The story I hear in my clinic doesn’t change much. A woman in her 30s or 40s has lived with pelvic pain for years. A dull ache, worse by evening, worse after standing all day at work, sometimes worse after intercourse. She has seen her family doctor, a gynecologist, sometimes two. She has had ultrasounds read as normal, often a laparoscopy that found nothing. Somewhere along the way, someone suggested the pain might be stress or “all in her head.”