{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:48:22Z","timestamp":1791870502703,"version":"4.3.4"},"reference-count":35,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T00:00:00Z","timestamp":1622678400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Dysmenorrhoea, dyspareunia, and non-menstrual chronic pelvic pain (NMCPP) are symptoms that are probably underreported and neglected. This study aimed to assess the prevalence and overlapping relations between these symptoms among a general population of French women of reproductive age. A cross-sectional study among the nationwide CONSTANCES cohort study recruiting a representative sample of women within different French areas was constructed. Women aged 18\u201349 years (n = 21,287) who reported periods in the previous three months and experienced intercourse at least once were asked about prevalence of three types of chronic pelvic pain: mild, moderate and severe dysmenorrhea; dyspareunia assessed according to its frequency; NMCPP from a binary question. Between the start of 2012 through the end of 2017, 21,287 women were enrolled, 39.8% of them (95% confidence interval (CI), 39.2\u201340.5) reported moderate to severe dysmenorrhea; 20.3% (95% CI, 18.7\u201321.9) of the youngest group (18\u201324 years) reported severe dysmenorrhea. Dyspareunia was reported to happen often or always by 7.9% (95% CI, 7.5\u20138.2) and peaked among the youngest women at 12.8% (95% CI, 11.5\u201314.1). NMCPP was reported by 17.0% (95% CI, 16.5\u201317.5). Moreover, 7.5% (95% CI, 6.4\u20138.6) of the women reported two or more types of severe or frequent pain. More attention should be paid to this substantial proportion (7.5%) of French women of reproductive age who experience multiple, severe and frequent pelvic pain symptoms.<\/jats:p>","DOI":"10.3390\/jcm10112481","type":"journal-article","created":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T10:59:51Z","timestamp":1622717991000},"page":"2481","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["The Underestimated Prevalence of Neglected Chronic Pelvic Pain in Women, a Nationwide Cross-Sectional Study in France"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3237-304X","authenticated-orcid":false,"given":"Fran\u00e7ois","family":"Margueritte","sequence":"first","affiliation":[{"name":"Centre for Research in Epidemiology and Population Health, INSERM U1018, Gender, Health Sexuality Team, 16 Avenue Paul Vaillant Couturier, 94800 Villejuif, France"},{"name":"INSERM CIC 1402, Universit\u00e9 de Poitiers, CHU de Poitiers, 86000 Poitiers, France"},{"name":"Population-Based Epidemiological Cohorts-INSERM, Paris Saclay University, UVSQ, 94800 Villejuif, France"},{"name":"Department of Gynaecology and Obstetrics, Intercommunal Hospital Center of Poissy-Saint-Germain-en-Laye, 10 Rue du Champ Gaillard, 78103 Poissy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4987-8127","authenticated-orcid":false,"given":"Xavier","family":"Fritel","sequence":"additional","affiliation":[{"name":"Centre for Research in Epidemiology and Population Health, INSERM U1018, Gender, Health Sexuality Team, 16 Avenue Paul Vaillant Couturier, 94800 Villejuif, France"},{"name":"INSERM CIC 1402, Universit\u00e9 de Poitiers, CHU de Poitiers, 86000 Poitiers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Zins","sequence":"additional","affiliation":[{"name":"Population-Based Epidemiological Cohorts-INSERM, Paris Saclay University, UVSQ, 94800 Villejuif, France"},{"name":"Population-Based Epidemiological Cohorts-INSERM, Universit\u00e9 de Paris, 75006 Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6161-5880","authenticated-orcid":false,"given":"Marcel","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Population-Based Epidemiological Cohorts-INSERM, Paris Saclay University, UVSQ, 94800 Villejuif, France"},{"name":"Population-Based Epidemiological Cohorts-INSERM, Universit\u00e9 de Paris, 75006 Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henri","family":"Panjo","sequence":"additional","affiliation":[{"name":"Centre for Research in Epidemiology and Population Health, INSERM U1018, Gender, Health Sexuality Team, 16 Avenue Paul Vaillant Couturier, 94800 Villejuif, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Fauconnier","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics, Intercommunal Hospital Center of Poissy-Saint-Germain-en-Laye, 10 Rue du Champ Gaillard, 78103 Poissy, France"},{"name":"Research Unit 7285, Risk and Safety in Clinical Medicine for Women and Perinatal Health, Paris-Saclay University, UVSQ, 78180 Montigny-le-Bretonneux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginie","family":"Ringa","sequence":"additional","affiliation":[{"name":"Centre for Research in Epidemiology and Population Health, INSERM U1018, Gender, Health Sexuality Team, 16 Avenue Paul Vaillant Couturier, 94800 Villejuif, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1111\/j.1471-0528.1999.tb08140.x","article-title":"Prevalence and Incidence of Chronic Pelvic Pain in Primary Care: Evidence from a National General Practice Database","volume":"106","author":"Zondervan","year":"1999","journal-title":"Br. 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