Endometriosis and Chronic Pelvic Pain Clinic

Approximately 15 percent of individuals of reproductive age in Canada suffer from chronic pelvic pain. Endometriosis is a chronic condition that happens when endometrial-like tissue is found outside of the uterus.  We know that while medication or surgery may offer significant benefit in managing endometriosis, some people go on to develop chronic pelvic pain, which can lead to a decrease in day-to-day function, mood changes, sleep disturbance, and sexual dysfunction. This can further complicate treatment.

The Endometriosis and Chronic Pelvic Pain Clinic (E & CPP) Clinic is an interdisciplinary program designed for the management of chronic pelvic pain, often related to endometriosis.

Referrals for pelvic pain are accepted for patients who have been evaluated by a gynecologist within the past 5 years, who have not responded to first- and second-line treatments for endometriosis, and who have gone on to develop chronic pain, defined as pain present more days than not for a duration of 6 months or more.

The program begins with a comprehensive gynecological and pain assessment. Participants will also receive a virtual pain education session led by health care providers in the clinic where they will learn more about chronic pelvic pain and explore self-management strategies. They will have access to a multidisciplinary team including visits with gynecology, anesthesia, physiotherapy, a nurse practitioner and a social worker.

Your Visit

Once you have been referred to the clinic you will be asked to complete a comprehensive health questionnaire and you will be booked to attend an initial team assessment. You will also receive a workbook you can use to track your appointments and work through some of the skills you will be introduced to in the pain education session.

Following the initial visit, you may have one-on-one assessments with the physiotherapist and/or social worker.

Participation in the program requires attendance at several in-person and virtual appointments along with a virtual education session. If there are questions about an appointment or you need to cancel, please call 24 hours in advance.

What to bring

• Your appointment letter
• Your health card
• Name and telephone number of your referring physician and/or family physician
• Insurance information
• All of your current medications including vitamins, herbal and naturopathic remedies
• A detailed list of past medications and doses
• A list of questions you may have

What to Expect

How you be notified about the appointment

You will receive a letter with your appointment information. A phone call may inform you of your appointment in the case of short notice. Please ensure your mailing address and phone number are up to date.

The E & CPP team may include: 

• Gynecologist
• Anesthesiologist
• Nurse Practitioner
• Physiotherapist
• Social worker
• Nurses

The clinic is a part of an academic teaching environment and there may be students involved in your care. You may be invited to take part in a research database as well as ongoing studies. We will contact you VIA email to collect this information.