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Chronic pelvic pain

Last revised by Dr Jeremy Jones on 20 Sep 2021

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-cyclical pain (excluding endometrosis which is typically cyclical)
  • pain of >6 months duration

Patients present with symptoms severe enough to cause functional disability.

Differential diagnosis

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