The Central American Women's Handball Trophy was a women's international handball competition that was governed by PATHF. It was a competition for women's developing handball nations of Central America. It also served as a qualifying tournament for the Pan American Women's Handball Trophy. The first edition was held in 2010. However, it was held only three times, last in 2014, and in 2018, IHF suspended PATHF.
|Edition||Year||Host||Final||3. place play-off||Semi-finals|
|1.||2010||?||Nicaragua - Guatemala ?-?||Costa Rica - El Salvador ?-?||?|
|2.||2012||Nicaragua||Guatemala - Nicaragua 31-27||El Salvador - Costa Rica 12-11||Guatemala - El Salvador 25-7
Nicaragua - Costa Rica 39-17
|3.||2014||El Salvador||Nicaragua - Guatemala 29-19||Costa Rica - El Salvador 21-13||Nicaragua - El Salvador 37-16
Guatemala - Costa Rica 21-20