Program to Overcome Pelvic Pain Study

Inclusion Criteria:

   - Women aged 18 years or older who report chronic or recurrent pelvic pain for at least
   6 months

   - Report an average daily pain intensity score of at least 4 (on a 0 to 10 scale) on a
   screening 7-day pain log

   - Report prior clinical evaluation of pain by a healthcare professional including at
   least a superficial pelvic exam

   - Willing to refrain from initiating new clinical treatments that may affect their pain
   during the study period

Exclusion Criteria:

   - Report pelvic pain occurring exclusively with menses or exclusively during sexual
   intercourse (note that women with at least some pain between menses or intercourse are
   still eligible)

   - Participation in organized yoga classes or muscle strengthening programs (e.g.,
   Pilates) in the past month, or prior yoga therapy specifically directed a pelvic pain

   - Currently pregnant (by self-report or screening test), pregnant within the past 6
   months, or planning pregnancy

   - Diagnosed with an alternate, reversible cause of pain that is unlikely to respond to
   yoga and requires another treatment modality (e.g., current pelvic infection or a
   gynecologic dermatosis)

   - Initiation, dose escalation, or weaning of pharmacologic agents that may affect pelvic
   pain severity in the past 1 month (e.g., pain medications, antidepressants,
   anticonvulsants)-note that women on stable doses will be eligible

   - Surgery to the genital or pelvic structures within 3 months, or prior cancer or
   irradiation to these structures

   - Use of formal psychological therapies specifically for pelvic pain (e.g., systematic
   desensitization, sex therapy, cognitive therapy, relaxation therapy) within 1 month of
   screening

   - Use of formal behavioral therapies for pelvic or genital pain (e.g., pelvic floor
   rehabilitation or biofeedback performed by a certified healthcare practitioner) within
   1 month of screening

   - Unable to walk up a flight of stairs or at least 2 blocks on level ground (i.e.,
   functional capacity < 4 METs), or unable to get up from a supine to a standing
   position without assistance

   - Participation in another interventional study that might interfere with or confound
   study procedures

   - Known conflict with multiple available intervention class dates

   - Inability to sign an informed consent or fill out questionnaires or complete study
   interviews in English, or lacking technical requirements to complete intervention
   classes or study visits by video