Ultrasound Findings in Premenopausal Non-Pregnant Females Presented with Pelvic Pain

Pelvic pain is a frequent complaint with gynecologic and non-gynecologic origins. Concerning the wide range of diagnoses, ultrasound is the gold-standard imaging modality of choice for premenopausal women. Objectives: To determine the ultrasonographic findings of pelvic pain and the association of pelvic pain accompanying symptoms with age groups and marital status. Methods: The analytic cross-sectional study was conducted at a Government Hospital in Gujrat, Pakistan, over four months, from October 2022 to February 2023. A sample size of 138 was considered by a convenient approach. All non-pregnant, premenopausal female patients with pelvic pain associated with the reproductive, urinary and gastrointestinal systems were included after informed consent. The Aplio 300 ultrasound machine was used to conduct the transabdominal scan, and SPSS version 23.0 was used to analyze the data. Results: In the current study, 138 patients were ranged in age groups from 14 to 49 years, and the majority were between the ages of 26-31 years. There were 109 married patients and 29 unmarried. In 11.6% of the cases, the results were normal. There was no significant association of pelvic pain accompanying symptoms observed with age groups and marital status (p-value>0.05). Most of the findings were from the reproductive system (65.9%). Uterine fibroids were most frequently observed, 38 (27.5%), followed by complex ovarian cysts, 20 (14.5%). Conclusions: Pelvic pain in premenopausal women is most often linked to gynaecological causes, especially uterine fibroids, and occurs with or without other symptoms, regardless of age or marital status.