Clinical Research Directory

Inclusion Criteria: * All of the following must be met: 1. Female sex, age ≥18 years 2. Chronic pelvic pain persisting ≥6 months 3. Average baseline NRS ≥4/10 in the prospectively designated index pain domain 4. Persistent genital pain and/or deep visceral pelvic pain, including a mixed phenotype, with a clinically meaningful average NRS ≥4/10 in at least one domain during baseline 5. Pain refractory to appropriate conventional medical management 6. Completed diagnostic evaluation without identification of a structural or surgically correctable pathology adequately explaining the current pain 7. Stable analgesic treatment before enrolment 8. Ability to understand the study procedures and complete electronic or written pain diaries 9. Written informed consent A history of endometriosis and/or prior pelvic surgery, including hysterectomy, does not constitute an exclusion criterion, provided that currently active pathology adequately explaining the pain has been excluded. Exclusion Criteria: * Participants with a history of spinal cord injury or clinically significant spinal cord lesions are not eligible. This explicit exclusion applies regardless of the presence or absence of prior autonomic dysreflexia. Participants will be excluded in the presence of: 1. Active endometriosis considered sufficient to explain the current pain 2. Pelvic malignancy 3. Active pelvic infection or inflammatory disease 4. Predominant pudendal neuralgia 5. Identifiable sacral radiculopathy 6. Identifiable pelvic nerve entrapment or injury 7. Predominant ilioinguinal, iliohypogastric or genitofemoral neuropathy 8. Predominant pelvic-floor myofascial pain 9. Spinal, musculoskeletal or hip pathology considered sufficient to explain the symptoms 10. Another identifiable condition requiring specific causal treatment 11. Pregnancy 12. Contraindication to electrical stimulation 13. Inability to comply with the study protocol 14. Spinal Cord Injured peoples