الفهرس 
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Abstract
This study was conducted on 100 women attending the department
of obstetrics and gynecology, Benha University Hospital, complaining of CPP more than 6 month duration. For each woman included in the study, the following procedures were done: complete history, Cii
examination, pelvic ultagonography, combined diagnostic hysteroscopy
and lqiivii9py aim’ moral ananthelia with endotracheal intubation.
We applied transabdominal pelvic ultrasonography as prelminary test for evaluation of intrauterine and extrauterine pelvic masses such as: uterine leiomyomas, uterine polyps or ovarian cysts. Then we used endoscopy (hysteroscopy or laparoscopy) as confirmatory test for evaluation of intrauterine lesion by hysteroscopy or extrauterine pelvic lesion by laparoscopy.
Hysteroscopy offers simple method to investigate endocervical or endometrial pathology. We found that a variety of intrauterine abnormalities can be missed in diagnostic regimens that do not include hysteroscopy to evaluate CPP, and pelvic (U/S) alone can not evaluate intrauterine causes of CPP with positive predictive value (81.4%) and negative predictive value (36.8%).
A diagnostic laparoscopy was arranged at which a search was made for any pelvic pathology to account for the pain. The finding of even a single focus of endometriosis or an adhesion was given as a likely cause for CPP. Pelvic (U/S) evaluation of CPP usually needs
cnnfirmatinn Nu 1 a-inn rnornnx, few carfrAnn+en.:..... — C nren
not depend on pelvic (U/S) alone for evaluating extrauterine causes of CPP with positive predictive value (97.6%) and negative predictive value (5.3%).