Interventional Treatments for Chronic Pelvic Pain in Women

Abstract Chronic pelvic pain (CPP) in women is a multifaceted condition characterized by noncyclic pain originating from the pelvis and persisting for 6 months or longer. It is frequently associated with a range of negative cognitive, behavioral, sexual, and emotional effects, often without a clearly identifiable cause. Affecting approximately 15% of women in the United States, CPP is commonly linked with dysfunctions involving the lower urinary tract, bowel, sexual function, myofascial system, or gynecologic structures. Management of CPP typically involves a multidisciplinary approach, including pharmacologic treatments, pelvic physical therapy, cognitive behavioral therapy, and interventional pain procedures. This chapter focuses on interventional pain management strategies for CPP, emphasizing evidence-based approaches that aim to improve outcomes and quality of life for affected women.