceptible to environmental “stress” of daily life. A hypothesis is put forward which would link the effects of stress to the somatic changes observed in women with what is here described as the pelvic pain syndrome.


Pelvic Pain Polycystic Ovary Chronic Pelvic Pain Medroxyprogesterone Acetate Broad Ligament 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Allen, W. M., 1971, Chronic pelvic congestion and pelvic pain, Am. J. Obstet. Gynecol., 109:193–202.Google Scholar
  2. Allen, W. M., and Masters, W. H., 1955, Traumatic laceration of uterine support, Am. J. Obstet. Gynecol., 70:500–513.PubMedGoogle Scholar
  3. Baird, D. T., and Fraser, I. S., 1975, Concentration of oestrone and oestradiol in follicular fluid and ovarian venous blood of women, Clinical Endocrinology, 4:259–266.PubMedCrossRefGoogle Scholar
  4. Beard, R. W., Belsey, E. M., Lieberman, M. B., and Wilkinson, J. C. M., 1977, Pelvic pain in women, Am. J. Obstet. Gynecol., 128:566–570.PubMedGoogle Scholar
  5. Beard, R. W., Highman, J. H., Pearce S., and Reginald, P. W., 1984, Diagnosis of pelvic varicosities in women with chronic pelvic pain, Lancet ii:946–949.CrossRefGoogle Scholar
  6. Beard, R. W., Reginald, P. W., and Pearce, S., 1986, Pelvic pain in women-Clinical Algorithm, Br. med. J., 293:1160–1162.CrossRefGoogle Scholar
  7. Benson, R., Hanson, K., and Matarazzo, J., 1959, Atypical pelvic pain in women: gynecologic psychiatric considerations, Am. J. Obstet. Gynecol., 77:806–823.PubMedGoogle Scholar
  8. Chidikel, N., and Edlundh, K. O., 1968, Transuteri ne pelvic venography with particular reference to pelvic varicosities, Acta Radiologica, 7:1–12.Google Scholar
  9. Cohen, M. E., Robins, E., Purtell, S. S., and Altman, M. W., 1953, Excessive surgery in hysteria, J. A. M. A., 151:977.Google Scholar
  10. Dudley, A., 1888, Varicocele in the female. What is its influence on the ovary?, N. Y., Med. J., Aug. 18:174–177.Google Scholar
  11. Duncan, C. H., and Taylor, H. C., 1952, A psychosomatic study of pelvic congestion, Am. J. Obstet. Gynecol., 64:1–12.PubMedGoogle Scholar
  12. Eysenck, H. J., and Eysenck, S. B. G., 1964, “Manual of the Eysenck Personality Inventory,” University of London Press, London.Google Scholar
  13. Freund, R., 1933, Die krankheiten des beckenbindegewebes, in: “Handbuch der Gynaekologie,” Vol. 8, Part 1, pp. 446–717, J. Veit and W. Stoeekel, eds., Bergmann, Leipzig.Google Scholar
  14. Gillibrand, P. N., 1981, The investigation of pelvic pain. Communication on the scientific meeting of chronic pelvic pain: a gynaecological headache, R. C. O. G., London.Google Scholar
  15. Gooch, R., 1831, On some of the most important diseases peculiar to women. Republished by Sydenham Society, London, 1859.Google Scholar
  16. Gordenne, W., and Lhoist, R., 1979, Value of uterine venography in the diagnosis of pelvic pain in women, J. Belge Radiol.-Belgisch Tijdschr. Radiol., 62:223–230.Google Scholar
  17. Henker, F. O., 1979, Diagnosis and treatment of non-organic pelvic pain, South Med. J., 72:1132–1134.PubMedCrossRefGoogle Scholar
  18. Hodgkinson, C. P., 1953, Physiology of the ovarian veins during pregnancy, Obst. Gynec, 1:26–37.Google Scholar
  19. Hughes, R. R., and Curtis, D. D., 1962, Uterine phlebography, Am. J. Obstet. Gynecol., 83:156–164.PubMedGoogle Scholar
  20. Kaupilla, A., 1970, Uterine phlebography with venous compression. A clinical and roentological study, Acta Obst. Gynec. Scand., 49:33–34.Google Scholar
  21. McCausland, A. M., Hyman, C, Winsor, T., and Trotter, A. D., Jr., 1961, Venous distensibility during pregnancy, Am. J. Obstet. Gynecol., 81: 472–478.PubMedGoogle Scholar
  22. McNair, D. M., Lorr, M., and Droppleman, L. F., 1971, Manual for the Profile of Mood States. Educational and Industrial Testing Service, San Diego, California.Google Scholar
  23. Meschia, G., 1983, Circulation to female reproductive organs, in: “Handbook of Physiology,” Section 2, Vol. III, Part I, J. T. Shepherd, F. M. Abbond, and S. R. Geiger, eds., American Physiological Society, Bethesda.Google Scholar
  24. Missanelli, J. S., 1982, Chronic pelvic pain: Intrapelvic fluid as a possible aetiological factor, Journal of American Osteopath Association, 7: 492–495.Google Scholar
  25. Morris, N., and O’Neill, D., 1958, Outpatient Gynaecology, Br. med. J., 2: 1038.CrossRefGoogle Scholar
  26. Netter, A., 1953, l’Ovarite sclero-kystique, l’Expansion Scientifique Francaise, Paris.Google Scholar
  27. Ochsner, A., and Mahoner, H. R., 1939, Varicose Veins, Mosby, St Louis.Google Scholar
  28. Pearce, S., 1986, A Psychological Investigation of Chronic Pelvic Pain in Women, Ph.D. Thesis, University of London.Google Scholar
  29. Pilowsky, I., 1978, Psychodynamic Aspects of the Pain Experience, in: “The Psychology of Pain,” R. A. Sternbach, ed., Raven Press, New York.Google Scholar
  30. Renaer, M., Nijs, P., Van Assche, A., and Vertommen, H., 1980, Personal observations and a review of the problem, Europ. J. Obst. Gynec. Reprod. Biol., 10:415–463.CrossRefGoogle Scholar
  31. R. C. O. G. Gynaecological Laparoscopy, 1978, Report of the working party of the confidential enquiry into gynaecological laparoscopy, G. Chamberlain, and I. C. Brown, eds., London.Google Scholar
  32. Schultze, B. S., 1875, Arch. Gynak., 8, 134–180, quoted by Taylor ( 1949).Google Scholar
  33. Stearns, H. C., and Sneeden, U. D., 1966, Observations on the clinical and pathological aspects of the pelvic congestion syndrome, Am. J. Obstet. Gynecol., 94:718–732.PubMedGoogle Scholar
  34. Tait, L., 1883, The Pathology and Treatment of the Diseases of the Ovaries, William Wood and Company, New York.Google Scholar
  35. Taylor, H. C., 1949a, Vascular congestion and hyperemia I. Psychologic basis and history of the concept, Am. J. Obstet. Gynecol., 57:211–230.PubMedGoogle Scholar
  36. Taylor, H. C., 1949b, Vascular congestion and hyperemia II. The clinical aspects of the congestion-fibrosis syndrome, Am. J. Obstet. Gynecol., 57:637–653.PubMedGoogle Scholar
  37. Taylor, H. C., 1949c, Vascular congestion and hyperemia III. Etiology and therapy, Am. J. Obstet. Gynecol., 57:654–668.PubMedGoogle Scholar
  38. Taylor, H. C., 1954, Pelvic pain based on a vascular and autonomic nervous system disorder, Am. J. Obstet. Gynecol., 67:1177–1196.PubMedGoogle Scholar
  39. Theobald, G. W., 1951, Pelvic sympathetic syndrome, J. Obstet. Gynec. Brit. Emp., 58:733–761.CrossRefGoogle Scholar
  40. Topolanski-Sierra, R., 1958, Pelvic phlebography, Am. J. Obstet. Gynecol., 76:44–52.PubMedGoogle Scholar
  41. Von Peham, H., and Amreich, J., 1934, Operative Gynecology, Vol. 1, Lippincott Company, Philadelphia.Google Scholar
  42. Young, J., 1938, Lower abdominal pains of cervical origin, their genesis and treatment, Br. med. J., 1:104–111.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • Richard Beard
    • 1
  • Philip Reginald
    • 1
  • Shirley Pearce
    • 2
  1. 1.Department of Obstetrics and GynaecologySt Mary’s Hospital Medical SchoolLondon W2UK
  2. 2.Department of PsychologyUniversity CollegeLondon WC1UK

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