Chronic pelvic pain and uterine bleeding can both present diagnostic and therapeutic challenges for the clinicians. They are caused by some overlooked and underdiagnosed gynecologic conditions. Such gynecologic conditions include :1-Adenomyosis2-Endometriosis3-Unusual causes of tubo-ovarian abcess.4-Pelvic congestion5-Female pelvis after trachelectomy.Precise knowledge of radiological appearances will provide great help for correct diagnosis, proper referral and adequate treatment.In our study, we reviewed such conditions together with the underlying histopathological correlation as well as quick review of simulating malignant conditions affecting the female pelvis.