Role of hysteroscopy in evaluating chronic pelvic pain

Fertil Steril. 2008 Oct;90(4):1191-6. doi: 10.1016/j.fertnstert.2007.07.1351. Epub 2007 Sep 19.


Objective: To provide a survey of various gynecological conditions causing chronic pelvic pain (CPP) that might be diagnosed by hysteroscopy.

Design: Review article.

Setting: Departments of obstetrics and gynecology and pathophysiology of human reproduction at a university in Italy.

Patient(s): Women affected by CPP.

Intervention(s): Hysteroscopy.

Main outcome measure(s): Effectiveness in diagnosing intrauterine pathologies that cause CPP.

Result(s): Hysteroscopy is highly effective in diagnosing various gynecological causes of CPP, including adenomyosis, chronic endometritis, Müllerian anomalies, retained fetal bones, endocervical ossification, and intrauterine abnormalities. Furthermore, hysteroscopy may play a primary role in the resolution of some of these conditions.

Conclusion(s): Because it can be executed safely in an office setting without anesthesia, hysteroscopy may be indicated, together with the other noninvasive procedures such as transvaginal ultrasonography, as a first-level investigation in women who are affected by CPP.

Publication types

  • Review

MeSH terms

  • Chronic Disease
  • Diagnosis, Differential
  • Female
  • Genital Diseases, Female / complications*
  • Genital Diseases, Female / diagnosis*
  • Humans
  • Hysteroscopy / methods*
  • Pelvic Inflammatory Disease / complications*
  • Pelvic Inflammatory Disease / diagnosis*
  • Pelvic Pain / diagnosis*
  • Pelvic Pain / etiology*