Chronic pelvic pain affects millions of women, yet it remains one of the most misunderstood and frequently misdiagnosed conditions in women’s healthcare.

Many women are told their pain is “normal”, stress-related, or unexplained, when in reality, underlying pathology may not have been properly investigated.

What Is Chronic Pelvic Pain?

Chronic pelvic pain is defined as pain in the pelvic region lasting longer than six months. It can be constant or intermittent and may worsen during menstruation, intercourse, bowel movements, or physical activity.

Common Causes of Chronic Pelvic Pain

• Endometriosis

• Adenomyosis

• Fibroids

• Ovarian cysts

• Pelvic Venous Disorders

• Pelvic inflammatory disease

• Pelvic floor dysfunction

• Nerve entrapment

Why Misdiagnosis Happens

Misdiagnosis often occurs due to:

• Symptoms being normalised

• Reliance on basic imaging

• Lack of specialist assessment

• Non-specific clinical findings

• Inadequate pelvic ultrasound technique

The Role of Specialist Pelvic Ultrasound

Specialist pelvic ultrasound allows for:

• Targeted assessment of pelvic structures

• Detection of deep pathology

• Identification of subtle disease markers

• Mapping of endometriosis involvement

Why Not All Ultrasounds Are Equal

Pelvic imaging quality depends on:

• Sonographer expertise

• Advanced scanning protocols

• Clinical understanding of gynaecological disease

• Specialised training

When to Seek Further Investigation

• Persistent pelvic pain

• Severe period pain

• Pain with intercourse

• Unexplained infertility

• Chronic bloating or bowel symptoms

Ultrasound Insight specialises in advanced pelvic imaging and complex diagnostic assessment. Our focus is identifying underlying causes, not dismissing symptoms.