Pelvic pain in the exam

It is important to have a systematic way of approaching a case with pelvic pain in the exam. 

Most examinations are performed using ultrasound. Always say that you would further assess the uterus with 3D ultrasound. You may also say that in my department we would perform a sonohysterogram. Only suggest further imaging with HSG or MRI if prompted. 

Common causes include:

  • haematometrocolpos
  • ovarian torsion
  • ovarian carcinoma
  • haemorrhagic ovarian cyst
  • pregnancy with an ovarian tumour
  • ovarian hyperstimulation syndrome
  • dermoid cyst
  • post menopausal ovarian cyst
  • endometritis
  • pyometria
  • hydrosalpinx
  • pelvic inflammatory disease
  • exophytic fibroid vs ovarian fibroma
  • myometrial tumours
  • sex cord stromal tumour
  • adenomyosis

Uncommon causes include:

  • gartner cysts
  • periurethral cysts
  • urethral diverticula
  • nabothian cysts

See also

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Article information

rID: 22813
System: Gynaecology
Sections: Approach, Gamuts
Synonyms or Alternate Spellings:

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