Chronic Pelvic Pain

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We define chronic pelvic pain (CPP) as pain in the lower abdomen or pelvic area that has been present for more than six months. We recognize that this type of pain can significantly impact your quality of life. While symptoms vary, they generally include:

  • Bladder discomfort
  • Vulva irritation
  • Pelvic floor muscle tension
  • Bowel problems
  • Pain during intercourse
  • A cluster of symptoms involving multiple organs like the uterus, ovaries, vagina, vulva, bladder, rectum, colon, muscles, nerves, and even the brain.

By its very nature, CPP can be challenging to treat because there is often a complex set of symptoms with many contributing causes. Oftentimes, the original cause is no longer present, but the pain persists. And women with CPP have “triggers” that set off this pain. A variety of known factors include one or a combination of the following:

  • Endometriosis
  • History of infection
  • Previous surgery
  • Physical or psychological trauma
  • Musculoskeletal and postural imbalances

Our Chronic Pelvic Pain Program

The good news? A multidisciplinary approach to CPP can often obtain the best results and therapeutic effects. Our Chronic Pelvic Pain Program takes this approach to treating CPP by using both traditional medicine and holistic modalities to address a woman’s body, mind, and spirit. These modalities may include:

  • Lifestyle modifications
  • Medications
  • Cognitive behavioral therapy
  • Physical therapy
  • Acupuncture or mind-body approaches to reduce stress such as hypnosis and guided imagery

Our multidisciplinary team includes highly trained and compassionate women’s health specialists in the fields of integrative medicine, obstetrics/gynecology, urology, gastroenterology and physical therapy. Each member of the team brings perspective and expertise to create a unique treatment plan that meets your individual needs.

We aim to alleviate your pain and empower you with knowledge, guidance, and encouragement so that you can make lasting improvements in the way you feel. That means the better quality of life you deserve.



  • Diagnostic procedures such as laparoscopy, cystoscopy and hysteroscopy
  • Medical management
  • Cognitive behavioral therapy
  • Sex therapy
  • Physical therapy
  • Botox
  • Integrative medicine approaches
    • Mind-body stress reduction
    • Hypnosis and meditation
    • Acupuncture and acupressure
  • Lifestyle counseling
  • Nerve stimulation
  • Nutritional modification

Evaluation & Treatment Process

We’ll invite you for an initial consultation where you’ll meet with Dr. Katherine Takayasu, an Integrative Medicine physician and the Director of our Chronic Pelvic Pain Program. Dr. Takayasu will sit down with you to discuss your medical history and your pelvic pain, including when it first began, what makes it feels better or worse, how long it lasts, and how it affects your quality of life. She will also review past treatments, including what has or hasn’t worked.

Dr. Takayasu will then consult with our remaining team to formulate your customized evaluation and treatment plan. The team may recommend a combination of treatment modalities in order to find the best approach for you.

What to Expect from Treatment

The length of time it takes to relieve CPP can range from weeks to months, depending on its original cause of the pain and its physical and emotional effects.

Our goals are to diminish your pain as much as possible and provide you with necessary tools to help you cope, thereby improving your quality of life. Time and effort will go a long way to achieving lasting improvements in the way you feel.

Our Chronic Pelvic Pain Program Team

  • Niro Feliciano, LCSW – Social Worker/Therapist
  • Marilee Freitas, MD – Colorectal Surgeon
  • Carol Fucigna, MD – Obstetrics & Gynecology
  • Tanvi Gandhi, ND, L.Ac., Licensed Acupuncturist & Arvigo® therapy practitioner
  • Danielle Greenman, MD - Integrative & Internal Medicine Physician
  • Sarah Kahn, MD – Gastroenterologist
  • Katherine Sandhu, MD – Urologist/Gynecologist
  • Heather Staunch, MS, PT – Physical Therapist
  • Jennifer Morgan, PT, Lead Pelvic Floor Physical Therapist 
  • Katherine Takayasu, MD – Integrative & Family Medicine Physician