• CPP is most commonly defined as "continuous or episodic pain in the lower abdomen or pelvis lasting more than 6 months that has a negative impact on quality-of-life".
• Any gynecologic sources of CPP like endometriosis (tissue from the inside of the lining of the uterus found in the pelvis), adenomyosis (tissue from the lining of the uterus found in the muscle of the uterus), adhesions (scar tissue from endometriosis or surgeries) or vulvodynia (pain at the opening to the vagina) should be identified and treated.
• In addition, any non-gynecologic problems that can cause pelvic pain also such as Irritable Bowel Syndrome or Interstitial Cystitis should be identified and treated.
• The muscles and nerves in the pelvis and the back can be a source of pain but are often not recognized as such. A thorough examination of the abdomen and pelvis can uncover myofascial sources of pain that can be treated with physical therapy and biofeedback.
• Many women with chronic pain also suffer from anxiety and/or depression which worsens pain. It is essential that these psychological issues be addressed with therapy and/or medications as needed.
• All aspects of health; the mind, body and spirit must be considered when caring for women with CPP.

Many women with CPP have visited numerous specialists who have not been able to identify the source of their pain or they have tried many different treatment options but none of them has taken away their pain. When all the different sources of CPP that I have outlined above are explored and treated, many women find relief from their pelvic pain. For some women that means complete remission of their pain, for other women it means a significant improvement in their quality of life. That's the benefit of treating the whole person!