K. J. Neis, F. Neis
Problem The chronic pelvic pain is defined as permanent heavy pain in the pelvis, which persists for more than half a year and for which no reason is known. The incidence is at approximately10%-15%. The diagnosis of chronic pelvic pain confronts the attended physician again and again with problems, which he often cannot solve alone. Therefore, the women, who were concerned, were presented for specific examination successively to the urologist, orthopaedist, the surgeon or the neurologist. Often no reason for the pain could be found, and the patient is left alone with her problems. Mostly then the medical odyssey starts without a real approach for improvement (3, 12, 19). The given work from the gynaecologist’s and endoscopist’s point of view shall help to delimit morphologically comprehensible changes, which can be treated by an operation or by a medicamentous therapy, from other forms of changes which rather demand a psychosomatic or a pain therapy. So, the way should be described how the patient can be lead as fast as possible to an effective therapy.