{"id":12202,"date":"2025-07-21T07:52:38","date_gmt":"2025-07-21T11:52:38","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/pelvic-pain\/"},"modified":"2026-10-06T18:04:24","modified_gmt":"2026-10-06T22:04:24","slug":"dolor-pelvico","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/dolor-pelvico\/","title":{"rendered":"Dolor P\u00e9lvico"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[108,107],"class_list":["post-12202","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>El dolor p\u00e9lvico es una molestia persistente, incapacitante o intermitente que se produce en la parte baja del abdomen o en la pelvis, entre el ombligo y las caderas, y que puede ser agudo (repentino e intenso) o cr\u00f3nico (de seis meses o m\u00e1s de duraci\u00f3n).<sup>1<\/sup> Esta afecci\u00f3n compleja puede afectar a personas de cualquier sexo, aunque se describe con m\u00e1s frecuencia en las mujeres, y puede tener diversos or\u00edgenes, como los \u00f3rganos reproductores, el tracto urinario, el aparato digestivo, las estructuras musculoesquel\u00e9ticas o las v\u00edas neurol\u00f3gicas.<sup>2<\/sup> El dolor p\u00e9lvico cr\u00f3nico se asocia a menudo a sensibilizaci\u00f3n central, en la que el sistema nervioso se vuelve excesivamente sensible a los est\u00edmulos dolorosos, lo que provoca hiperalgesia (aumento de la sensibilidad al dolor) y alodinia (dolor ante est\u00edmulos que normalmente no son dolorosos).<sup>3<\/sup> La afecci\u00f3n puede presentarse como un trastorno primario o ser secundaria a patolog\u00edas subyacentes, con una repercusi\u00f3n significativa en la calidad de vida debido a las limitaciones f\u00edsicas, el malestar psicol\u00f3gico y las consecuencias sociales.<sup>4<\/sup><\/p>","gt-synonyms":"S\u00edndrome de dolor p\u00e9lvico cr\u00f3nico (SDPC), disfunci\u00f3n del suelo p\u00e9lvico, trastorno de dolor p\u00e9lvico cr\u00f3nico, dolor p\u00e9lvico persistente, Mialgia por tensi\u00f3n del suelo p\u00e9lvico., s\u00edndrome de dolor p\u00e9lvico regional cr\u00f3nico, s\u00edndrome de dolor p\u00e9lvico visceral","gt-citation":"[1] Coxon L, Vollert J, Perro D, et al. Comprehensive quantitative sensory testing shows altered sensory function in women with chronic pelvic pain: results from the Translational Research in Pelvic Pain (TRiPP) Study. Pain. 2023 Nov 1;164(11):2528-2539. DOI: 10.1097\/j.pain.0000000000002955\n\n[2] Till SR, As-Sanie S, Schrepf A. Psychology of Chronic Pelvic Pain: Prevalence, Neurobiological Vulnerabilities, and Treatment. Clin Obstet Gynecol. 2019 Mar;62(1):22-36. DOI: 10.1097\/GRF.0000000000000412\n\n[3] Dydyk AM, Singh N, Gupta N. Chronic Pelvic Pain. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 May 2. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK554585\/\n\n[4] Mathias SD, Kuppermann M, Liberman RF, Lipschutz RC, Steege JF. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol. 1996 Mar;87(3):321-7. DOI: 10.1016\/0029-7844(95)00458-0","gt-clinical-context":"<p>El dolor p\u00e9lvico se presenta en diversos escenarios cl\u00ednicos y requiere una evaluaci\u00f3n integral para determinar las estrategias de tratamiento adecuadas. Desde el punto de vista cl\u00ednico, se clasifica como agudo (de inicio s\u00fabito, que a menudo requiere atenci\u00f3n urgente) o cr\u00f3nico (que persiste seis meses o m\u00e1s).<sup>1<\/sup><\/p>\n    \n    <p>La selecci\u00f3n de pacientes para la evaluaci\u00f3n suele incluir a personas que refieren molestias persistentes en la parte baja del abdomen o en la pelvis que afectan a su funcionamiento diario. El enfoque diagn\u00f3stico incluye una anamnesis y una exploraci\u00f3n f\u00edsica exhaustivas, con tacto rectal y evaluaci\u00f3n de la alodinia cut\u00e1nea.<sup>3<\/sup> Las pruebas de imagen y de laboratorio pueden ayudar a identificar comorbilidades contribuyentes, aunque a menudo no son concluyentes.<sup>3<\/sup><\/p>\n    \n    <p>Entre las comorbilidades frecuentes que deben tenerse en cuenta en la pr\u00e1ctica cl\u00ednica figuran la endometriosis, el s\u00edndrome del intestino irritable (SII), la cistitis intersticial, la enfermedad inflamatoria p\u00e9lvica, los trastornos musculoesquel\u00e9ticos (incluida la disfunci\u00f3n del suelo p\u00e9lvico) y factores psicol\u00f3gicos como la depresi\u00f3n, la ansiedad y el trastorno de estr\u00e9s postraum\u00e1tico.<sup>2<\/sup> El importante solapamiento con las afecciones psicol\u00f3gicas hace necesario un enfoque biopsicosocial de la evaluaci\u00f3n y el tratamiento.<sup>2<\/sup><\/p>\n    \n    <p>El tratamiento se centra en aliviar los s\u00edntomas y abordar los factores f\u00edsicos y psicol\u00f3gicos que contribuyen. Los tratamientos de primera l\u00ednea suelen incluir antiinflamatorios no esteroideos (AINE) o paracetamol, y las terapias hormonales son beneficiosas en el dolor c\u00edclico.<sup>3<\/sup> El dolor neurop\u00e1tico puede responder a antidepresivos o anticonvulsivos, mientras que terapias complementarias como la terapia cognitivo-conductual, la terapia del suelo p\u00e9lvico y las t\u00e9cnicas de atenci\u00f3n plena (mindfulness) han demostrado eficacia.<sup>3<\/sup> En los casos refractarios, pueden considerarse procedimientos intervencionistas o cirug\u00eda, aunque los resultados var\u00edan ampliamente seg\u00fan la causa subyacente y la respuesta individual al tratamiento.<sup>4<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":82},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Dolor P\u00e9lvico: Causes, Diagnosis &amp; Treatment Approaches<\/title>\n<meta name=\"description\" content=\"El dolor p\u00e9lvico es una molestia aguda o cr\u00f3nica en la zona baja del abdomen, asociada a trastornos urol\u00f3gicos, ginecol\u00f3gicos o neuromusculares.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.rigicon.com\/es\/glossary-term\/dolor-pelvico\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dolor P\u00e9lvico - 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