Chronic Pelvic Pain — A Structured Diagnostic Approach
Chronic pelvic pain has many causes — endometriosis, adenomyosis, adhesions, nerve, bladder, bowel and musculoskeletal. The first step is a proper workup, not a guess. We follow a structured diagnostic pathway to identify the actual cause.
Chronic pelvic pain affects an estimated 1 in 7 women. The most common gynaecological cause is endometriosis — which on average takes 7-9 years to diagnose. Earlier evaluation changes outcomes significantly.
Key Points
- Detailed pain history with cycle correlation
- Pelvic ultrasound + targeted MRI where indicated
- Hormonal evaluation
- Trial of medical therapy before considering surgery
- Diagnostic laparoscopy only when conservative workup is inconclusive
- Multidisciplinary referral for non-gynae causes
This page is being expanded. Full content with diagnostic pathway, treatment options, FAQs, and Dr. Patel’s clinical philosophy on chronic pelvic pain is coming soon. For now, please book a consultation for personalised care.
