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:
- ovarian torsion
- ovarian carcinoma
- hemorrhagic ovarian cyst
- pregnancy with an ovarian tumor
- ovarian hyperstimulation syndrome
- dermoid cyst
- post menopausal ovarian cyst
- pelvic inflammatory disease
- exophytic fibroid vs ovarian fibroma
- myometrial tumors
- sex cord stromal tumor
Uncommon causes include: