Chronic pelvic pain (CPP) is a multifactorial condition that affects a significant number of women. It is characterized by persistent pelvic pain lasting more than six months. This condition can compromise quality of life and is frequently associated with psychological factors such as anxiety. Additionally, CPP may negatively impact sexual function. CPP has been linked to sexual dysfunction and anxiety, both of which can significantly affect patients' sexual and relational health.

To investigate the association between anxiety levels, pelvic pain intensity, and female sexual function.

A cross-sectional study was conducted with 800 women aged 18 to 65 years. Pelvic pain intensity was assessed using the visual analog scale, while anxiety symptoms were measured using the Beck Anxiety Inventory. Sexual function was evaluated using the Female Sexual Function Index (FSFI), which assesses six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain. Statistical analyses included correlation tests and regression models to determine the strength and significance of associations between variables.

Higher anxiety levels were significantly associated with greater pelvic pain intensity (p < 0.05). Women with moderate to severe pain had significantly higher anxiety scores compared to those with mild or no pain. A correlation was observed between pelvic pain and sexual function: pelvic pain was negatively correlated with the total FSFI score (r = -0.141), with a more pronounced impact on the domains of desire (r = -0.183) and orgasm (r = -0.095).

The findings reinforce the complexity of chronic pelvic pain and its relationship with psychological and physiological factors. The correlation between greater pain intensity, higher anxiety levels, and lower sexual function scores suggests the need for multidisciplinary therapeutic approaches that include pain management, psychological support, and sexual function rehabilitation to improve patients&apos; quality of life.

The results highlight the importance of an integrated approach that combines medical, psychological, and sexual health interventions to optimize patient care. Addressing anxiety and sexual function as part of chronic pelvic pain management may contribute to better therapeutic outcomes.