Mind Matters: Integrating Psychological Insights Into Chronic Pelvic Pain Care

Alexandra Milspaw, Alexandra T Milspaw, Emily J. Bartley
Clinical Obstetrics and Gynecology · 2026 · doi:10.1097/grf.0000000000001037 · PMID:42319953 · W7165360988
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-09 ⓘ

This review synthesizes evidence on mechanistic pathways and psychological factors in chronic pelvic pain and evaluates the efficacy of established and emerging psychological interventions.

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Abstract

Chronic pelvic pain (CPP) is a debilitating and costly condition that imposes substantial physical, psychological, and economic burden. It is associated with a high prevalence of psychiatric comorbidity, and the persistent nature of pain significantly disrupts psychological well-being and social functioning, with profound effects on quality of life. This brief review synthesizes current evidence on the mechanistic pathways implicated in CPP, as well as associated psychological factors, including depression, anxiety, and post-traumatic stress disorder. In addition, the efficacy of established psychological interventions for CPP is reviewed including emerging treatments that have not yet been systematically assessed in individuals with CPP.

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