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General Pelvic Pain

There are several types of pelvic health disorders that begin with a general pain and sometimes the symptoms can be applied to a few different disorders.  Our Pelvic Health team will discuss your symptoms to help identify your diagnosis and get you started on a personalized treatment plan.  

Pelvic Floor Dysfunction

Pelvic Floor Dysfunction(PFD) may involve muscle weakness or tightness (hypertonic) that may include difficulties with urination and bowel movements, leakage, or pain. This can cause problems and pain with sitting, physical activity or intimacy or anywhere in between.              

Symptoms  Constipation, urinary frequency, urgency, feeling of incomplete emptying, difficult or painful toileting, pain with intercourse or intimacy            
Treatment  Physical therapy, medication, life style alteration, occasionally surgery    

Chronic Pelvic Pain

Chronic Pelvic Pain (CPP) is defined as pain that is felt in the abdomen or pelvis and lasts for over 3 months or longer. For women, this painful condition affects their ability to work, be social, or have sexual relations. It can impair their quality of life significantly. Chronic pelvic pain can be a symptom of another disease, or it can be a condition in its own right.               

Symptoms  Pain, swelling, and muscle dysfunction in the pelvic region; sexual dysfunction, urinary and bowel symptoms
Treatment  Physical therapy, trigger point injections into the muscles and ligaments for therapeutic relief, minimally invasive surgical treatments    

Fibroids

Fibroids are benign(non cancerous) tumors of the pelvis. Many women who experience symptoms have to take pain medications, take time off from work, or have a decreased quality of life. Most fibroids don't cause symptoms; only 10 to 20 percent of women who have fibroids require treatment.

Symptoms  Heavy menstrual bleeding, frequent urination, constipation and/or rectal pain, lower back and/or abdominal pain, pressure on the bladder or rectum.  
Treatment  Surgery, hysterectomy in premenopausal women, myomectomy (fibroids are removed and the uterus is left intact)          

Endometriosis

Endometriosis is when the uterine lining spreads to other areas in the body and abnormally implants in areas outside of the uterus acting like scar tissue. Often symptoms are more problematic during women's periods or pre-menstrually. Approximately 176 million women suffer from endometriosis and it is one of the top three causes of female infertility. Although it is one of the most treatable, it remains the least treated.

Symptoms  Painful periods, pain with sexual activity, gastrointestinal and urinary tract difficulties, pelvic pain            
Treatment  Physical therapy, medication, hormone therapy, surgery    

Sexual Pain

Intercourse pain, or dyspareunia, can cause problems in a couple's sexual relationship and happens to both men and women. In addition to the physically painful sex, there is also the possibility of negative emotional effects. So the problem should be addressed as soon as it arises.    

Below are some conditions that make intercourse a painful experience:               

  • Vaginismus This is a common condition. It involves an involuntary spasm in the vaginal muscles, mainly caused by fear of being hurt.            
  • Vaginal infections These conditions are common and include yeast infections.            
  • Problems with the cervix (opening to the uterus). In this case, the penis can reach the cervix at maximum penetration. So problems with the cervix (such as infections) can cause pain during deep penetration. 
  • Menopause With menopause, the vaginal lining can lose its normal moisture and become dry.            
  • Injury to the vulva or vagina These injuries may include a tear from childbirth or from a cut (episiotomy) made in the area of skin between the vagina and anus during labor.