الفهرس 
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Abstract
Chronic pelvic pain in females is common in different age groups. Ultrasonography is very useful in the evaluation of different causes of chronic pelvic pain.
The aim of this study is to assess the role of the Grey scale and Doppler Ultrasound in the evaluation of female chronic pelvic pain.
Chronic pelvic pain may be the manifestation of various causes. Gynecological causes are the most common cause of chronic pelvic pain.
The causes of chronic pelvic pain in females could be divided into gynecological related diseases, urological related diseases, and gastrointestinal related diseases.
In this study, we examined two-hundred female patients with clinical signs and symptoms suggestive of chronic pelvic pain. The age of the patients ranged from 19 to 77 years with the mean age of 34 years. Ultrasound examination (Grey scale & Color Doppler) was done for all patients. One-hundred forty-nine patients (74.5%) had gynecological related diseases, thirty-three patients (16.5%) had urological related diseases and eighteen patients (9%) had gastrointestinal related diseases.
In gynecological related diseases, ultrasonography is useful in the diagnosis of ovarian cysts in seventy-eight patients, pelvic congestion syndrome (twenty-seven patients), pelvic inflammatory disease (sixteen patients), fibroid (twenty patients), adenomyosis (three patients), endometrial polyps (one patient), chronic endometritis (one patient), and endometrial carcinoma (three patients).
We compared the sonographic findings with the final diagnosis that was achieved by MRI, endometrial biopsy, hysterosalpingography, surgery, and histopathology.
Ultrasonography of the pelvis was helpful in accurate diagnosis of gynecological related diseases of chronic pelvic pain, with the sensitivity of 96.1% and specificity of 100% in ovarian cysts, the sensitivity of 92.59% and specificity of 100% in pelvic congestion syndrome, the sensitivity of 87.5% and specificity of 100% in pelvic inflammatory disease, the sensitivity of 95% and specificity of 100% in fibroid, the sensitivity of 66.66% and specificity of 100% in adenomyosis, the sensitivity of 100% and specificity of 100% in endometrial polyps, the sensitivity of 100% and specificity of 100% in chronic endometritis and sensitivity of 67% and specificity of 100% in endometrial carcinoma.
In urological related diseases, ultrasonography is useful in the diagnosis of chronic cystitis (eighteen patients), urolithiasis in (ten patients), and bladder cancer (five patients).
We compared the sonographic findings with the final diagnosis that was achieved by laboratory investigations, surgery, and histopathology.
Ultrasonography of the pelvis was helpful in accurate diagnosis of urological related diseases of chronic pelvic pain, with the sensitivity of 100% and specificity of 100% in chronic cystitis, the sensitivity of 90% and specificity of 100% in urolithiasis, and sensitivity of 80% and specificity of 100% in bladder cancer.