Although colonoscopy is primarily a gastroenterological procedure, it has significant relevance in gynecology for several reasons. Women may experience symptoms such as pelvic pain, rectal bleeding, or changes in bowel habits, which can be related to either gastrointestinal or gynecological issues. Conditions like endometriosis, ovarian cancer, and other pelvic masses can mimic or coincide with gastrointestinal symptoms, making colonoscopy a crucial tool for comprehensive evaluation.