Tuesday, October 13, 2009

Female Pelvic Pain

Female Pelvic Pain

Most women will occasionally have some sort of pelvic pain, which can be alarming. Pelvic pain can be caused by many different problems, most of which are transient (short lived and resolve spontaneously). Some causes of pelvic pain represent ongoing long-term problems within the pelvis, most of which can be successfully repaired.

The sudden onset of moderate to severe female pelvic pain during the reproductive years can be caused by gynecological, gastrointestinal, urological or musculoskeletal problems. Gynecological problems include menstrual cramps, pelvic endometriosis, ovarian cysts, degenerating fibroids, pelvic infections, pelvic adhesions (scar tissue), and pregnancy (including ectopic pregnancy). Temperature with a thermometer, a pregnancy test, and bouncing on the heels to gently jar the abdomen can suggest the cause. Any history of fever, positive pregnancy test, or generalized pelvic pain with bouncing on the heels should be reported to your Gynecologist immediately. If there are problems with nausea, vomiting, diarrhea or other intestinal symptoms then you should report this to your primary doctor or Gastroenterologist. If there are problems with urination or bloody urine then this should be reported to your primary doctor or Urologist. If there are problems with moving your legs or back then you should report this to your primary doctor or Orthopedic doctor.

Sometimes the female pelvic pain will last for longer periods of time, such as several months or years. When this is the case, gynecological problems such as endometriosis, pelvic adhesions, persistent nonfunctional ovarian cysts and fibroids are common causes. When the discomfort reaches a level where further investigation and treatment is desired, then a laparoscopy should be considered. Finding an experienced laparoscopic surgeon, and ideally finding a Reproductive Endocrinology and Infertility doctor with specialization in pelvic repair, often allows effective treatment to be completed with only one minimally invasive day stay surgery (laparoscopy).

Dr. Eric Daiter at The NJ Center for Fertility and Reproductive Medicine, LLC has extensive experience with laparoscopy and pelvic repair. He would be happy to help you. For an appointment to discuss your situation with Dr. Daiter, please call the office at 908 226 0250. Visit us on the web at http://www.drericdaitermd.com/or http://www.ericdaiter.com/

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