Female chronic pelvic pain: From trauma-informed assessment to evidence-based treatment

Female chronic pelvic pain (CPP) is a common, complex, multifactorial disorder that can negatively affect sexual functioning and emotional well-being. Effective assessment necessitates a comprehensive patient history and trauma-informed physical examination. The differential diagnosis is extensive, but a methodical investigation often leads to an appropriate diagnosis. Management strategies encompass a range of pharmacologic and nonpharmacologic interventions, including neuropathic medications, hormone therapies, pelvic floor physical therapy, trigger point injections, and behavioral health interventions. A multidisciplinary, evidence-based approach is essential for patients with CPP.