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Chronic pelvic pain — DRCOG MCQ

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ModerateGynaecologyChronic pelvic painDRCOG

A 35-year-old woman has non-cyclical pelvic pain for 8 months with intermittent deep dyspareunia. Pregnancy test is negative and abdominal examination is normal. She has no fever or acute abdomen. What is the most appropriate investigation?

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Correct answer: D — Arrange pelvic examination, STI tests and pelvic ultrasound

Chronic pelvic pain requires structured assessment including pelvic examination where acceptable, STI testing if relevant and pelvic ultrasound to identify gynaecological pathology. Long-term opioids should be avoided as first-line. Emergency surgery is not indicated without acute features. Sexual history can identify PID, endometriosis-related dyspareunia or safeguarding concerns.

Reference: NICE CKS chronic pelvic pain; NICE NG73