Do you experience pelvic pain with every menstrual cycle? Do you experience a dull aching sometimes burning or stabbing pain along the lower part of your abdomen? Do you experience painful intercourse?
Are you tired of seeing many specialists who still have not been able to help with your pain?
The Gynecology & Wellness Center can help, Dr. Melissa A. Delgado is a Chronic Pelvic Pain Specialist which involves evaluating, diagnosing and treating disorders such as Interstitial Cystitis, Endometriosis, Pelvic Floor Dysfunction, Vulvodynia, Chronic Vaginitis, and Irritable Bowel Syndrome.
In addition, chronic pain leads to increased anxiety and depression which can be significantly decreased with pain reduction, acupuncture, and speaking with a therapist who understands anxiety and depression in the context of Chronic Pelvic Pain (CPP).
What is Chronic Pelvic Pain?
Any pelvic pain lasting more than 6 months can be considered chronic pelvic pain.
It may include but is not limited to the following:
- Painful menses
- Physical activity is limited due to pain
- Conventional treatment has not helped relieve the pain
- Painful intercourse
Chronic Pelvic Pain is a complex issue to solve. If you have Chronic Pelvic Pain, you should know that treating CPP typically requires an ongoing dialogue between patient and physician.
Why is this? Because besides physical issues that may require detailed diagnosis, there are also patterns of muscular use and disuse that patients should be taught to manage their condition.
There may also be psychological issues to work through that require timely feedback from the physician.
Drugs treatments for CPP
To help deal with the pain, patients might be prescribed painkillers and antidepressants used for chronic pain.
These include OTC analgesics like ibuprofen, tricyclic antidepressants such as nortriptyline, and selective serotonin reuptake inhibitors such as Prozac or Paxil.
A physical therapist can work with a patient to resolve CPP. A multidisciplinary approach works best. Techniques include heat, massage, stretching exercuses, and ultrasound therapy.
Transcutaneous electrical nerve stimulation is another effective technique, which studies show increases the pelvic pain threshold.
TENS works by what’s called the “gate control” theory of pain. Essentially, putting in non-painful stimulation through the neural “gates” prevents painful stimuli from entering those same gates.
Surgery options for Chronic Pelvic Pain are minimally invasive. Techniques include injections into painful trigger points, or peripheral nerve blocks using anesthetics or steroids.
In similar fashion, neuroablation can be used to stop pain. Neuroablation is cauterization of a nerve at a specific point to stop pain signalling. Various techniques can be used to achieve neuroablation, including radiofrequency, cryoablation (cold), or chemical methods.
Think you might have Chronic Pelvic Pain? If any of these symptoms sound familiar to you, set up an appointment with Dr. Delgado today to discuss your options.
Even if you are not sure that this applies to you, and you’re interested in finding out more call us to schedule an appointment.