Pelvic Pain: When is it Serious?

admin — Wed, 25 Sep 2019 20:11:45 +0000

Pelvic Pain is pain that is felt in the lower part of the abdomen where the bladder, bowels, uterus, and ovaries are located. This kind of pain usually stems from the reproductive system, urinary system or the digestive system and can be classified as either chronic or acute pain. There are a number of serious and non-serious reasons as to why a woman might experience pain or discomfort in the pelvic region, therefore it is important to distinguish between the two so as to seek medical attention when appropriate. The following are some of the serious conditions which present pelvic pain:

Endometriosis

Endometriosis is a condition that can cause pelvic pain in women and may need medical attention depending on the symptoms being presented by the patient. It is a disorder in which endometrial tissue grows outside of the lining of the uterus. Endometriosis usually causes a stabbing pain during menstruation or repeatedly during the cycle.

Fibroids

Fibroids are benign tumors that grow on the lining of the uterus and can be quite painful. The pain can be dull or sharp and is experienced during sex or menstruation. The size and number of fibroids are likely to affect the severity of the pain because the pain originates from the tumor pushing against the nerves or organs.

Adenomyosis

Adenomyosis is another condition that is associated with pelvic pain because of the severe menstrual cramps in causes. Adenomyosis is when the endometrium is in the muscular wall of the uterus. Women get to experience pain from adenomyosis between periods, when urinating, during sexual intercourse or bowel movement.

Pudendal Neuralgia

This is a condition that causes pelvic pain and yet it is oftentimes undiagnosed or unrecognized. Pudendal neuralgia is caused by irritation or damage to the pudendal nerve. Pain from pudendal neuralgia can be felt in the form of aching, burning or itching in between the anus and vagina.

Interstitial Cystitis

Interstitial Cystitis is a bladder condition that causes pain or discomfort in the pelvic region. Women with Interstitial Cystitis usually experience dull aches or piercing pain in the pelvic area because of bladder inflammation.

Ovarian Cysts

An ovarian cyst is a noncancerous pocket in or on the ovary. They are usually asymptomatic and disappear by themselves unless they rupture or get too big. Symptoms of ovarian cysts include sharp or dull aches in the abdomen or severe sudden pelvic pain which might indicate a rupture of the cyst.

Contact a medical professional if you are experiencing pelvic pain because treatment options are dependent on the diagnosis. We offer many different options for pelvic pain treatment in our West Los Angeles and Glendale locations and always happy to welcome new patients.

The post Pelvic Pain: When is it Serious? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Adenomyosis can be Responsible for Heavy Vaginal Bleeding and Pain During a Menstruation Cycle

admin — Thu, 23 Jun 2016 09:19:17 +0000

One of the most common conditions women complain of is heavy vaginal bleeding and pain during their menstruation cycle. Adenomyosis, or uterine endometriosis, is one of the most prevalent conditions causing these symptoms.

Adenomyosis occurs when the lining of the uterus penetrates the muscle of the uterus and causes the uterus to act as a sponge. As a woman gets closer to having her period, the uterus becomes full of blood and congested and when the period starts, the bleeding pours out of the endometrial lining and the uterus, as if a sponge is being squeezed. The congestion causes fullness and pressure in the lower abdomen and once the bleeding starts, the large amount of blood trying to exit the uterus causes cramping and pressure that can be very severe.

How is the diagnosis made?

An ultrasound examination in the office can easily identify the many causes of pain and bleeding. We use transvaginal or trans-abdominal ultrasound as needed and with the advanced technology in our ultrasound system, we can use 3D options to further evaluate the uterus and the ovaries. We also utilize Doppler to evaluate the blood flow.

In situations when the problem is hormonal or due to an enlarged uterus as a result of adenomyosis, identified treatment is usually hormonal. We use natural progesterone creams or pills, low-dose hormonal birth control, or hormonal IUD as the first line of therapy. The hormone progesterone in these treatments helps decrease the congestion of the uterus and is usually extremely effective in resolving pain and heavy bleeding. Minimally invasive surgical options such as uterine artery embolization and endometrial ablation are also very effective in treating the more severe cases which do not respond well to conservative measures.

The post Adenomyosis can be Responsible for Heavy Vaginal Bleeding and Pain During a Menstruation Cycle appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Adenomyosis Archives | Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery