Pelvic pain is one of the most vexing problems encountered by the family physician. The monetary and psychosocial costs are unknown hut are assumed to be high. In the United States about 40% of all laparoscopies are done for the evaluation and treatment of pelvic pain. I Evaluation of Pelvic Pain Clinical PresentationPatients with pelvic pain present with a wide variety of complaints and physical findings. To better understand the causes of pelvic pain and assist with the initial evaluation, it is helpful to distinguish acute pelvic pain from chrouic pelvic pain. Chronic pelvic pain is present for 6 months or more and acute pelvic pain for less than 6 months. Chronic pelvic pain syndrome is characterized by incomplete response to treatment, impairment at work or home, signs of depression, and pain that is worse than would be expected on the basis of the pathologic process2 (see Chapter 61).