Prevalence and conditions associated with chronic pelvic pain in women from Sao Luis, Brazil

The objective of the present study was to estimate the prevalence of chronic pelvic pain in the community of Sao Luis, capital of the State of Maranhao, Northeastern Brazil, and to identify independent conditions associated with it. A cross-sectional study was conducted, including a sample of 1470 women older than 14 years predominantly served by the public health system. The interviews were held in the subject's home by trained interviewers not affiliated with the public health services of the municipality. The homes were visited at random according to the city map and the prevalence of the condition was estimated. To identify the associated conditions, the significant variables (P = 0.10) were selected and entered in a multivariate analysis model. Data are reported as odds ratio and 95% confidence interval, with the level of significance set at 0.05. The prevalence of chronic pelvic pain was 19.0%. The independent conditions associated with this diagnosis were: dyspareunia (OR = 3.94), premenopausal status (OR = 2.95), depressive symptoms (OR = 2.33), dysmenorrhea (OR = 1.77), smoking (OR = 1.72), irregular menstrual flow (OR = 1.62), and irritative bladder symptoms (OR = 1.90). The prevalence of chronic pelvic pain in Sao Luis is high and is associated with the conditions cited above. Guidelines based on prevention and/or early identification of risk factors may reduce the prevalence of chronic pelvic pain in Sao Luis, Brazil.