Chronic Pelvic Pain

The London Vulvar Pain Clinic is renowned for being a world-class leader in the treatment of long-term pelvic pain. Research published in the European Medical Journal, states that: “Chronic pelvic pain affects up to 25% of females of reproductive age, and 15% of all females worldwide.” Moreover, a survey which was published in Springer Nature (2020), showed that long-term pelvic pain profoundly impinges on fundamental elements of everyday life. (These include: romantic relationships, work and education). Furthermore, if it is not treated, chronic pelvic pain can result in psychological distress (which includes depression and anxiety).To that end, our eminent team of Pain Doctors have treated countless patients in order to not only ameliorate their pain, but to also get them back on track so that they can enjoy optimum living.

Chronic pelvic pain (CPP) can be described as experiencing pain in the region under the bellybutton and between the hips, for more than a six months. This condition can be due to various different factors. Moreover, it could be a condition in its own right, or a symptom of a different disease.   Furthermore, various aspects of chronic pelvic pain can result in pain in the lumbar spine (lower back).

Indeed, as our Pain Consultants regularly explain to our patients, it is commonplace to simultaneously experience both long-term back pain and long-term pelvic pain. To that end, after you have had an online or in person consultation with one of our Pain Specialists, and they have reviewed your medical notes, asked your pertinent questions, and undertaken any necessary exams, tests and scans, they will give you an accurate diagnosis. After this, they will put you on a Pain Amelioration and Management Program. This will usually involve a comprehensive multifaceted Holistic Personalised Treatment Plan which could incorporate a combination of

  • Pharmaceuticals
  • Multimodal analgesia
  • Injectables
  • Various minimally invasive procedures (such as pudendal nerve blocks, botox, and nerve root pulsed radio frequency)
  • Specialised pelvic physical therapy, and
  • Psychological support

Causes of Long-Term Pelvic Pain


Gynaecological Causes

  • Endometriosis
  • Adenomyosis
  • PID (pelvic inflammatory disease)
  • Ovarian Cysts
  • Fibroids

Gastrointestinal Causes

  • IBS (irritable bowel syndrome)
  • IBD (inflammatory bowel disease)

Urological Causes

  • Bladder pain syndrome (interstitial cystitis)

Musculoskeletal Causes

  • Myofascial pain
  • Pelvic floor dysfunction

Psychological Factors

  • Anxiety
  • Trauma
  • Stress

Risk Factors for Chronic Pelvic Pain

  • Female sex (at birth)
  • Hormonal aspects
  • History of pelvic injury or surgery
  • Long-term inflammatory issues
  • Psychological factorsÂ