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We examined differences in lifetime and past-year chronic pelvic pain symptoms, diagnosis, treatment, and quality of life outcomes. Sensitivity analyses also examined the role of pelvic\/gynecologic exam history and hormonal contraceptive use as potential effect modifiers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Around half of all women reported ever experiencing chronic pelvic pain, among whom nearly 90% had past-year chronic pelvic pain. Compared to completely heterosexual women, there was greater risk of lifetime chronic pelvic pain among mostly heterosexual (risk ratio [RR] = 1.30, 95% confidence interval [CI]: 1.22\u20131.38), bisexual (RR = 1.30, 95% CI: 1.10\u20131.52), and lesbian (RR = 1.23, 95% CI: 1.00\u20131.52) young women. Additionally, compared to young women with only past male sexual partners, young women who had both men and women as past sexual partners were more likely to report chronic pelvic pain interfered with their social activities (b = 0.63, 95% CI: 0.25\u20131.02), work\/school (b = 0.55, 95% CI: 0.17\u20130.93), and sex (b = 0.53, 95% CI: 0.05\u20131.00).<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Implications<\/jats:title><jats:p>Healthcare providers, medical education, and field-wide standards of care should be attentive to the way sexual orientation-based healthcare disparities can manifest into differential prognosis and quality of life outcomes for women with chronic pelvic pain (particularly bisexual women).<\/jats:p><\/jats:sec><jats:sec><jats:title>Strengths &amp; Limitations<\/jats:title><jats:p>Our study is the first to examine a variety of chronic pelvic pain outcomes in a nationwide U.S. sample across different outcomes (ie, past-year and lifetime). Though limited by sample homogeneity in terms of age, race, ethnicity, and gender, findings from this article provide foundational insights about chronic pelvic pain experiences of sexual minority young women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our key finding is that sexual minority women were commonly affected by chronic pelvic pain, and bisexual women face pain-related quality of life disparities.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.jsxm.2022.03.606","type":"journal-article","created":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T10:52:36Z","timestamp":1651402356000},"page":"1012-1023","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"title":["Prevalence of Chronic Pelvic Pain by Sexual Orientation in a Large Cohort of Young Women in the United States"],"prefix":"10.1093","volume":"19","author":[{"given":"Ariella R.","family":"Tabaac","sequence":"first","affiliation":[{"name":"Division of Adolescent\/Young Adult Medicine, Boston Children\u2019s Hospital , Boston, MA , USA"},{"name":"Department of Pediatrics, Harvard Medical School , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Chwa","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan E.","family":"Sutter","sequence":"additional","affiliation":[{"name":"Department of Population Health, NYU School of Medicine , New York, NY , USA"},{"name":"Department of Obstetrics and Gynecology, NYU School of Medicine , New York, NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey A.","family":"Missmer","sequence":"additional","affiliation":[{"name":"Division of Adolescent\/Young Adult Medicine, Boston Children\u2019s Hospital , Boston, MA , USA"},{"name":"Department of Epidemiology, Harvard T.H. Chan School of Public Health , Boston, MA , USA"},{"name":"Department of Obstetrics, Gynecology, and Reproductive Biology, College of Human Medicine, Michigan State University , Grand Rapids, MI , USA"},{"name":"Channing Division of Network Medicine, Brigham & Women\u2019s Hospital , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth R.","family":"Boskey","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health , Boston, MA , USA"},{"name":"Center for Gender Surgery, Department of Plastic and Oral Surgery, Boston Children\u2019s Hospital , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Bryn","family":"Austin","sequence":"additional","affiliation":[{"name":"Division of Adolescent\/Young Adult Medicine, Boston Children\u2019s Hospital , Boston, MA , USA"},{"name":"Department of Pediatrics, Harvard Medical School , Boston, MA , USA"},{"name":"Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health , Boston, MA , USA"},{"name":"Channing Division of Network Medicine, Brigham & Women\u2019s Hospital , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frances","family":"Grimstad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School , Boston, MA , USA"},{"name":"Division of Gynecology, Department of Surgery, Boston Children\u2019s Hospital , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany M.","family":"Charlton","sequence":"additional","affiliation":[{"name":"Division of Adolescent\/Young Adult Medicine, Boston Children\u2019s Hospital , Boston, MA , USA"},{"name":"Department of Epidemiology, Harvard T.H. Chan School of Public Health , Boston, MA , USA"},{"name":"Channing Division of Network Medicine, Brigham & Women\u2019s Hospital , Boston, MA , USA"},{"name":"Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute , Boston, MA , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,5,1]]},"reference":[{"key":"2023041407201325400_","doi-asserted-by":"publisher","first-page":"E141","DOI":"10.36076\/ppj.2014\/17\/E141","article-title":"Prevalence of chronic pelvic pain among women: an updated review","volume":"2","author":"Ahangari","year":"2014","journal-title":"Pain Phys"},{"key":"2023041407201325400_","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1136\/bmj.38748.697465.55","article-title":"Factors predisposing women to chronic pelvic pain: systematic review","volume":"332","author":"Latthe","year":"2006","journal-title":"Br Med J (Clin Res 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