Vaginal Photobiomodulation for Chronic Pelvic Pain

Inclusion Criteria: 1. Age 18 years or older; 2. CPP for 3 months or longer; 3. Overall pelvic pain severity ≥4 in the last 7 days; 4. Pelvic muscle tenderness pain level ≥4. Exclusion Criteria: 1. Previous vaginal or vulvar laser therapy; 2. Receiving concurrent pelvic physical therapy; 3. Unable to tolerate vaginal/pelvic examination 4. Taking drugs that have heat- or light- sensitive contraindications; 5. Subjectively reports abnormal or decreased sensation in the vagina or rectum; 6. History of cancer of the cervix, vagina, uterus, bladder, or vulva or suspected of having neoplasia or pre-cancerous lesions; 7. History of autoimmune inflammatory conditions such as vulvar lichen sclerosis or other types of dermatoses; 8. History of vaginal trauma, ulcerations, erosions, or other evidence of vaginal and vulvar skin breakdown; 9. Less than 6 months post-partum; 10. Actively trying to get pregnant or not willing to use contraception during the trial; 11. Positive pregnancy test or planning to get pregnant during the study; 12. Vaginal discharge or bleeding concerning for neoplasia, infectious, or autoimmune condition; \* 13. Pelvic pain has not been fully evaluated or pain is not confirmed as chronic pelvic pain; 14. Does not speak, read, or writes English and thus cannot complete surveys; 15. Does not have access to smart digital devices or computer, or cannot receive emails.