Depending on the clinical impression and previous investigations. Patients with chronic pelvic pain usually need the following:

• Detailed medical history and thorough clinical examination
• Filling a pain questionnaire and pain calendar
• Different microbiological and haematological tests as indicated by presentation mode
• Ultrasound scan examination of the pelvis
• MRI in suspected cases of deep endometriosis of the rectovaginal septum and bladder bed
• Psychological assessment especially in patients with history of depression, sexual or physical abuse, drug misuse and vague symptoms suggestive of somatization
• Laparoscopy if the pain had affected the quality of life, or an organic cause is suspected clinically or by imaging techniques.
• Chronic pelvic pain associated with infertility is a good indication for laparoscopy as well
• Cystoscopy to help with the diagnosis of interstitial cystitis