Gynecological Oncology Specialists Association. Dr. Cihan Comba, “Chronic pelvic pain can be a condition in itself, it can have multiple causes, or it can be a symptom of another disease. If chronic pelvic pain is caused by another medical problem, treating that problem may be enough to relieve the pain. However, in most cases, it is not possible to identify a single cause for chronic pelvic pain. In this case, the goal of treatment is to reduce pain and other symptoms and improve quality of life.
Pay attention to these symptoms
In chronic pelvic pain syndrome the location of the pain may not be in one place, there may be pain in the entire pelvic region, Assoc. Dr. The following is a list of possible symptoms of Comba disease:
“Acute and constant pain, pain that comes and goes (internal), dull pain, sharp pain or cramps and deep pressure or heaviness of the pelvis.”
Assoc. Dr. Sihan Kamba says that in addition to the common symptoms, some patients may experience pain during sexual intercourse, pain during defecation or urination, and pain when sitting for long periods of time.
The pain may increase during prolonged standing
Emphasizing that discomfort can be intense after standing for a long time and can be relieved while lying down, Assoc. Dr. “The pain can be mild and excruciating, or it can be so intense that it interferes with your work life and you can’t sleep or exercise,” Kamba explained.
If this disrupts your daily life, you need to see a doctor
In general, if pelvic pain disrupts daily life or symptoms worsen, a doctor should be consulted, Assoc. Dr. “Chronic pelvic pain is a complex condition that can have multiple causes. The pain can be the result of a variety of medical conditions. For example, a woman may have endometriosis and interstitial cystitis, both of which contribute to chronic pelvic pain,” she said.
Different diseases can be behind
Assoc. Dr. Kamba explains which diseases can cause this pain:
“Endometriosis: Endometriosis is a condition in which the lining of the uterus grows outside the uterus. These tissue deposits thicken your menstrual cycle, break down and respond to bleeding every month when your hormone levels rise and fall, just as the lining of the uterus causes it. Occurs outside of your uterus, blood and tissue cannot leave your body through your vagina, so it can be a painful cyst and a fibrous band (scar) of scar tissue.
Musculoskeletal problems: Conditions that affect your bones, joints, and connective tissue (musculoskeletal system) (such as fibromyalgia, pelvic floor muscle strain, inflammation of the groin joint, or hernia) can cause recurrent pelvic pain.
“Chronic pelvic inflammatory disease: This can happen if long-term infection, usually sexually transmitted, causes inflammation in your genitals.
“Ovarian remnants: After surgical removal of the uterus, ovaries and fallopian tubes, a small piece of the ovary may accidentally remain inside and then a painful cyst may form.
“Painful Bladder Syndrome (Interstitial Cystitis): This condition is associated with recurrent pain in your bladder and the need to urinate frequently. When your bladder is full you may experience pelvic pain and this pain may improve temporarily after emptying your bladder.
“Pelvic Congestion Syndrome: Enlarged varicose veins around the uterus and ovaries can cause pelvic pain.
“Psychological causes: Depression, chronic stress, or a history of sexual or physical abuse can increase the chances of chronic pelvic pain. Mental distress makes the pain worse and living with chronic pain contributes to the mental distress. These two factors often become a vicious cycle. “
Different technologies are used in diagnosis
Finding the cause of chronic pelvic pain often involves an elimination process, Assoc. Dr. Kamba said the doctor’s pelvic examination, laboratory examination, ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI), laparoscopy methods were used during the diagnosis.
Multiple treatment combinations available
Noting that the goal of treatment is to reduce symptoms and improve quality of life, Assoc. Dr. “If a specific cause can be identified, treatment will focus on that cause,” Kamba said. But if the cause cannot be determined, treatment will focus on managing your pain and other symptoms. “For many women, the best approach involves a combination of treatments.”
Assoc. Dr. Komba shared the following information about the methods used to treat chronic pelvic pain:
Medications: Depending on the cause of your pain, you may be advised to take different medications to treat your condition. Pain medications such as aspirin, ibuprofen or acetaminophen may provide partial relief from your pelvic pain. Sometimes a strong pain reliever may be needed. However, painkillers alone rarely solve chronic pain problems.
“Hormone therapy: Some women find that the days of pelvic pain may coincide with a certain stage of the menstrual cycle and hormonal changes that regulate ovulation and menstruation. In this case, birth control pills or other hormonal medications can help relieve pelvic pain.
“Antibiotics: If the source of your pain is an infection, antibiotics can cure your pain.
“Antidepressants: Some types of antidepressants may be helpful for chronic pain. They may even help women improve chronic pelvic pain without depression.”
Assoc. Dr. Kamba says that physical therapy (stretching exercises, massage and other relaxation techniques) with a physiotherapist for chronic pelvic pain can improve pain, neurostimulation therapy, which includes implantation of a device that involves pain Can’t reach, can be applied, trigger point injection and he added that psychotherapy can be used.
Sometimes surgery may also be recommended
A surgical procedure may also be recommended to correct an underlying problem caused by chronic pelvic pain, Assoc. Dr. Kamba explains two options that can be applied as follows:
“Laparoscopic Surgery: If you have endometriosis, laparoscopic surgery can be used to remove the adhesive or endometrial tissue.
“Hysterectomy (removal of the uterus): In rare cases, she may recommend removal of the uterus (hysterectomy), fallopian tube (salpinectomy), or ovary (orthorectomy). This procedure has significant health consequences.”
Lifestyle changes can be beneficial
Adding these relaxation techniques can help relieve tension, reduce pain, calm emotions and promote sleep, Assoc. Dr. “Many techniques, such as meditation and deep breathing, can be learned on their own,” Kamba said. Chronic pain can cause anxiety and stress, which can make your pain worse. Therefore, staying away from these situations will be beneficial in dealing with chronic pelvic pain.