Topic Chronic pelvic pain can be caused by any number of conditions. In primary care, nurse practitioners should be able to outline the basic approach to initial evaluation of and management of these disorders. As you have learned in this unit, there are many causes of chronic pelvic pain. Select one of the causes of chronic pelvic pain and describe the symptoms. Why would you refer this patient for consultation, and to whom? What are the steps to writing a referral, and what is the NPs responsibility in follow-up?