Program to Overcome Pelvic Pain Study

Inclusion Criteria: * Women aged 18 years or older who report chronic or recurrent pelvic pain for at least 6 months * Report an average daily pain intensity score of at least 4 (on a 0 to 10 scale) on a screening 7-day pain log * Report prior clinical evaluation of pain by a healthcare professional including at least a superficial pelvic exam * Willing to refrain from initiating new clinical treatments that may affect their pain during the study period Exclusion Criteria: * Report pelvic pain occurring exclusively with menses or exclusively during sexual intercourse (note that women with at least some pain between menses or intercourse are still eligible) * Participation in organized yoga classes or muscle strengthening programs (e.g., Pilates) in the past month, or prior yoga therapy specifically directed a pelvic pain * Currently pregnant (by self-report or screening test), pregnant within the past 6 months, or planning pregnancy * Diagnosed with an alternate, reversible cause of pain that is unlikely to respond to yoga and requires another treatment modality (e.g., current pelvic infection or a gynecologic dermatosis) * Initiation, dose escalation, or weaning of pharmacologic agents that may affect pelvic pain severity in the past 1 month (e.g., pain medications, antidepressants, anticonvulsants)-note that women on stable doses will be eligible * Surgery to the genital or pelvic structures within 3 months, or prior cancer or irradiation to these structures * Use of formal psychological therapies specifically for pelvic pain (e.g., systematic desensitization, sex therapy, cognitive therapy, relaxation therapy) within 1 month of screening * Use of formal behavioral therapies for pelvic or genital pain (e.g., pelvic floor rehabilitation or biofeedback performed by a certified healthcare practitioner) within 1 month of screening * Unable to walk up a flight of stairs or at least 2 blocks on level ground (i.e., functional capacity \< 4 METs), or unable to get up from a supine to a standing position without assistance * Participation in another interventional study that might interfere with or confound study procedures * Known conflict with multiple available intervention class dates * Inability to sign an informed consent or fill out questionnaires or complete study interviews in English, or lacking technical requirements to complete intervention classes or study visits by video