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Chronic Pelvic Pain Program   at
Lois Hole Hospital for Women
Specialty: Gynecology
Connect Care Department: EDM RAH LH CHRONIC PELVIC PAIN
Estimated time to routine appointment: Greater than 18 months
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
A multidisciplinary program that offers intensive rehabilitation for chronic pelvic pain (e.g., vulvodynia, dyspareunia and endometriosis)Service includes:
  • physician assessment and treatment
  • education
  • physiotherapy
  • exercise program
A multidisciplinary program that offers intensive rehabilitation for chronic pelvic pain (e.g., vulvodynia, dyspareunia and endometriosis)Service includes:
  • physician assessment and treatment
  • education
  • physiotherapy
  • exercise program
ELIGIBILITY REQUIREMENTS
August 31, 2025, to September 1st, 2026 – we are NOT accepting new referrals.
  • Patients need to have experienced pelvic pain lasting longer than 3-6 months.
  • Must have Gynecological consult prior to referral.
  • Include a detailed history of the patient’s medical history: current condition, pelvic exam, past treatments and list of prior pain management strategies attempted
  • Imaging results must include:
    • Pelvic Ultrasound
  • For endometriosis:
    • Must include pelvic ultrasound done within the last 12 months
    • If Documented stage 3-4 endometriosis, patient may be considered without previously seeing a gynecologist
  
Due to the high demand of patients in the clinic, patients are encouraged to try the following interventions prior to being seen in the clinic:
  • Pelvic floor physiotherapy in the community
    • A minimum of 6–12 treatment sessions are required to see an effect.
    • Initiate local estrogen therapy for symptoms of genitourinary syndrome of menopause as appropriate
    • NSAIDs
    • If patient is not immediately desiring a pregnancy, consider suppression of ovulation and menstruation
    • Consider use of a muscle relaxant for vaginismus or pelvic floor hypertonicity
    • Consider the use of a neuromodulator
  • Mental health support - Referral to a psychologist
  • Exercise therapy - Encourage gentle exercise such as Tai Chi, restorative yoga, or swimming.
August 31, 2025, to September 1st, 2026 – we are NOT accepting new referrals.
  • Patients need to have experienced pelvic pain lasting longer than 3-6 months.
  • Must have Gynecological consult prior to referral.
  • Include a detailed history of the patient’s medical history: current condition, pelvic exam, past treatments and list of prior pain management strategies attempted
  • Imaging results must include:
    • Pelvic Ultrasound
  • For endometriosis:
    • Must include pelvic ultrasound done within the last 12 months
    • If Documented stage 3-4 endometriosis, patient may be considered without previously seeing a gynecologist
  
Due to the high demand of patients in the clinic, patients are encouraged to try the following interventions prior to being seen in the clinic:
  • Pelvic floor physiotherapy in the community
    • A minimum of 6–12 treatment sessions are required to see an effect.
    • Initiate local estrogen therapy for symptoms of genitourinary syndrome of menopause as appropriate
    • NSAIDs
    • If patient is not immediately desiring a pregnancy, consider suppression of ovulation and menstruation
    • Consider use of a muscle relaxant for vaginismus or pelvic floor hypertonicity
    • Consider the use of a neuromodulator
  • Mental health support - Referral to a psychologist
  • Exercise therapy - Encourage gentle exercise such as Tai Chi, restorative yoga, or swimming.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Complete the referral form, include information as outlined in the eligibility requirements and referral guidelines section. Once completed, fax it to the service using the contact information in this profile.
Complete the referral form, include information as outlined in the eligibility requirements and referral guidelines section. Once completed, fax it to the service using the contact information in this profile.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Gynecology, type EDM RAH LH CHRONIC PELVIC PAIN in the “To Department” section and complete order. Include information as outlined in the eligibility requirements section.
Send an Internal Referral using the Ambulatory Referral Order to Gynecology, type EDM RAH LH CHRONIC PELVIC PAIN in the “To Department” section and complete order. Include information as outlined in the eligibility requirements section.
ADDITIONAL SERVICE DETAILS
  • Pain science education
  • Chronic pain assessment and education involving MDs, RNs, physiotherapists and kinesiologists
  • Dietary counselling
  • Pharmacologic management of pain
  • Trigger point injections of the abdominal wall and pelvic floor muscles
  • Tertiary level pelvic floor physiotherapy assessment/treatment
  • Virtual evidence-based mindfulness program
  • Virtual or in-person exercise therapy program
  • Referral/collaboration with Interventional Radiology and/or Physiatry for diagnostic and therapeutic nerve blocks
  • Surgical management of advance endometriosis for a selected group of patients
Patient education and self-management resources
  • Pain science education
  • Chronic pain assessment and education involving MDs, RNs, physiotherapists and kinesiologists
  • Dietary counselling
  • Pharmacologic management of pain
  • Trigger point injections of the abdominal wall and pelvic floor muscles
  • Tertiary level pelvic floor physiotherapy assessment/treatment
  • Virtual evidence-based mindfulness program
  • Virtual or in-person exercise therapy program
  • Referral/collaboration with Interventional Radiology and/or Physiatry for diagnostic and therapeutic nerve blocks
  • Surgical management of advance endometriosis for a selected group of patients
Patient education and self-management resources
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Wait list status update every 90 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
780-735-4718
FAX
780-735-5611
REFERRAL PHONE
780-735-6642
REFERRAL FAX
780-735-5611
REFERRAL FORM
CLICK + TO VIEW REFERRAL GUIDELINES
+-
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
+-
Chronic female pelvic pain syndrome
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Attach reports and consultation notes
 
Current
Weight
 
Current
Indicate if patient has any challenges (e.g. cognition, hearing, mobility or language)
 
Current
Detailed history of pain concern
 
Current
Describe support required
 
Current
Surgical and Mental Health History (including treatments and investigations)
 
Current
Indicate the duration (<1 year, 1-3 years or >3 years)
 
Current
+-
Dyspareunia
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Attach reports and consultation notes
 
Current
Weight
 
Current
Indicate if patient has any challenges (e.g. cognition, hearing, mobility or language)
 
Current
Detailed history of pain concern
 
Current
Describe support required
 
Current
Surgical and Mental Health History (including treatments and investigations)
 
Current
Indicate the duration (<1 year, 1-3 years or >3 years)
 
Current
+-
Pain management
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
Attach reports and consultation notes
 
Current
Weight
 
Current
Indicate if patient has any challenges (e.g. cognition, hearing, mobility or language)
 
Current
Detailed history of pain concern
 
Current
Describe support required
 
Current
Surgical and Mental Health History (including treatments and investigations)
 
Current
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
The patient will be rescheduled up to two missed appointments.
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
The patient will be rescheduled up to two missed appointments.
 
HOURS OF OPERATION
Monday: 8:00 am - 4:00 pm
Tuesday: 8:00 am - 4:00 pm
Wednesday: 8:00 am - 4:00 pm
Thursday: 8:00 am - 4:00 pm
Friday: 8:00 am - 4:00 pm
   
 
ADDRESS

Ground Level, Robbins Pavilion


10240 Kingsway Avenue NW
Edmonton Alberta
T5H 3V9
PATIENT APPOINTMENT INSTRUCTIONS
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • If you are more comfortable in a language other than English, please bring a family member or friend (age 16 or older) to help with translation.
  • Bring your Alberta health care card and a piece of government issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • If you are more comfortable in a language other than English, please bring a family member or friend (age 16 or older) to help with translation.
 
DIRECTIONS
The Lois Hole Hospital for Women is located at the Royal Alexandra Hospital.

Bus stop: 111 Ave, 106 St NW
LRT station: Kingsway Avenue
The Lois Hole Hospital for Women is located at the Royal Alexandra Hospital.

Bus stop: 111 Ave, 106 St NW
LRT station: Kingsway Avenue
 
PHONE
780-735-4718
 
PARKING INSTRUCTIONS
Please allow 15-20 minutes for parking.
Payment for parking is required.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities. Public parking is GST exempt.
Pay by Plate machines accept Canadian coins or credit card (Visa, Mastercard, American Express). Maximum 28 Canadian coins per transaction, no pennies. Machines do not provide change.
Pay on Foot machines accept Canadian coins and bills, or credit card (Visa, Mastercard, American Express). These machines will provide change.
Parking office accepts payments by cash, credit card, debit or credit.
Please allow 15-20 minutes for parking.
Payment for parking is required.
Rates apply 24 hours per day, and are in effect for all public parkers, including those with provincially issued placards for persons with disabilities. Public parking is GST exempt.
Pay by Plate machines accept Canadian coins or credit card (Visa, Mastercard, American Express). Maximum 28 Canadian coins per transaction, no pennies. Machines do not provide change.
Pay on Foot machines accept Canadian coins and bills, or credit card (Visa, Mastercard, American Express). These machines will provide change.
Parking office accepts payments by cash, credit card, debit or credit.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
Virtual appointments are available as appropriate.
Virtual appointments are available as appropriate.
 
 
WHEELCHAIR ACCESSIBILITY
Yes

The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

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