Treat pelvic pain even without an endometriosis diagnosis: anaesthetists

An endometriosis diagnosis should not be necessary for doctors to start treating persistent pelvic pain, according to the peak body for anaesthetists.
Last week, the Australian and New Zealand College of Anaesthetists (ANZCA) released its first statement on managing persistent pelvic pain, regardless of the presence of endometrial lesions.
According to ANZCA’s faculty of pain medicine, the focus on diagnosable end-organ pathology, such as endometriosis, as the direct cause of pelvic pain “is no longer tenable”.
“Current evidence-based understanding of the relationship between endometriosis lesions and [persistent pelvic pain] has moved beyond a simple assumption of causality,” it said.