Chronic pelvic pain and dyspareunia in women can be effectively managed through an interdisciplinary approach combining cognitive-behavioral therapy (CBT) with antidepressants, leading to a significant decrease in symptom duration and an overall improvement in the quality of life for patients. This method significantly reduces symptom duration and improves overall quality of life.
The study aims to evaluate the efficacy of a multimodal treatment strategy for CPP and dyspareunia in women. It also seeks to explore the impact of psychological factors, such as depression, anxiety, and trauma history, on these conditions. The goal is to assess the degree of improvement achievable through the integration of pharmacological therapy and psychotherapy.

This investigation utilizes a single-patient case study to provide detailed insights into clinical outcomes.


*Participant Profile*: A 26-year-old female presenting with CPP for four years. Pain intensity is rated at 8/10 on the Visual Analog Scale (VAS), while dyspareunia is rated at 7/10.
*Clinical Examination*: Comprehensive gynecological evaluation and assessment of pelvic floor muscle function.
*Psychological Assessmen*t: Anxiety and depression levels measured using the Hospital Anxiety and Depression Scale (HADS).
*Treatment Protocol:* Pharmacological intervention with SSRIs complemented by CBT and physical therapy.
*Follow-Up:* Symptom monitoring at weeks 7 and 10 post-treatment initiation.

Within 10 weeks, the patient experienced substantial pain relief. By week 7, VAS pain scores decreased to 3/10, with complete resolution by week 10. Psychological assessments indicated notable improvements in emotional well-being. Key factors contributing to success included a strong therapeutic alliance between clinician and patient as well as active patient engagement in treatment.

The findings underscore the importance of addressing psychological comorbidities in managing CPP and dyspareunia. Incorporating CBT alongside SSRIs demonstrates significant benefits, not only in alleviating physical symptoms but also in enhancing patients' overall quality of life. This approach aligns with International Continence Society (ICS) standards advocating multidisciplinary care for chronic pain syndromes.

This case study highlights the necessity of an interdisciplinary approach to treating CPP and dyspareunia, emphasizing the role of psychological factors in symptom management. The combination of CBT and SSRIs proves effective in improving patient outcomes, supporting further research into optimizing treatment protocols for women suffering from these conditions

Chronic pelvic pain
dyspareunia
Depression