Chronic pelvic pain in women: comparative study between ultrasonography and laparoscopy as diagnostic tool

Rajani Rawat, Shikha Seth, Ramakant Rawat, Ruchika Garg, Sushil Kumar Shukla, Soniya Vishwakarma
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2014 · vol. 3(4) , pp. 998 · doi:10.5455/2320-1770.ijrcog20141224 · W2101933475
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study compared ultrasonography and laparoscopy in 100 women with chronic pelvic pain, finding laparoscopy to be more effective in diagnosing conditions like pelvic inflammatory disease and endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This study enrolled 100 women with chronic pelvic pain, who underwent clinical examination followed by both ultrasonography and laparoscopic examination to compare diagnostic performance. The most common symptom was vaginal discharge (70%), with pelvic tenderness on exam in 60%, and the mean pain duration was 15.2 months among women aged 25–30 years. Ultrasonography identified chronic pelvic inflammatory disease in 43% of cases and endometriosis in 6%, while laparoscopy found chronic pelvic inflammatory disease in 47% and endometriosis in 11%, with 13% showing normal findings at laparoscopy; the authors concluded laparoscopy was more effective than ultrasonography as a diagnostic tool. Relevance to endometriosis: endometriosis was reported on both ultrasonography (6%) and laparoscopy (11%) in this comparative diagnostic study, though the paper’s main focus is comparing ultrasonography versus laparoscopy for chronic pelvic pain diagnosis.

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Abstract

Background: Chronic pelvic pain is a major cause of morbidity among the reproductive age group women. The study on patients of chronic pelvic pain aimed to compare the diagnostic accuracy of ultrasonography and laparoscopy in these patients Methods: The study was conducted on 100 patients of chronic pelvic pain attending the gynaecology outdoor and were subjected to thorough clinical examination followed by ultrasonography and laparoscopic examination. Results: Maximum number of cases of chronic pelvic pain belonged to 25-30 years, were parous with mean duration of pain of 15.2 months. The most common complaint was vaginal discharge (70%) followed by menstrual irregularity. On clinical examination, pelvic tenderness was observed in majority (60%) of cases. USG examination showed chronic pelvic inflammatory disease in 43% cases followed by myoma (8%), ovarian cyst (5%), endometriosis (6%), pelvic congestion (5%) and no abnormal pathology in 25% cases. On laparoscopic examination, chronic pelvic inflammatory disease was present in 47% cases followed by endometriosis (11%), pelvic congestion (8%), myoma (8%), adhesions (7%) while 13% cases showed normal findings. Conclusions: Laparoscopy is more effective than ultrasonography as a diagnostic tool in patients of chronic pelvic pain.

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endometriosischronic_pelvic_pain

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