A population based, cross sectional prospective and descriptive study of 200 patients referred to the Department of Radiology for ultrasound scan because of pelvic pain between January 2015 and December 2015. MINDRAY DC-8 (2013) ultrasound scanner with transducers of frequency 2.5 -5MHz was used to acquire images in transabdominal longitudinal and transverse sections. Statistical analysis was performed using Statistical Package for Social Sciences (SPSS) version 20.

The age of the study population ranged from 18-45 years. Mean age were 31.6± 8.2 years with majority of the patients in the 3rd decade (37%) of life. Of these 200 patients, 118(59%) had chronic pelvic pain while 82(41%) had acute pelvic pain. The undergraduates had the highest frequency of pelvic pain in 90(45%). In the same vein, pelvic pain was found more in single women in 105(52.5%) of the cases.

This study showed pelvic inflammatory disease (PID) having the highest occurrence in 58(29%) subjects of the study population and degenerating Leiomyoma being the second commonest in 54(27%) subjects.

Pelvic inflammatory disease is the most common cause of pelvic pain in premenopausal women in our environment followed by degenerating Leiomyoma and ovarian cysts.