The Role of Ultrasound in the Diagnosis of Pelvic Pain in Non-Pregnant Females

Abstract

Pelvic pain is the most common concern among women who visit the ER, and ultrasonography should be the first imaging method used to evaluate these patients. Objectives: To evaluate how well ultrasonography could diagnose different causes that can lead to pelvic pain in women. Methods: A cross-sectional study was held at Chatha Hospital, Al Amin Diagnostic Center, and Gondal Hospital. It used B mode ultrasonographic capability and in order to avoid artifacts or attenuation, an ultrasonic gel is applied to the transducer. Hospitals were legally authorized to take the information. Inclusion criteria were used to determine patient eligibility. Results: The commonest ultrasonography findings of pelvic pain were an ovarian cyst in 16 out of 97 which were 16.4%, bulky uterus with fibroid in 26 patients (26.8%), endometriosis in 4 patients (4.1%), ovarian enlargement in 3 patients (3.1%), endometriotic cyst in 6 patients (6.2%), RPCOs in 8 patients (8.2%), PCOs in 9 patients (9.3%), hydronephrosis in 4 patients (4.1%), fluid in cul de sac in 7 patients (7.2%), thickened endometrium in 3 patients (3.1%), pelvic inflammatory disease in 5 patients (5.2%), appendicitis in 4 patients (4.1%), and inguinal hernia in 2 patients (2.1%).  Conclusions: Ultrasound scanning is a critical modality for detecting pelvic changes in female patients. The most common cause of pelvic in females is uterine fibroid and ovarian cyst. Moreover, pelvic pain occurs most frequently during the reproductive age and less frequently during menopause