Design: This is an IRB approved retrospective chart review of any patients who completed a pain history questionnaire.

Setting: A Chronic Pelvic Pain clinic at a large multi-centered health system between 2019 to March 2024.

Patients or Participants: The study population is comprised of 102 patients (N=102) whose demographics varied widely across age, race, employment, and insurance status.

Interventions: Statistical analyses were conducted using Pearson’s Chi-squared test and Fisher’s exact test. Statistical significance was pre-specified at p<0.05. All analyses were performed using the software R 4.3.2. This data was then reviewed from the perspective of the 2002 Validated Flanagan QOL categories: 1) relationships and material well-being 2) personal, social, and community commitment 3) health and functioning.

Measurements and Main Results: Patients with higher levels of pain are less likely to be employed (P <0.012) and if employed, they report missing more than 22 days of work in a year due to debilitating pain (P<0.001). Patients with a higher pain score are more likely to have less children (P <0.035). They are also more likely to utilize behavioral health services (P<0.044) and have poorer sleep quality (P<0.007).

Conclusion: Applying the Flanagan assessment, CPP significantly impacts overall QOL. Recognizing the burden for this patient population should prompt early intervention to minimize the sequelae of delayed diagnosis. This data supports the need for comprehensive care centers for patients with CPP.