08/27/2026
94,000 women. One BMJ review. A pattern too consistent to set aside.
Latthe and colleagues pooled 122 studies and found sexual abuse, childhood abuse, anxiety, and depression named again and again as predictors of chronic pelvic pain, across dysmenorrhea, dyspareunia, and non cyclical pain alike.
If you treat pelvic patients, you are treating trauma. Not occasionally. Consistently.
Here is what most of us were not taught. Point selection gets covered in school. Room craft does not.
How to set expectations before the table. How to leave while she undresses. How to approach her face before her pelvis. How to narrate every step so her nervous system never has to guess what happens next. How to wait a session or two before you touch the pelvis at all, letting the body meet you in the easier places first.
The needles are the tool. Safety is the medicine that lets the tool work.
Save this for your next pelvic intake. Comment BLOG for the full blog.
Source: Latthe, P., Mignini, L., Gray, R., Hills, R., & Khan, K. (2006). Factors predisposing women to chronic pelvic pain: Systematic review. BMJ, 332(7544), 749755.