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ACR Appropriateness Criteria® Postmenopausal Subacute or Chronic Pelvic Pain: Update 2025
, Kimberly L Shampain1, Myra K Feldman2
1University of Michigan, Ann Arbor, Michigan.
Journal of the American College of Radiology : JACR
|March 5, 2026
Summary
Chronic pelvic pain in women, lasting over six months, often stems from gynecologic issues. Imaging like ultrasound, MRI, and CT helps diagnose causes, guided by expert criteria.
Area of Science:
- Gynecology
- Radiology
- Pain Management
Background:
- Chronic pelvic pain is a prevalent condition affecting women, with causes varying by age.
- Gynecologic origins are a significant focus, encompassing conditions like pelvic inflammatory disease and pelvic venous congestion disorder.
Purpose of the Study:
- To outline the etiologies of chronic pelvic pain with gynecologic origins.
- To detail the role of imaging modalities in diagnosing chronic pelvic pain.
- To highlight the application of evidence-based guidelines in clinical decision-making.
Main Methods:
- Review of gynecologic etiologies for chronic pelvic pain.
- Emphasis on ultrasound as the primary imaging modality.
- Consideration of MRI or CT for inconclusive ultrasound findings.
- Application of the American College of Radiology Appropriateness Criteria and GRADE methodology.
Main Results:
- Identified key gynecologic causes of chronic pelvic pain.
- Established ultrasound as the initial imaging choice.
- Acknowledged the use of advanced imaging and expert consensus when evidence is limited.
Conclusions:
- Gynecologic conditions are crucial considerations for chronic pelvic pain diagnosis.
- A systematic approach utilizing appropriate imaging and evidence-based guidelines is essential.
- Expert opinion plays a role in formulating recommendations where literature is scarce.
Keywords:
AUCAppropriateness CriteriaMRIappropriate use criteriaimagingpelvic painpostmenopausalultrasoundMore Related Videos
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