Chronic Pelvic and Vulvar Pain in Women

Abstract

• Peripheral generators and the central nervous system have a role in the production of visceral and somatic hypersensivities and hyperalgesias. • More generalised symptoms often exist and efferent activity from the CNS may also be responsible for abnormal visceral and muscular function. • It is important to dissect out the symptoms and as well as treating peripheral generators to consider interventions of the central mechanisms aimed at the cognitive behavioural aspects of the patients' condition.