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

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.