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Supportive measures include: Physiotherapy : Pelvic floor physiotherapy for chronic pelvic pain Psychological support : Cognitive behavioural therapy (CBT) or counselling Pain management programmes : Multidisciplinary approaches for chronic pain When to contact your GP : Severe pelvic pain not controlled by over-the-counter analgesia Heavy menstrual bleeding causing anaemia or significantly affecting quality of life Difficulty conceiving after 12 months of regular unprotected intercourse (or 6 months if over 35) New or worsening bowel or bladder symptoms Symptoms significantly impacting daily activities, work, or relationships Seek urgent medical attention if you experience sudden severe pelvic pain, fainting, suspected ectopic pregnancy, or symptoms of bowel obstruction

BMC Med 22 , 65 (2024)