Pain with Intercourse/Arousal

Pain with intercourse is present in almost all patients with chronic pelvic pain. It is the most common symptom for which patients visit our office. Understandably, a lack of intercourse may cause a loss of intimacy, often leading to significant anxiety, mental health issues, and emotional suffering. One of the most important parts of my …

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Pain with Urination

Pain with urination is a common symptom seen in many different conditions. Occasionally all of us experience it when we have a urinary tract infection. It becomes problematic when it is chronic and happens every time we go to the bathroom. It may range from mild discomfort to severe pain. It is very important to …

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Pain with Standing

Most of the patients with pelvic pain feel better when they are standing unless it is a standing for prolonged time. Pelvic pain typically related to standing is caused by pelvic congestion syndrome however patients with pudendal nerve entrapment may also have pain after prolonged standing. Pelvic pain with standing may be related to hip …

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Pain with Sitting

Pain with sitting may be very debilitating since it often prevents patients from working (sitting at the desk) and participating in daily social activities (sitting to have a meal, travelling, going to the movies etc.) It may range from mild discomfort to severe pain preventing patient from sitting at all. Some patients find sitting on …

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Pudendal Neuralgia - Severe Pelvic Pain - Symptoms, Treatments

Pudendal Neuralgia

Pudendal neuralgia is a condition that affects the pudendal nerve, which is responsible for transmitting sensory information from the perineal region to the brain. People who experience pudendal neuralgia often describe it as a burning, shooting, or stabbing pain in the pelvic region. To diagnose pudendal neuralgia, healthcare professionals may utilize nerve conduction studies. These …

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Adhesions are the scar tissue which forms in the abdominal cavity and pelvis between the loops of the bowel, the bowel and the walls of the pelvis, the pelvic organs and the content of the abdomen. They may range from few areas of fine scar to the very dense obliterated abdominal and pelvic cavity. Adhesions …

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Pelvic Congestion Syndrome

Pelvic Congestion Syndrome | What conditions are associated with Pelvic Congestion Syndrome? Varicose Veins or Vein Engorgement When blood pools in the pelvic vein or ovarian vein, it may result in enlarged veins, causing pain, tenderness, and redness. Varicose veins usually develop in the legs, calves, and feet, but can also occur in the pelvic …

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Bladder Pain / Interstitial cystitis

Interstitial cystitis (bladder pain syndrome) is a condition which is characterized by the bladder pain during the filling phase. Patients usually complain of pain as the bladder gets full and because of that they urinate frequently to avoid pain sensation. Patients also complain of urgency (got to go sensation) and getting up at night multiple …

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Pelvic Floor Spasms

Pelvic Floor Spasms

Pelvic Floor Spasms Pelvic Floor Spasms are one of the most common conditions leading to pelvic pain both in women and in men. This condition is one of the “evil quadruplets” since it tends to co-exist with endometriosis, interstitial cystitis/bladder pain syndrome, and irritable bowel syndrome. The condition is like having a charley horse in the …

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Mesh Related Pain

With aging, childbirth and changes in hormonal status over 50% of women will develop urinary incontinence and prolapse. Those diseases of pelvic floor may be treated non-surgically and surgically. For many years pelvic floor surgeries surgeries were preformed using patients own tissue (native tissue repair), but in 1996 first polypropylene pelvic mesh for treatment of …

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