{"id":4663,"date":"2022-01-21T08:00:00","date_gmt":"2022-01-21T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=4663"},"modified":"2026-08-23T05:46:34","modified_gmt":"2026-08-22T22:46:34","slug":"%e6%85%a2%e6%80%a7%e7%9b%86%e8%85%94%e7%96%bc%e7%97%9b%e7%bb%bc%e5%90%88%e5%be%81","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/zh\/2022\/01\/21\/chronic-pelvic-pain-syndrome\/","title":{"rendered":"NIH-CPSI \u95ee\u5377\uff1a\u81ea\u6211\u8bc4\u4f30\u60a8\u7684\u76c6\u5e95\u75bc\u75db\u75c7\u72b6"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/zh\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, 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0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Chronic pelvic pain syndrome has no blood test and no scan that confirms it. There is no number on a laboratory report that tells you whether you are getting better. That is why a questionnaire matters here more than in almost any other urological condition \u2014 <strong>the score is the measurement<\/strong>, and without one, both you and your doctor are relying on memory of how bad things were three months ago, which is notoriously unreliable in chronic pain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The tool used worldwide is the <strong>NIH-CPSI<\/strong> \u2014 the National Institutes of Health Chronic Prostatitis Symptom Index. An earlier version of this article reproduced it without the point values, which made it impossible to actually score. <strong>The scoring is included below<\/strong>, so you can complete it yourself and bring the result with you.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">First: What This Questionnaire Is Not For<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The NIH-CPSI measures symptoms. It does not diagnose, and it cannot distinguish pelvic pain from something else that needs different attention. Before it is used, a urologist establishes that this really is chronic pelvic pain syndrome. <strong>Do not score yourself and settle for that<\/strong> if you have any of the following \u2014 these are not CPPS and need proper assessment, some of them the same day:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fever or chills with the pain<\/strong>, or feeling generally unwell \u2014 emergency department, or 1669 in Thailand<\/li>\n\n\n\n<li><strong>Complete inability to pass urine<\/strong> with a painfully full bladder \u2014 same, immediately<\/li>\n\n\n\n<li><strong>Blood in the urine or semen<\/strong><\/li>\n\n\n\n<li><strong>Unexplained weight loss, or new bone or back pain<\/strong><\/li>\n\n\n\n<li><strong>A lump in the testicle<\/strong>, or sudden severe testicular pain \u2014 sudden severe testicular pain is an emergency in its own right<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4684\" data-permalink=\"https:\/\/drsoaraweeurology.com\/zh\/2022\/01\/21\/chronic-pelvic-pain-syndrome\/man-with-hands-holding-his-crotch-he-wants-to-pee-urinary-incontinence-concept\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Chronic-pelvic-pain-syndrome.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;3.2&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;NIKON D610&quot;,&quot;caption&quot;:&quot;Man with hands holding his crotch, he wants to pee - urinary incontinence concept. Sick man prostate cancer, prostate inflammation, premature ejaculation, fertility, erection or bladder problem&quot;,&quot;created_timestamp&quot;:&quot;1528199060&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;35&quot;,&quot;iso&quot;:&quot;320&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Man with hands holding his crotch, he wants to pee - urinary incontinence concept&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Chronic pelvic pain syndrome is the difficult-to-treat condition.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Chronic pelvic pain syndrome is the difficult-to-treat condition.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Chronic-pelvic-pain-syndrome.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Chronic-pelvic-pain-syndrome.jpg?resize=800%2C533&#038;ssl=1\" alt=\"A man experiencing chronic pelvic and perineal pain \u2014 chronic pelvic pain syndrome affects pain, urinary and quality of life domains\" class=\"wp-image-4684\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Chronic-pelvic-pain-syndrome.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Chronic-pelvic-pain-syndrome.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Chronic-pelvic-pain-syndrome.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Chronic-pelvic-pain-syndrome.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Chronic-pelvic-pain-syndrome.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Chronic pelvic pain syndrome is measured across three domains, because it affects more than one part of life.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">The NIH-CPSI Questionnaire<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Answer for <strong>the last week only<\/strong>, not for how things have been in general. Point values are in brackets. Total them as you go.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Pain or discomfort<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. In the last week, have you experienced any pain or discomfort in the following areas?<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td>a. Area between rectum and testicles (perineum)<\/td><td class=\"has-text-align-center\" data-align=\"center\">Yes (1)<\/td><td class=\"has-text-align-center\" data-align=\"center\">No (0)<\/td><\/tr><tr><td>b. Testicles<\/td><td class=\"has-text-align-center\" data-align=\"center\">Yes (1)<\/td><td class=\"has-text-align-center\" data-align=\"center\">No (0)<\/td><\/tr><tr><td>c. Tip of the penis (not related to urination)<\/td><td class=\"has-text-align-center\" data-align=\"center\">Yes (1)<\/td><td class=\"has-text-align-center\" data-align=\"center\">No (0)<\/td><\/tr><tr><td>d. Below your waist, in your pubic or bladder area<\/td><td class=\"has-text-align-center\" data-align=\"center\">Yes (1)<\/td><td class=\"has-text-align-center\" data-align=\"center\">No (0)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. In the last week, have you experienced:<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td>a. Pain or burning during urination?<\/td><td class=\"has-text-align-center\" data-align=\"center\">Yes (1)<\/td><td class=\"has-text-align-center\" data-align=\"center\">No (0)<\/td><\/tr><tr><td>b. Pain or discomfort during or after sexual climax (ejaculation)?<\/td><td class=\"has-text-align-center\" data-align=\"center\">Yes (1)<\/td><td class=\"has-text-align-center\" data-align=\"center\">No (0)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. How often have you had pain or discomfort in any of these areas over the last week?<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td>Never<\/td><td class=\"has-text-align-center\" data-align=\"center\">0<\/td><\/tr><tr><td>Rarely<\/td><td class=\"has-text-align-center\" data-align=\"center\">1<\/td><\/tr><tr><td>Sometimes<\/td><td class=\"has-text-align-center\" data-align=\"center\">2<\/td><\/tr><tr><td>Often<\/td><td class=\"has-text-align-center\" data-align=\"center\">3<\/td><\/tr><tr><td>Usually<\/td><td class=\"has-text-align-center\" data-align=\"center\">4<\/td><\/tr><tr><td>Always<\/td><td class=\"has-text-align-center\" data-align=\"center\">5<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4. Which number describes your AVERAGE pain or discomfort on the days that you had it, over the last week?<\/strong> Score 0 to 10, where 0 is no pain and 10 is the worst pain imaginable.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"732\" height=\"245\" data-attachment-id=\"4672\" data-permalink=\"https:\/\/drsoaraweeurology.com\/zh\/2022\/01\/21\/chronic-pelvic-pain-syndrome\/pain-score\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Pain-score.jpg?fit=732%2C245&amp;ssl=1\" data-orig-size=\"732,245\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Pain score\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Pain score&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Pain-score.jpg?fit=732%2C245&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Pain-score.jpg?resize=732%2C245&#038;ssl=1\" alt=\"Zero to ten pain rating scale used for question four of the NIH-CPSI questionnaire\" class=\"wp-image-4672\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Pain-score.jpg?w=732&amp;ssl=1 732w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Pain-score.jpg?resize=300%2C100&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Pain-score.jpg?resize=18%2C6&amp;ssl=1 18w\" sizes=\"(max-width: 732px) 100vw, 732px\" \/><figcaption class=\"wp-element-caption\">Question 4 uses a 0\u201310 average pain scale.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Urination<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>5. How often have you had the sensation of not emptying your bladder completely after you finished urinating, over the last week?<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td>Not at all<\/td><td class=\"has-text-align-center\" data-align=\"center\">0<\/td><\/tr><tr><td>Less than 1 time in 5<\/td><td class=\"has-text-align-center\" data-align=\"center\">1<\/td><\/tr><tr><td>Less than half the time<\/td><td class=\"has-text-align-center\" data-align=\"center\">2<\/td><\/tr><tr><td>About half the time<\/td><td class=\"has-text-align-center\" data-align=\"center\">3<\/td><\/tr><tr><td>More than half the time<\/td><td class=\"has-text-align-center\" data-align=\"center\">4<\/td><\/tr><tr><td>Almost always<\/td><td class=\"has-text-align-center\" data-align=\"center\">5<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>6. How often have you had to urinate again less than two hours after you finished urinating, over the last week?<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td>Not at all<\/td><td class=\"has-text-align-center\" data-align=\"center\">0<\/td><\/tr><tr><td>Less than 1 time in 5<\/td><td class=\"has-text-align-center\" data-align=\"center\">1<\/td><\/tr><tr><td>Less than half the time<\/td><td class=\"has-text-align-center\" data-align=\"center\">2<\/td><\/tr><tr><td>About half the time<\/td><td class=\"has-text-align-center\" data-align=\"center\">3<\/td><\/tr><tr><td>More than half the time<\/td><td class=\"has-text-align-center\" data-align=\"center\">4<\/td><\/tr><tr><td>Almost always<\/td><td class=\"has-text-align-center\" data-align=\"center\">5<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Impact and quality of life<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>7. How much have your symptoms kept you from doing the kind of things you would usually do, over the last week?<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td>None<\/td><td class=\"has-text-align-center\" data-align=\"center\">0<\/td><\/tr><tr><td>Only a little<\/td><td class=\"has-text-align-center\" data-align=\"center\">1<\/td><\/tr><tr><td>Some<\/td><td class=\"has-text-align-center\" data-align=\"center\">2<\/td><\/tr><tr><td>A lot<\/td><td class=\"has-text-align-center\" data-align=\"center\">3<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>8. How much did you think about your symptoms, over the last week?<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td>None<\/td><td class=\"has-text-align-center\" data-align=\"center\">0<\/td><\/tr><tr><td>Only a little<\/td><td class=\"has-text-align-center\" data-align=\"center\">1<\/td><\/tr><tr><td>Some<\/td><td class=\"has-text-align-center\" data-align=\"center\">2<\/td><\/tr><tr><td>A lot<\/td><td class=\"has-text-align-center\" data-align=\"center\">3<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>9. If you were to spend the rest of your life with symptoms just the way they have been during the last week, how would you feel about that?<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td>Delighted<\/td><td class=\"has-text-align-center\" data-align=\"center\">0<\/td><\/tr><tr><td>Pleased<\/td><td class=\"has-text-align-center\" data-align=\"center\">1<\/td><\/tr><tr><td>Mostly satisfied<\/td><td class=\"has-text-align-center\" data-align=\"center\">2<\/td><\/tr><tr><td>Mixed<\/td><td class=\"has-text-align-center\" data-align=\"center\">3<\/td><\/tr><tr><td>Mostly dissatisfied<\/td><td class=\"has-text-align-center\" data-align=\"center\">4<\/td><\/tr><tr><td>Unhappy<\/td><td class=\"has-text-align-center\" data-align=\"center\">5<\/td><\/tr><tr><td>Terrible<\/td><td class=\"has-text-align-center\" data-align=\"center\">6<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Working Out Your Score<\/h2>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td><strong>Domain<\/strong><\/td><td><strong>Add up<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\"><strong>Range<\/strong><\/td><\/tr><tr><td>Pain<\/td><td>Questions 1a\u20131d, 2a\u20132b, 3 and 4<\/td><td class=\"has-text-align-center\" data-align=\"center\">0\u201321<\/td><\/tr><tr><td>Urinary symptoms<\/td><td>Questions 5 and 6<\/td><td class=\"has-text-align-center\" data-align=\"center\">0\u201310<\/td><\/tr><tr><td>Quality of life<\/td><td>Questions 7, 8 and 9<\/td><td class=\"has-text-align-center\" data-align=\"center\">0\u201312<\/td><\/tr><tr><td><strong>Total<\/strong><\/td><td>All of the above<\/td><td class=\"has-text-align-center\" data-align=\"center\"><strong>0\u201343<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>An earlier version of this page stated the quality of life range as 0\u20139 and the total as 0\u201341. Those figures were wrong and have been corrected: the quality of life domain runs to 12 and the total to 43.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What the total means, broadly:<\/strong> under 15 is generally regarded as mild, 15 to 29 as moderate, and 30 or above as severe. Treat those as rough bands rather than as thresholds that decide anything by themselves.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The more useful number is the change.<\/strong> A fall of about <strong>six points<\/strong> in the total is generally taken as a genuinely meaningful improvement rather than noise. This is why it is worth completing the questionnaire before treatment starts and repeating it at each review: in a condition that fluctuates and improves slowly, a six-point drop over three months is real progress that you might otherwise not notice at all.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4685\" data-permalink=\"https:\/\/drsoaraweeurology.com\/zh\/2022\/01\/21\/chronic-pelvic-pain-syndrome\/doctor-man-consulting-patient-while-filling-up-an-application-form-at-the-desk-in-hospital-medicine-and-health-care-concept-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Doctor-patient-relationship.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Doctor man consulting patient while filling up an application form at the desk in hospital. Medicine and health care concept&quot;,&quot;created_timestamp&quot;:&quot;1560786020&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;100&quot;,&quot;iso&quot;:&quot;125&quot;,&quot;shutter_speed&quot;:&quot;0.033333333333333&quot;,&quot;title&quot;:&quot;Doctor man consulting patient while filling up an application form at the desk in hospital. Medicine and health care concept&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Good understanding and relationship between doctor and patient will maximize the treatment outcome.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Good understanding and relationship between doctor and patient will maximize the treatment outcome.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Doctor-patient-relationship.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Doctor-patient-relationship.jpg?resize=800%2C533&#038;ssl=1\" alt=\"A doctor discussing symptoms with a patient \u2014 chronic pelvic pain syndrome is managed over repeated visits with symptom scores tracked over time\" class=\"wp-image-4685\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Doctor-patient-relationship.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Doctor-patient-relationship.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Doctor-patient-relationship.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Doctor-patient-relationship.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/01\/Doctor-patient-relationship.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Scores completed at each visit turn a vague sense of how things are going into something you can both see.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Which Domain Is Highest Also Matters<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The total is not the only useful output. Two men with the same total can need quite different treatment, and the <em>shape<\/em> of the score points the way: a high urinary domain suggests one approach, a dominant pain domain another, and a quality of life score that is disproportionately high relative to the pain \u2014 a man scoring modest pain but answering \u201cterrible\u201d to question 9 \u2014 tells you something important about how much this is costing him, and that support addressing that side of it belongs in the plan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That is the logic behind modern treatment of this condition, which is aimed at the drivers each man actually has rather than at everyone in the same way. I have set out what that involves \u2014 and why repeated antibiotics are usually the wrong answer \u2014 in <a href=\"https:\/\/drsoaraweeurology.com\/2021\/11\/12\/chronic-prostatitis-treatment\/\">chronic prostatitis: why antibiotics usually are not the answer<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What is chronic pelvic pain syndrome in men?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Persistent pain in the perineum, genitals or pelvis lasting more than three months, without evidence of bacterial infection, often with urinary symptoms and pain on ejaculation. It is by far the commonest form of prostatitis \u2014 roughly nine in ten cases \u2014 and it is managed over time rather than cured with a single treatment.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How is the NIH-CPSI scored?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Three domains: pain from questions 1 to 4, scored 0 to 21; urinary symptoms from questions 5 and 6, scored 0 to 10; and quality of life from questions 7 to 9, scored 0 to 12. The total runs from 0 to 43. Broadly, under 15 is mild, 15 to 29 moderate and 30 or above severe, though the bands are approximate.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How much improvement in the score counts as real?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A fall of around six points in the total is generally regarded as a meaningful improvement rather than random variation. That is why the questionnaire is completed before treatment and repeated at reviews: in a fluctuating condition that improves gradually, real progress is easy to miss without a number to compare against.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can I diagnose myself with this questionnaire?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No. It measures symptom severity, not cause. A high score tells you how much you are suffering, not why. Fever, blood in the urine or semen, inability to pass urine, unexplained weight loss, new bone pain or a testicular lump are not chronic pelvic pain syndrome and need assessment in their own right. Score it, then bring it with you.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Is there a cure for chronic pelvic pain syndrome?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">There is no single treatment that works for everyone, and improvement is usually gradual and partial rather than sudden and complete. But most men improve substantially with a combination aimed at their particular pattern \u2014 pelvic floor physiotherapy, alpha blockers, medication acting on nerve pain, and psychological support, in the combination that fits. Progress is tracked by the score rather than by a laboratory test, because there is no laboratory test to track.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Book an Appointment<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Soarawee Weerasopone assesses and treats chronic pelvic pain at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok Hospital Headquarters<\/a> and at Samitivej Sriracha Hospital, Chonburi \u2014 Urology department <a href=\"tel:0880221445\">088-022-1445<\/a>. Completing this questionnaire before your appointment is genuinely useful \u2014 bring the score, along with any previous culture results and a list of antibiotics you have already taken. Questions about cost are answered by the hospital rather than by Dr. Soarawee \u2014 for Bangkok Hospital, by email to <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Reviewing scores over time suits telemedicine well; the initial examination does not. Samitivej Sriracha is in-person only.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This article is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is educational only, is not medical advice, and does not create a doctor\u2013patient relationship. The NIH-CPSI measures symptom severity and does not establish a diagnosis or exclude other conditions. No diagnosis, prescription or individual medical advice is given through personal messaging channels or social media, and Dr. Soarawee operates no public social media account \u2014 any account offering private consultation in his name is fraudulent. Fever with pelvic pain, inability to pass urine, or sudden severe testicular pain means an emergency department, or 1669 in Thailand.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/01\/21\/chronic-pelvic-pain-syndrome\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2022\/01\/21\/chronic-pelvic-pain-syndrome\/\",\n      \"name\": \"The NIH-CPSI Questionnaire: Score Your Own Pelvic Pain Symptoms\",\n      \"description\": \"The complete NIH Chronic Prostatitis Symptom Index with point values and scoring instructions, the meaning of each domain, severity bands, and the change in score that represents genuine improvement.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2022-01-21\",\n      \"dateModified\": \"2026-08-23\",\n      \"lastReviewed\": \"2026-08-23\",\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"medicalAudience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/01\/21\/chronic-pelvic-pain-syndrome\/#nihcpsi\" },\n      \"disambiguatingDescription\": \"Corrected August 2026. The earlier version reproduced the questionnaire without point values, making it impossible to score, and stated the quality of life domain range as 0 to 9 and the total as 0 to 41. The correct ranges are 0 to 12 for quality of life and 0 to 43 for the total. The instrument measures symptom severity and does not establish a diagnosis.\"\n    },\n    {\n      \"@type\": \"MedicalTest\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/01\/21\/chronic-pelvic-pain-syndrome\/#nihcpsi\",\n      \"name\": \"NIH Chronic Prostatitis Symptom Index (NIH-CPSI)\",\n      \"description\": \"Validated nine-item patient-reported instrument for chronic prostatitis and chronic pelvic pain syndrome, covering the preceding week. Pain domain from questions 1 to 4 scores 0 to 21; urinary domain from questions 5 and 6 scores 0 to 10; quality of life domain from questions 7 to 9 scores 0 to 12; total 0 to 43. Approximate severity bands are mild below 15, moderate 15 to 29 and severe 30 or above. A reduction of approximately six points in the total is regarded as clinically meaningful. The relative height of each domain guides phenotype-directed treatment. The instrument measures severity and does not establish a diagnosis or exclude alternative pathology.\",\n      \"usedToDiagnose\": {\n        \"@type\": \"MedicalCondition\",\n        \"name\": \"Chronic prostatitis and chronic pelvic pain syndrome\"\n      }\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/01\/21\/chronic-pelvic-pain-syndrome\/#faq\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/01\/21\/chronic-pelvic-pain-syndrome\/#webpage\" },\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What is chronic pelvic pain syndrome in men?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Persistent pain in the perineum, genitals or pelvis lasting more than three months without evidence of bacterial infection, often with urinary symptoms and pain on ejaculation. It is by far the commonest form of prostatitis, roughly nine in ten cases, and is managed over time rather than cured by a single treatment.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"How is the NIH-CPSI scored?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Three domains: pain from questions 1 to 4 scored 0 to 21; urinary symptoms from questions 5 and 6 scored 0 to 10; and quality of life from questions 7 to 9 scored 0 to 12. The total runs from 0 to 43. Broadly, under 15 is mild, 15 to 29 moderate and 30 or above severe, though these bands are approximate.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"How much improvement in the NIH-CPSI score counts as real?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"A fall of around six points in the total is generally regarded as a meaningful improvement rather than random variation. The questionnaire is therefore completed before treatment and repeated at reviews, because in a fluctuating condition that improves gradually, genuine progress is easy to miss without a number to compare against.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Can the NIH-CPSI be used to self-diagnose?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"No. It measures symptom severity, not cause. Fever, blood in the urine or semen, inability to pass urine, unexplained weight loss, new bone pain or a testicular lump are not chronic pelvic pain syndrome and require assessment in their own right.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Is there a cure for chronic pelvic pain syndrome?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"There is no single treatment that works for everyone, and improvement is usually gradual and partial. Most men improve substantially with a combination aimed at their particular pattern: pelvic floor physiotherapy, alpha blockers, medication acting on nerve pain, and psychological support. Progress is tracked by symptom score because no laboratory endpoint exists.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Chronic pelvic pain has no blood test, so progress is measured with a questionnaire. Dr. Soarawee Weerasopone provides the full NIH-CPSI with the point values filled in, so you can score it yourself, plus what the number means and what change counts as real improvement.<\/p>","protected":false},"author":185281453,"featured_media":10028,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"The complete NIH-CPSI questionnaire for chronic pelvic pain syndrome in men, with point values and scoring instructions \u2014 what the pain, urinary and quality of life domains mean, and what counts as meaningful improvement.","jetpack_seo_html_title":"NIH-CPSI Questionnaire with Scoring | Dr. Pom Urology","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1363],"tags":[1580,1532,1581],"class_list":["post-4663","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-health","tag-chronic-pelvic-pain-syndrome","tag-men-health","tag-questionaire"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-1dd","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Chronic-Pelvic-Pain.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/posts\/4663","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/comments?post=4663"}],"version-history":[{"count":31,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/posts\/4663\/revisions"}],"predecessor-version":[{"id":11616,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/posts\/4663\/revisions\/11616"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/media\/10028"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/media?parent=4663"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/categories?post=4663"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/zh\/wp-json\/wp\/v2\/tags?post=4663"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}