A review of treatment options for chronic pelvic pain from endometriosis

Chronic pelvic pain is a severe condition affecting patients with endometriosis. Treatment options range from physical therapy, medical management, to surgical resection. However, some patients continue to have severe pain after maximal management. We review current treatment options for endometriosis and discuss regional anesthesia techniques currently used for acute pain that may be used for chronic pelvic pain patients. A comprehensive literature search was conducted using PubMed, Cochrane Library, and Google Scholar databases through 2025. An algorithm on which procedure to choose was also created to guide treatment in hopes to bridge the gap for patients who are recalcitrant to current available therapies.