Doctor insights on:
Chronic Female Pelvic Pain
It varies: Chronic pelvic pain decreases the feel good hormones and chemicals in your brain. Often sex drive decreases. If pain increases with sexual activity, aversion to sex can develop. The treatment of pelvic pain needs a multidisciplinary approach. The team may include a gynecologist (with expertise in pelvic pain), pelvic floor physical therapists, psychologist, urologist and colorectal specialists. ...Read more
28yr old female with chronic pelvic pain/cramping. Lapryscopy showed scar tissue, it was removed, still having pain. What could be the cause?
Do urologist learn female anatomy?My uro treats chronic pelvic pain & giving me a pudandal nerve block I want to make sure he knows what he is doing
Pudendal block: It is uncommon to give pudendal blocks for pelvic pain in women. First of all, the pain may be coming from ovarian or uterine origin. At 23, you should see an ob/gyn to make sure of the cause, before consenting to have a nerve block which may not be necessary at all. ...Read more
Pelvic pain is broad:
The possibilities for pelvic pain are numerous. Requires a comprehensive history and physical exam. It's a long list !
but worry not, it's a common problem just requires some work to figure out. ...Read more
Pelvic pain in men: There can be a variety of causes of pelvic pain in med. If your primary care doctor is having trouble finding the cause then referral to a urologist might be appropriate. If a urologist can't arrive at a cause then referral to an interventional pain management specialist would be appropriate. ...Read more
It is a chronic condition in men also called chronic non bacterial prostatitis or chronic prostatitis
it causes pelvic or perineal pain without evidence of urinary infection lasting longer than 3 months as the main sumptom.Pain may radiate to rectum and there may be burning or pain during urination, pain in the penis, muscle pain and fatigue
it may be caused by anxiety, with element of ocd&panic diso. ...Read more
Medical work up firs: Before pelvic pain in men is treated, the source of the pelvic pain must be determined. First your doctor should order a lumbar and pelvic mri. Second, i would order a psa level and perform a manuel prostate exam to determine if the prostate is enlarged. A would also order a vdrl. A would take an extensive history from the patient, ask if he has any he std's . If negative then refer to urologi. ...Read more
Pain in pelvis: By definition this needs to be pain in the pelvis which is lasting greater than 3 months and occurs most of the time. It also typically excludes any reversible causes. Symptoms may include pain with urination, defecation, sex, etc. If you fee you have this or any of the above symptoms, see a doctor. ...Read more
Chronic pain: Symptoms depend on cause of pelvic pain. Symptoms may include intermittent or persistent pubic or hip pain, referred lower back pain, pain elicited when sitting, standing , walking, lifting heavy objects, pain with erection, pain during sex, sometimes referred pain to rectum and during defecating. If you have urethral stricture, you could have pain on urination. Pain can lead to anxiety and insom. ...Read more
Pelvic pain: I recommend you seeing an OB/GYN doctor (if you are female) or a surgeon for evaluation. It is not normal to have chronic pelvic pain ...Read more
The following cause or are associated with Chronic pelvic pain:: Retroperitoneal fibrosis.Get a more detailed answer ›
CPP: Cpp is a a symptom and can be a disease. It can relate to multiple conditions related to the bladder, rectum, pelvic girdle muscles, ovaries, cysts, abdomen... Usually by definition, it lasts for more than six months. Because there are so many different potential causes, you should have a work-up to determine the source of the cpp. ...Read more
Yes and no:
It is a hard complicated subject most surgeon do not believed in chronic appendicitis either you have it or you do not
in female it become more complicated since there is a lot of reason for right lower quadrant abdominal pain
best to see a surgeon who might perform laparoscopy to give you the final answer and might remove the appendix anyway
all depend on the severity , the frequency of the sympt. ...Read more
I have pelvic pain with slight adobinal pain and sharp pain in the rectal area. What could this be? I'm 27 female.
Constipated? : When was the last time you went to the bathroom? Are you drinking plenty of water, eating lots of fruits and vegetables? ...Read more
Cyst/ectopic: There are many things that could cause this type of pain. It could be an ovarian cyst or even constipation. The most dangerous things would be and ectopic pregnancy (pregnancy in fallopian tube) or appendicitis (usually with pain on right but rarely can be on left). If there is any chance that you are pregnant take a test and if pos. go to Emergency. If you have fever and vomiting see doctor asap. ...Read more
May worsen...: If DX is correct, it may worsen over time, but the pace of worsening varies greatly and is unpredictable. Nonetheless, just do something within our control, namely, daily lifestyle as the foundation of healthcare and the key to longevity. ...Read more
This is variable: I would assume that there is no correctable abnormality in your case and you are dealing with chronic pain. Treatments range from coping mechanisms, biofeedback and pelvic therapy to medications, injections and even neuromodulation. I would say the most common treatment would be medication management. You should seek out a specialist to manage your pain. ...Read more
Pinched nerve: can be caused by being sandwiched between two spinal bones, pressed by a bulging. It can cause muscle spasm and back pain. Prevention treatment is always recommended. This condition must be professionally managed. See interventional pain management specialist for definitive diagnosis and management. ...Read more
What treatment options are there for chronic prostatis/pelvic pain? and is this a permanent condition?
Many options: Zinc (25-50 mg daily), sitz baths, NSAIDs daily, antibiotics, alpha-blockers, surgery (TURP vs TUMT), ultrasound-guided intra-prostatic injections, neotonus chair, ....... Depends on the underlying cause of your "chronic prostatitis." Can be confused with prostatodynia or pelvic floor tension myalgia (spasm). ...Read more