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Developing the FIGO-IPPS "R U MOVVING SOMe" classification system for female chronic pelvic pain.

Georgine Lamvu1,2, Juan D Villegas-Echeverri3,4, Catherine Allaire5,6

  • 1College of Medicine, University of Central Florida, Orlando, Florida, USA.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|September 9, 2025
PubMed
Summary

A new classification system, R U MOVVING SOMe, was developed for chronic pelvic pain (CPP) to improve diagnosis and management. This consensus-driven framework standardizes the evaluation of CPP across various medical disciplines.

Keywords:
R U MOVVING SOMechronic pelvic painclassification systemfemale

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Area of Science:

  • Pain Medicine
  • Medical Classification Systems
  • Multidisciplinary Healthcare

Background:

  • Chronic pelvic pain (CPP) presents a complex diagnostic and management challenge.
  • Existing classification systems for CPP lack standardization, hindering effective communication and research.
  • A pragmatic approach is needed to unify the understanding and treatment of CPP.

Purpose of the Study:

  • To develop a pragmatic, consensus-based classification system for chronic pelvic pain (CPP).
  • To enhance the diagnosis, management, education, and research of CPP through a standardized framework.
  • To establish a novel acronym-based system for categorizing CPP conditions.

Main Methods:

  • A modified RAND/UCLA Delphi consensus process involving international multidisciplinary stakeholders.
  • Three rounds of online surveys and a virtual meeting utilizing a 9-point Likert scale for agreement.
  • A priori criteria for consensus were established to refine indeterminate responses.

Main Results:

  • Broad consensus was achieved on the definition and classification of CPP.
  • The developed system, R U MOVVING SOMe, comprises 12 distinct categories.
  • High stakeholder engagement (44.2% in round 3) ensured a robust and representative outcome.

Conclusions:

  • The R U MOVVING SOMe classification system offers a standardized framework for CPP evaluation.
  • This system has the potential to improve communication, clinical practice, and research in CPP.
  • The consensus achieved highlights the system's utility for diverse international stakeholders.