Chronic pelvic pain
Chronic pelvic pain is a common presenting symptom to primary care physicians and radiologists. Pelvic ultrasound with transabdominal and endovaginal approaches are usually the first-line imaging modality. MRI may be performed as an adjunct test.
Clinical presentation
- non-cyclic pain
- pain of >6 months duration
Patients present with symptoms severe enough to cause functional disability.
Differential diagnosis
- endometriosis: premenopausal and perimenopausal women
- adenomyosis: premenopausal and perimenopausal women
- uterine leiomyoma (fibroid)
- pelvic congestion syndrome
- peritoneal inclusion cysts
- periurethral cysts/diverticula
- interstitial cystitis
- pudendal neuralgia