Objective: To develop a standardized, consensus-based international ultrasound approach on the elements that should be included in the initial ultrasound assessment of women with CPP that can be, in future, applied in clinical practice. Methods: A Delphi survey was conducted with an international panel of experts in CPP and ultrasound, selected for their clinical and scientific experience in the subject. Three rounds of questions were carried out to assess the main parameters that should be included in the ultrasound reporting template. For variables to be included in the template, a priori consensus criteria were used to reach agreement. Results: Of the 86 experts invited, 21 completed the final (third) round of the Delphi process. Experts represented North America, South America, Europe, and Australia. The final CPP ultrasound approach and reporting template established by the experts’ consensus contains 1) the assessment of the quality of the examination, 2) the necessary equipment, 3) the regions to be evaluated, and 4) elements that must be included in the exam. Conclusion: Based on consensus methodology, we propose a standardized international ultrasound approach on the elements that should be included in the initial ultrasound assessment of women with CPP. Whilst it requires validation, this tool may serve to standardize the performance of the ultrasound for the indication of CPP, enhancing the evaluation of the broad differential diagnostic and the clinical applicability.