About this book
- Reviews underlying mechanisms and clinical management
- Addresses both types of pain specific to women plus pain conditions with greater prevelence in women
- The most up-to-date and evidence-based clinically relevant information regarding pain in women.
As recently detailed in an Institute of Medicine Report, pain represents one of the most costly and prevalent public health conditions in the United States, and the burden of pain is substantially greater for women than men. Women make up half of the world's population. Yet, the overall treatment of pain in women remains challenging to this day. The differences between men and women are anatomical, physiological and psychosocial in nature. Consequently, several unique features come to mind when discussing pain as experienced by women, such as pain related to pregnancy, pain related specifically to female organs, and chronic painful conditions which have a higher prevalence in the female population.
The purpose of this book is to address the current understanding of mechanisms related to sex differences, and the clinical management of common acute and chronic painful conditions in women, using up-to-date evidence-based information. The painful conditions discussed include those that are specific to female anatomy and physiology and conditions that have a higher female prevalence.
The book is divided into three sections. The first section covers basic science topics related to sex differences in pain. The epidemiology of painful conditions with female prevalence; sex differences in response to pain, and to analgesics; the role of sex hormones and genotype in pain perception and analgesia; sex differences in cerebral responses to pain revealed by brain imaging ; and the role of psychosocial factors, including psychological interventions will be discussed in this section.
The second and third sections are clinically directed. The second section focuses on pain specific to female patients. Topics include the management of labor pain; the management of painful conditions during pregnancy; and the management of pain in the opioid tolerant pregnant patient. The latter includes discussion on the impact of pain management on the fetus in utero, and on the newborn who is breastfed. Chronic pain specific to females, including dysmenorrhea, chronic pelvic pain and vulvodynia will be discussed in this section. Cancer-related pain issues in women will be addressed in the chapter on persistent pain after breast cancer treatment and the chapter on interventional management of pelvic cancer pain.
The third section covers painful conditions with high female prevalence. These include fibromyalgia, chronic fatigue syndrome and neuropathic pain in complex regional pain syndrome. Visceral pain with female prevalence such as irritable bowel syndrome, chronic pelvic pain of undetermined etiology will also be addressed in this section. This section also includes chapters on the presentation of cardiac pain in women; headaches including migraine; and temporomandibular joint disorders and orofacial pain.
The book is intended for a wide readership, including physicians and allied healthcare professionals who encounter female patients with acute or chronic painful conditions. In addition, residents and medical students in training as well as graduate students in health sciences will benefit greatly from this book as they continue to learn about and manage difficult and complex issues related to pain in female patients.
Readership: Physicians and residents in Anesthesiology/Pain Medicine, Psychology, and Obstetrics & Gynecology
Table of contents
Section I: SEX DIFFERENCES IN PAIN: EPIDEMIOLOGY, PAIN PERCEPTION, AND ANALGESIC
Chapter 1: Epidemiology of Pain Conditions with Higher Prevalence in Women
Chapter 2: Sex Differences in Experimental Pain Responses
Christopher D. King, Margarete Ribeiro-Dasilva and Roger B. Fillingim
Chapter 3: Brain Imaging: Sex Differences in Cerebral Response s to Pain
Katy Vincent and Irene Tracey
Chapter 4: Sex Differences in Analgesic Responses: Clinical and Experimental Studies
Marieke Niesters, Albert Dahan, Leon Aarts, and Elise Sarton
Section II: BIOPSYCHOSOCIAL FACTORS CONTRIBUTING TO SEX DIFFERENCES
Chapter 5: Sex-Dependent Genetic Contributions to Pain and Analgesia
Jeffrey S. Mogil
Chapter 6: Role of Sex Hormones in Pain and Analgesia
Chapter 7: Role Psychosocial Factors and Psychological Interventions
Section III: FEMALE SPECIFIC PAIN
Chapter 8: Current Management of Labor Pain
Cynthia A. Wong
Chapter 9: Pain in Pregnancy
Maryam Jowza, Geeta Nagpal, and James P. Rathmell
Chapter 10: The Opioid Tolerant Pregnant Patient
Nilda E. Salaman and May L. Chin
Chapter 11: Chronic Pelvic Pain: Dysmenorrhea and Endometriosis
Amy Stenson and Andrea J. Rapkin
Chapter 12: Vulvodynia
Ursula Wesselmann and Peter Czakanski
Chapter 13: Persistent Pain After Breast Cancer Treatment
Kenneth Geving Andersen and Henrik Kehlet
Chapter 14: Interventional Techniques for Pelvic Cancer Pain
Kari Kopko Bancroft and Oscar A. de Leon-Casasola
Section IV: PAINFUL CONDITIONS WITH FEMALE PREVALENCE
Chapter 15: Fibromyalgia and Chronic Fatigue Syndrome
Alethia Baldwin Sellers and Daniel Clauw
Chapter 16: Complex Regional Pain Syndrome
Marissa de Mos and Frank J. P. M. Huygen
Chapter 17: Irritable Bowel Syndrome
Margaret D. Eugenio, Monica E. Jarrett, and Margaret M. Heitkemper
Chapter 18: Interstitial Cystitis/Bladder Pain Syndrome
Meredith T. Robbins and Timothy J. Ness
Chapter 19: Chronic Pelvic Pain of Uncertain Origin
Chapter 20: Cardiac Pain in Women
Eileen Handberg and Marian Limacher
Chapter 21: Migraine in Women
Satnam S. Nijjar, Jason Rosenberg, and B. Lee Peterlin
Chapter 22: Temporomandibular Joint Disorders and Orofacial Pain
Asma A. Khan, William Maixner, and Pei Feng Lim