Beyond the Basics: Cutting-Edge Approaches to Chronic Pelvic Pain Evaluation.

Authors

Jorge Carrillo, Mario Castellanos

Published in

Clinical obstetrics and gynecology. Aug 06, 2026. Epub Aug 06, 2026.

Abstract

This review explores transitioning toward a multidisciplinary, biopsychosocial framework for evaluating chronic pelvic pain (CPP), considered a global epidemic. The manuscript introduces the updated FIGO-IPPS CPP definition, which lowers the diagnostic threshold to pain typically lasting 3 months or more and prioritizes functional impairment. Central to this definition is the R U MOVVING SOMe classification system, enabling systematic identification of overlapping pain generators and central sensitization. The authors advocate for a cutting-edge methodology integrating trauma-informed care (TIC), specialized musculoskeletal and neurological examinations, and validated Patient-Reported Outcomes (PROs). This framework provides clinicians a standardized pathway to optimize diagnostic accuracy and treatment.

PMID:
42559970
Bibliographic data and abstract were imported from PubMed on 06 Aug 2026.

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