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Doctor insights on: Chronic Female Pelvic Pain

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How does chronic female pelvic pain affect my wife's lovemaking?

How does chronic female pelvic pain affect my wife's lovemaking?

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

Dr. Luis Gonzalez
1,133 doctors shared insights

Pelvic Pain (Definition)

The pelvic region refers to the lowermost portion of the abdomen, below the level of the umbilicus, and most often in the lowermost portions of the abdomen, on the sides and centrally. Discomfort, in various forms (stabbing , cramping, aching, ...Read more


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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

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

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Sometimes I have pelvic pain..I am a female. What could be causing this?

Sometimes I have pelvic pain..I am a female. What could be causing this?

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

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What's chronic pelvic pain in men from?

What's chronic pelvic pain in men from?

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

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What should I do for chronic pelvic pain?

What should I do for chronic pelvic pain?

See a specialist: Pelvic pain may be from muscular spasm, endometriosis or infection. See you gynecologist. ...Read more

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What are the symptoms of Chronic pelvic pain?

What are the symptoms of Chronic pelvic pain?

The symptoms of Chronic pelvic pain include:: Abdominal pain, Bladder tenderness, Headache, Low back pain, Nocturia, Pain during sex, Tender abdomen, Urethral pain, Painful urination, Burning with urination, Excessive menstrual cramps. ...Read more

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What exactly is chronic pelvic pain syndrome?

What exactly  is chronic pelvic pain syndrome?

Chronic prostatitis: 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

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How can chronic pelvic pain in men be treated?

How can chronic pelvic pain in men be treated?

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

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What can I do to manage my chronic pelvic pain?

History and PE: Have your physician examine the hips and pelic musculature and perform a pelic exam after a thorough history. Tat will help direct your doctor to perform any lab work or medical imaging that may be indicated. ...Read more

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What is chronic pelvic pain syndrome and the symptoms?

What is chronic pelvic pain syndrome and the symptoms?

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

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What are the symptoms of chronic pelvic pain in males?

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

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Help! I've been having chronic pelvic pain! please help.?

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

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What is the definition or description of: chronic pelvic pain?

What is the definition or description of: chronic pelvic pain?

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

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What are some of the risk factors for getting Chronic pelvic pain?

The risk factors for getting Chronic pelvic pain include:: Adhesions, Depression, Endometriosis, Feeling anxious, Pelvic inflammatory disease, Pregnancy, Sexual abuse, Illegal drug abuse, Alcoholism. ...Read more

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Can chronic appendicities cause pelvic pain & can it come & go like the pain ?

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

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I have pelvic pain with slight adobinal pain and sharp pain in the rectal area. What could this be? I'm 27 female.

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

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Lower left pelvic pain. Worse with movement. 3 days now. 26 female. ?

Lower left pelvic pain. Worse with movement. 3 days now. 26 female. ?

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

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I have a mild case of ic and chronic pelvic pain does ic get worse with age? I'm 36 currently.

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

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Does celiac disease cause chronic pelvic pain?

Does celiac disease cause chronic pelvic pain?

No: Celiac disease is a autoimmune , digestive disease, causing malabsorption , due to gluten sensitivity initial symptoms with abdominal bloating, pain diarrhea, followed by other symptoms, including depression .Chronic pelvic pain is not one of them, if occurs it is very rare. ...Read more

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Female left side pelvic pain with cramping what could this be?

Female left side pelvic pain with cramping what could this be?

Variable: It could be so many things ranging from endometriosis to as serious as a malignancy. Need more details and more work up. ...Read more

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I have severe pelvic pain should I go to the ER or the lady dr?

Depends: If you also have a fever, go to the er. If there is no fever and the pain is tolerable, you'll get more experienced care (better) by going to a gynecologist who knows you. ...Read more

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I have chronic pelvic pain. What can I do to help get rid of it?

Evaluation !: Chronic pelvic pain is a symptom of many conditions. You need to see a competent gynecologist who can perform a thorough evaluation. ...Read more

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What is the most common treatment for chronic pelvic pain syndrome?

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

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Help! I've been having chronic pelvic pain with a normal laparoscopy?

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

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What treatment options are there for chronic prostatis/pelvic pain? and is this a permanent condition?

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