Comprehensive Assessment of Chronic Pelvic Pain in Reproductive andPostmenopausal Women: A Prospective Observational Study

significantly impairing quality of life and placing a substantial burden on healthcare systems. The diagnosticcomplexity of CPP arises from its diverse etiologies spanning gynecological, urological, gastrointestinal,musculoskeletal, and psychosocial domains. This prospective observational study aimed to comprehensivelyassess CPP in both reproductive-aged and postmenopausal women, emphasizing clinical characteristics,diagnostic pathways, and associated factors.Methods: The study was conducted at the Department of Obstetrics and Gynaecology, Netaji Subhas MedicalCollege and Hospital, Bihar. Ninety women aged 18 to 70 years presenting with CPP were enrolled after informedconsent. Data collection included detailed history, physical examination, imaging studies, and laboratoryinvestigations. The causes of CPP were classified into gynecological, gastrointestinal, musculoskeletal, andpsychosocial categories. Statistical analysis was performed using SPSS version 20.Results: The majority (36.7%) of participants were aged 31-40 years, and 53.3% belonged to lowersocioeconomic status. Gynecological causes predominated (62.3%), with chronic pelvic inflammatory disease(25.6%), endometriosis (21.1%), and adenomyosis (15.6%) being common. Associated symptoms such asdysmenorrhea (63.3%) and abnormal vaginal discharge (40%) were frequent. In postmenopausal women,urogenital atrophy and pelvic organ prolapse emerged as prominent contributors.Conclusion: CPP in women requires a holistic diagnostic approach integrating physical, psychological, and socialfactors. Differences in underlying causes between reproductive-aged and postmenopausal women highlight theneed for age-specific diagnostic and therapeutic strategies to improve patient outcomes.