Borderline syndrome and incest in chronic pelvic pain patients

Twenty-five gynecologic patients with chronic pelvic pain were evaluated in a multidisciplinary study. Gynecologic evaluation revealed most patients had normal pelvic exams. Psychiatric evaluation showed all of the patients to have significant psychopathology, with Borderline Syndrome, and Hysterical Character Disorder the most frequent diagnoses. A significant incidence of early childhood family dysfunction and incest were found. Psychological testing corroborated the high incidence of severe psychopathology.