Ultrasound Findings in Premenopausal Non-Pregnant Females Presented with Pelvic Pain

In: Pakistan BioMedical Journal · 2025 · pp. 09–13 · doi:10.54393/pbmj.v8i5.1241 · W4411278959
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AI-generated summary by claude@2026-06, 2026-06-08

This study examined ultrasound findings in 138 premenopausal women with pelvic pain, finding most issues were gynecological, particularly uterine fibroids, and unrelated to age or marital status.

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This analytic cross-sectional study examined ultrasonographic findings in 138 non-pregnant premenopausal women aged 14–49 years presenting with pelvic pain over four months in a Pakistani government hospital, using transabdominal ultrasound and SPSS for analysis of associations with reproductive/urinary/GI symptom accompaniments, age, and marital status. Most scans showed reproductive-system findings (65.9%), with uterine fibroids most frequent (27.5%) and complex ovarian cysts next (14.5%); only 11.6% of cases had normal ultrasound results. The paper reports no significant association between pelvic pain accompanying symptoms and age group or marital status (p>0.05). A key limitation is that a convenient sample was used and ultrasound was the sole imaging modality assessed. Relevance to endometriosis: the paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Pelvic pain is a frequent complaint with gynecologic and non-gynecologic origins. Concerning the wide range of diagnoses, ultrasound is the gold-standard imaging modality of choice for premenopausal women. Objectives: To determine the ultrasonographic findings of pelvic pain and the association of pelvic pain accompanying symptoms with age groups and marital status. Methods: The analytic cross-sectional study was conducted at a Government Hospital in Gujrat, Pakistan, over four months, from October 2022 to February 2023. A sample size of 138 was considered by a convenient approach. All non-pregnant, premenopausal female patients with pelvic pain associated with the reproductive, urinary and gastrointestinal systems were included after informed consent. The Aplio 300 ultrasound machine was used to conduct the transabdominal scan, and SPSS version 23.0 was used to analyze the data. Results: In the current study, 138 patients were ranged in age groups from 14 to 49 years, and the majority were between the ages of 26-31 years. There were 109 married patients and 29 unmarried. In 11.6% of the cases, the results were normal. There was no significant association of pelvic pain accompanying symptoms observed with age groups and marital status (p-value>0.05). Most of the findings were from the reproductive system (65.9%). Uterine fibroids were most frequently observed, 38 (27.5%), followed by complex ovarian cysts, 20 (14.5%). Conclusions: Pelvic pain in premenopausal women is most often linked to gynaecological causes, especially uterine fibroids, and occurs with or without other symptoms, regardless of age or marital status.
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Ultrasound Findings in Premenopausal Non-Pregnant Females Presented with Pelvic Pain Premenopausal Non-Pregnant Females Presented with Pelvic Pain DOI: https://doi.org/10.54393/pbmj.v8i5.1241Keywords: Acute Pelvic Pain, Chronic Pelvic Pain, Ultrasound, Premenopausal Female PatientsAbstract Pelvic pain is a frequent complaint with gynecologic and non-gynecologic origins. Concerning the wide range of diagnoses, ultrasound is the gold-standard imaging modality of choice for premenopausal women. Objectives: To determine the ultrasonographic findings of pelvic pain and the association of pelvic pain accompanying symptoms with age groups and marital status. Methods: The analytic cross-sectional study was conducted at a Government Hospital in Gujrat, Pakistan, over four months, from October 2022 to February 2023. A sample size of 138 was considered by a convenient approach. All non-pregnant, premenopausal female patients with pelvic pain associated with the reproductive, urinary and gastrointestinal systems were included after informed consent. The Aplio 300 ultrasound machine was used to conduct the transabdominal scan, and SPSS version 23.0 was used to analyze the data. Results: In the current study, 138 patients were ranged in age groups from 14 to 49 years, and the majority were between the ages of 26-31 years. There were 109 married patients and 29 unmarried. In 11.6% of the cases, the results were normal. There was no significant association of pelvic pain accompanying symptoms observed with age groups and marital status (p-value>0.05). Most of the findings were from the reproductive system (65.9%). Uterine fibroids were most frequently observed, 38 (27.5%), followed by complex ovarian cysts, 20 (14.5%). Conclusions: Pelvic pain in premenopausal women is most often linked to gynaecological causes, especially uterine fibroids, and occurs with or without other symptoms, regardless of age or marital status. References Pak DJ, Yong RJ, Kaye AD, Urman RD. Chronification of Pain: Mechanisms, Current Understanding, and Clinical Implications. Current Pain And Headache Reports. 2018 Feb; 22: 1-6. doi: 10.1007/s11916-018-0666-8. DOI: https://doi.org/10.1007/s11916-018-0666-8 Bahabara JO, Ghouth WS, Nuhaid AA. Ultrasonographic Evaluation of Acute Pelvic Pain in Female Patients. Hadhramout University Journal of Natural and Applied Sciences. 2017; 14(2). As-Sanie S. Chronic Pelvic Pain in Nonpregnant Adult Females: Causes. 2020. Vardar Z, Dupuis CS, Goldstein AJ, Siddiqui E, Vardar BU, Kim YH. Pelvic Ultrasonography of the Postpartum Uterus in Patients Presenting to the Emergency Room with Vaginal Bleeding and Pelvic Pain. Ultrasonography. 2022 Apr; 41(4): 782. doi: 10.14366/usg.22004. 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DOI: https://doi.org/10.1007/978-3-031-19598-3_53 Fatima N, Hina GE, Imran A, Khalid Q. The Role of Ultrasound in the Diagnosis of Pelvic Pain in Non-Pregnant Females: Role of Ultrasound in the Diagnosis of Pelvic Pain. Pakistan BioMedical Journal. 2022 Nov: 08-11. doi: 10.54393/pbmj.v5i11.823. DOI: https://doi.org/10.54393/pbmj.v5i11.823 Rosner J, Samardzic T, Sarao MS. Physiology, Female Reproduction. In Stat Pearls [Internet]. 2024 Mar. Basnet P and Chhetri PK. Ultrasound Evaluation of Acute Pelvic Pain in Non-Pregnant Reproductive Age Females. Journal of Chitwan Medical College. 2021 Jun; 11(2): 51-3. doi: 10.54530/jcmc.423. DOI: https://doi.org/10.54530/jcmc.423 Boccatonda A, Tiraferri V, De Meis L, Fiorini G, Serra C. Role of Ultrasound in the Evaluation of Patients with Acute Pelvic Pain. Internal and Emergency Medicine. 2025 May: 1-3. doi: 10.1007/s11739-025-03982-8. DOI: https://doi.org/10.1007/s11739-025-03982-8 Waseem S, Raad S, Farooq SM, Javid M, Zubair M, Gilani HS. Sonographic Findings in Females of Reproductive Age with Acute Pelvic Pain. Age. 2020 Feb; 163(15.00): 45-00. Mathur M and Scoutt LM. Nongynecologic Causes of Pelvic Pain: Ultrasound First. Obstetrics and Gynecology Clinics. 2019 Dec; 46(4): 733-53. doi: 10.1016/j.ogc.2019.07.007. DOI: https://doi.org/10.1016/j.ogc.2019.07.007 Ackerman SJ, Irshad A, Anis M. Ultrasound for Pelvic Pain II: Nongynecologic Causes. Obstetrics and Gynecology Clinics. 2011 Mar; 38(1): 69-83. doi: 10.1016/j.ogc.2011.02.004. DOI: https://doi.org/10.1016/j.ogc.2011.02.004 Lewis A. Acute Pain Management in Outpatient Gynecological Procedures: A Scoping Review (Doctoral dissertation, University of Pittsburgh). 2024. Wolfe C, Halsey-Nichols M, Ritter K, McCoin N. Abdominal Pain in the Emergency Department: How to Select the Correct Imaging for Diagnosis. Open Access Emergency Medicine. 2022 Jan: 335-45. doi: 10.2147/OAEM.S342724. DOI: https://doi.org/10.2147/OAEM.S342724 Cole CJ, Russell KS, Han JJ. The Role of Imaging in the Evaluation of Adnexal Masses. Current Women's Health Reviews. 2019 Feb; 15(1): 12-22. doi: 10.2174/1573404814666171205102008. DOI: https://doi.org/10.2174/1573404814666171205102008 Di Serafino M, Iacobellis F, Schillirò ML, Verde F, Grimaldi D, Dell’Aversano Orabona G et al. Pelvic Pain in Reproductive Age: US findings. Diagnostics. 2022 Apr; 12(4): 939. doi: 10.3390/diagnostics12040939. DOI: https://doi.org/10.3390/diagnostics12040939 Shetty M. Acute Pelvic Pain: Role of Imaging in the Diagnosis and Management. In Seminars in Ultrasound, CT and MRI. 2023 Dec; 44(6): 491-500. doi: 10.1053/j.sult.2023.10.004. DOI: https://doi.org/10.1053/j.sult.2023.10.004 Amirbekian S and Hooley RJ. Ultrasound Evaluation of Pelvic Pain. Radiologic Clinics. 2014 Nov; 52(6): 1215-35. doi: 10.1016/j.rcl.2014.07.008. DOI: https://doi.org/10.1016/j.rcl.2014.07.008 Rabia S, Qureshi NA, Shahid A, Afreen H. Chronic Pelvic Pain: The Frequency and Correlates in Young Educated Women. 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