Chronic pelvic pain

Chronic pelvic pain (CPP) is a common gynaecological complaint with a similar consultation rate to low back pain, asthma, or migraine. It is estimated that up to 15–20% of women aged 18–50 years have experienced CPP for more than 1 year. Nevertheless, the incidence of CPP is likely to be underestimated due to under-reporting. CPP is a condition distressing to patients and challenging to gynaecologists. It is commonly associated with endometriosis, adhesions, pelvic inflammatory disease, as well as a variety of urological, gastrointestinal, musculoskeletal, or psychosocial conditions. This chapter provides a general overview of the condition, with a special emphasis on the management strategy in dealing with patients with this condition.