Adenomyosis

Psychological and social issues may commonly occur in association with chronic pelvic pain and should be enquired about.[11]Royal College of Obstetricians and Gynaecologists. The initial management of chronic pelvic pain (Green-top Guideline no. 41). May 2012 [internet publication]. https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/the-initial-management-of-chronic-pelvic-pain-green-top-guideline-no-41 Access to additional support such as counselling may help some women when trying to cope with debilitating symptoms. Women should be advised to try to maintain a positive outlook and return to normal activities as symptoms allow. If being evaluated for subfertility, they should be advised to seek counselling and/or treatment with a reproductive endocrinologist or infertility specialist for a full fertility evaluation, as infertility is often multifactorial.