Medical management of chronic pelvic pain

Summary Chronic pelvic pain (CPP) forms a significant cause of morbidity, resulting in patients seeking help in the primary care and hospital setting. CPP is a poorly understood condition. It is defined as both cyclical and non-cyclical pain that has a duration of more than 6 months. The aetiology of CPP is not limited to the realms of the gynaecologist but encompasses the disciplines of gastroenterology, urology, psychiatry, physical therapy and genitourinary medicine. Given the numerous facets of this condition, it is best managed in a multidisciplinary setting. Investigations into the cause of CPP have a low yield, making treatment difficult. This review aims to provide an evidence-based medical management of the main causes of CPP.