Chronic Pelvic Pain

Refer to General Gynae Clinic with pelvic USS


Intermittent or constant pain in the lower abdomen or pelvis of at least 6 months’ duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy.

Information to include when referring

  • Parity
  • Describe symptoms and effect on QOL, duration, relation to cycle
  • Concerns
  • Irritable Bowel Syndrome(IBS) considered and treated
  • Abnormal smears

Investigations prior to referral

  • Swabs (Chlamydia / HVS)
  • Pelvic USS

Desirable Information

  • Smear history (including last smear & result) the patient will still be seen without this but if you can retrieve it automatically it speeds up the appointment
  • Treatment so far
    • Eg COCP  / Mirena
  • Expectations of referral

Red Flag Symptoms

If >50 years and/or symptoms of constant bloating, pain and clinical suspicion consider Ca125 along with pelvic USS


RCOG Greentop Guideline No 41 April 2005 ‘The initial management of chronic pelvic pain’

Download Chronic Pelvic Pain PDF

Date reviewed                   26/06/19

Next review due                 26/06/20

Dr Anna Harrlold                        

Dr Jo Parry

Version 1.1