AUA & ACOG Clinical Guidelines

Two physician specialty groups, the American Urological Association (AUA) and the American College of Obstetricians and Gynecologists (ACOG), publish clinical guidelines with recommended treatment protocols for patients with chronic pelvic pain.

The AUA Clinical Guidelines: Interstitial Cystitis/Bladder Pain Syndrome, based on a review of the medical literature (1983 to late in 2009) and expert opinion, include dietary changes as a first-line treatment option. The guidelines specify:

    • Avoidance of certain foods known to be common bladder irritants for IC, such as coffee or citrus products.
    • Use of an elimination diet to determine which foods or beverages may contribute to symptoms.
    • Use of over-the-counter nutrition supplements such as neutraceuticals and calcium glycerophosphates.

Download a copy from the AUA website: AUA Clinical Guidelines: Interstitial Cystitis/Bladder Pain Syndrome. This publication includes the paper detailing the recommendations and a one-page flowchart of the guidelines.

In 2004, ACOG issued a practice bulletin on chronic pelvic pain in women. The condition was defined “as non-cyclical pain of at least six months’ duration that appears in locations such as the pelvis, anterior abdominal wall, lower back, or buttocks, and that is serious enough to cause disability or lead to medical care.” IC is included in the list of chronic pelvic pain conditions discussed in the bulletin. For IC, it is suggested nutritional intervention include dietary modifications and herbal and nutritional therapy.

Download a copy of the bulletin from the US Department of Health & Human Services, Agency for Healthcare Research and Quality, National Guidelines Clearinghouse—Guidelines Title: Chronic Pelvic Pain.

Posted April 05, 2011