Introduction: Chronic pelvic pain is a frequent problem in gynecological practice and presents a diagnostic challenge due to the diversity of its etiologies. The objective of our study was to evaluate the contribution of ultrasound in the management of chronic pelvic pain in women.

Methodology: This was a cross-sectional study conducted over a 12-month period, involving 133 patients with pelvic pain lasting more than six months at the Reference Health Center of Commune III in the Bamako district.

Results: The results showed that the most represented age group was 27 to 32 years (25.8%). Housewives were the majority, accounting for 63.9% of cases, and 68.4% of patients were married. Clinically, pelvic pain was isolated in 62.4% of cases. Ultrasound was performed predominantly via the suprapubic route (93.9%). Genital causes were predominantly ovarian cysts (29.1%) and uterine fibroids. Extragenital causes were mainly digestive (69.5%). However, the ultrasound was normal in 31.1% of cases.

Conclusion: Pelvic ultrasound is an essential first-line examination, allowing for guidance in the etiological diagnosis of chronic pelvic pain.