This protocol addresses chronic pelvic pain syndrome in female patients whose pain is attributable to a well-defined gynaecological disease state — specifically endometriosis, adenomyosis, or dysmenorrhoea. Recognising the underlying gynaecological cause is the key step that opens a distinct therapeutic pathway.
Chronic pelvic pain in a woman with a confirmed or strongly suspected gynaecological condition requires gynaecological evaluation following complete urological assessment. When a well-defined disease state such as endometriosis, adenomyosis, or dysmenorrhoea is established, targeted management options beyond standard analgesic pathways become available.
Management in this setting centres on hormonal therapy, guided by the underlying gynaecological diagnosis, combined with a structured multidisciplinary approach to pain management. The full selection of therapeutic options, their sequencing, and the decision algorithm are set out in the complete protocol.