In the USA, an estimated 12-15 percent of women report signs and symptoms suggestive of CPP, or have been diagnosed with CPP,1,2 and up to 15 percent have vulvodynia.3 Approximately 10 percent of referrals to gynecologists and 44 percent of laparoscopies are performed to evaluate CPP.4,5 The impact of CPP on society is not measured only by the amount spent on the diagnosis and treatment, but also by the opportunity cost it exacts. For

Table 41.1 Pelvic structures and their innervations.

example, Mathias and colleagues1 reported a 45 percent reduction in work productivity and a 15 percent increase in time lost from work in women with CPP.

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