Evidence map›Paper›PMID 41341930›Full record

ArticleRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2025

Use of oral neuromodulators in chronic pelvic painNumber 8 - 2025.

Omero Benedicto Poli, Julio Cesar Rosa E Silva, Carlos Alberto Petta, Carlos Augusto Pires Costa Lino, Eduardo Schor, Helizabet Salomão Abdalla Ayroza Ribeiro, João Nogueira, João Sabino Lahorgue da Cunha, Marcia Cristina França, Márcia Mendonça Carneiro and 7 more

Abstract readConsensus Statement
In one paragraph

Article in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Surgical management of endometriosis: indications, patient preparation, and perioperative planning: Number 6 - 2026.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Omero Benedicto PoliDepartamento de Ginecologia e Obstetrícia Faculdade de Medicina de Ribeirão Preto Universidade de São Paulo Ribeirão PretoSP Brazil Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.ORCID https://orcid.org/0000-0003-0270-5496
Julio Cesar Rosa E SilvaDepartamento de Ginecologia e Obstetrícia Faculdade de Medicina de Ribeirão Preto Universidade de São Paulo Ribeirão PretoSP Brazil Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.ORCID https://orcid.org/0000-0001-6930-1328
Carlos Alberto PettaUniversidade Estadual de Campinas CampinasSP Brazil Universidade Estadual de Campinas, Campinas, SP, Brazil.ORCID https://orcid.org/0000-0002-3373-142X
Carlos Augusto Pires Costa LinoHospital Aliança SalvadorBA Brazil Hospital Aliança, Salvador, BA, Brazil.ORCID https://orcid.org/0000-0002-8446-6240
Eduardo SchorEscola Paulista de Medicina Universidade Federal de São Paulo São PauloSP Brazil Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.ORCID https://orcid.org/0000-0002-6141-320X
Helizabet Salomão Abdalla Ayroza RibeiroFaculdade de Ciências Médicas Santa Casa de São Paulo São PauloSP Brazil Faculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brazil.ORCID https://orcid.org/0000-0003-2195-1174
João NogueiraUniversidade Federal do Maranhão São LuísMA Brazil Universidade Federal do Maranhão, São Luís, MA, Brazil.ORCID https://orcid.org/0000-0002-9164-704X
João Sabino Lahorgue da CunhaDepartamento de Ginecologia e Obstetrícia Universidade Federal do Rio Grande do Sul Porto AlegreRS Brazil Departamento de Ginecologia e Obstetrícia, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID https://orcid.org/0000-0002-0535-8963
Marcia Cristina FrançaDepartamento de Ginecologia e Obstetrícia Faculdade de Medicina Universidade Federal de Minas Gerais Belo HorizonteMG Brazil Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.ORCID https://orcid.org/0000-0001-5586-6328
Márcia Mendonça CarneiroDepartamento de Ginecologia e Obstetrícia Faculdade de Medicina Universidade Federal de Minas Gerais Belo HorizonteMG Brazil Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.ORCID https://orcid.org/0000-0002-7161-972X
Marco Aurélio Pinho de OliveiraFaculdade de Ciências Médicas Universidade do Estado do Rio de Janeiro Rio de JaneiroRJ Brazil Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID https://orcid.org/0000-0001-6159-6299
Marcos TcherniakovskySetor de Videoendoscopia Ginecológica e Endometriose Faculdade de Medicina do ABC Santo AndréSP Brazil Setor de Videoendoscopia Ginecológica e Endometriose, Faculdade de Medicina do ABC, Santo André, SP, Brazil.ORCID https://orcid.org/0000-0002-5342-6377
Maurício Simões AbrãoDivisão de Ginecologia Hospital Beneficência Portuguesa de São Paulo São PauloSP Brazil Divisão de Ginecologia, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil.ORCID https://orcid.org/0000-0003-1320-3010
Raquel Papandreus DibUniversidade Federal de Ciências da Saúde de Porto Alegre Porto AlegreRS Brazil Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.ORCID https://orcid.org/0000-0002-6825-773X
Ricardo de Almeida QuintairosNúcleo de Endometriose Hospital Porto Dias BelémPA Brazil Núcleo de Endometriose, Hospital Porto Dias, Belém, PA, Brazil.ORCID https://orcid.org/0000-0002-4642-0612
Sergio PodgaecFaculdade de Medicina Universidade de São Paulo São PauloSP Brazil Disciplina de Obstetrícia e Ginecologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID https://orcid.org/0000-0002-9760-6003
Sidney PearceCentro Universitário Christus FortalezaCE Brazil Centro Universitário Christus, Fortaleza, CE, Brazil.ORCID https://orcid.org/0000-0002-0957-7485

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

•Chronic pelvic pain is a common and complex condition that significantly affects women's quality of life. •Neuropathic pain and nociplastic pain are important components in the pain picture of these patients and should be considered in clinical treatment. •Oral neuromodulators, antidepressants and anticonvulsants for the control of neuropathic and nociplastic pain should be present in the therapeutic arsenal of the gynecologist who treats patients with chronic pelvic pain. •Pregabalin is the medication with the best pharmacokinetic profile; nortriptyline has the best adverse effects profile; duloxetine is the most widely used and has the lowest risks; and venlafaxine should be used as a second-line inhibitor. •Although the drug classes can be combined to reduce the total doses and minimize side effects, maximizing the analgesic effect, monotherapies are recommended as the first line to avoid polypharmacy.

Indexed as

Chronic PainNeurotransmitter AgentsPelvic PainAdministration, OralAnticonvulsantsAntidepressive AgentsFemaleHumansAnticonvulsantsAntidepressive AgentsNeurotransmitter Agents

Identifiers

PMID41341930
PMCPMC12671683

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.