This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Normal Menstruation, Abnormal Menstruation, Menopausal Physiology and forsight of conception, Subject name: Gynaecology & Obstetrics
True about chronic pelvic pain? 
Select and explain. 
A. Pain in the same location in lower abdomen lasting 6 months or more, B. Causes are exclusively gynaecological, C. Adhesiolysis should be done for all patients with adhesions causing chronic pelvic pain, D. Does not cause functional debility and patients do not require treatment
A: Pain in the same location in lower abdomen lasting 6 months or more
Answer: A: Pain in the same location in lower abdomen lasting 6 months or more 
Explanation: Chronic pelvic pain Defined as pelvic pain that persists in the same location for greater than 6 months duration, acusing functional debility or requiring treatment. Causes can be gynaecological or non-gynaecological Gynaecological causes: Endometriosis Pelvic adhesions Pelvic congestion syndrome Sub acutesalpingo-oophoritis Ovarian remnant syndrome Residual ovary syndromes Vulvodynia Non-gynaecological Irritable bowel syndrome Urethral syndrome Interstitial cystitis or painful bladder syndrome Nerve entrapment syndromes Myofascial pain Fibromyalgia Low back pain syndrome Psychological pain Any surgery done for adhesions may lead to formation of fuher adhesions and so adhesiolysis is recommended only for patients with intermittent paial bowel obstruction or infeility.