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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Saturday, February 9, 2008

Understanding Pelvic Ultrasound

If you have been experiencing painful periods, unusual vaginal bleeding, chronic pelvic pain, or are having difficulty conceiving your doctor may recommend a pelvic ultrasound. This test is a safe, non-invasive way for your doctor to obtain more information to make an accurate diagnosis and offer appropriate options for infertility treatment.

Ultrasound or sonography uses sound waves to produce an image of organs and other tissues in the body. Pelvic ultrasounds are helpful for identifying abnormalities of the reproductive organs such as uterine fibroids or ovarian cysts and can assist your doctor to determine appropriate infertility treatment options. Ultrasounds are also used during pregnancy to monitor growth of the un-born baby. Another advantage of having an ultrasound is that there is no risk of potentially harmful radiation as with an x-ray.

Here’s what you can expect if you’ve been scheduled to have a pelvic ultrasound. Most doctors’ offices will remind the patient before their ultrasound that having a full bladder helps to give clearer images of the pelvic structures. Upon arrival the patient is brought to an examination room with an ultra sound machine. Once in the room the patient will be instructed to lie on the exam table. Depending on the type of ultrasound you may be asked to remove your personal clothing and adorn an examination gown. Next the technician will ask you to raise your shirt or gown to expose your stomach so they can apply a thin layer of gel. The gel may feel cool at first but will quickly warm to the temperature of your skin. The gel acts as a transducer for the sound waves to travel through. The tech will then move the ultrasound probe across your abdomen and an image will be transmitted to a monitor nearby. The tech may take some time to make measurements of different structures and should be able to point out certain things such as kidneys, ovaries, or a developing baby. The tech may limit the amount of information he or she shares, as they are not doctors. A radiologist, one who specializes in reading diagnostic images, is the one who reviews the footage and your doctor will let you know if there are any concerns from your ultrasound results.

A trans-vaginal ultrasound maybe needed to get a better view of certain structures or abnormalities. Instead of the ultrasound probe being used on the stomach an ultrasound wand is inserted into the vagina. It should not be painful, but may feel uncomfortable especially with a full bladder. If you have any questions or concerns during or after the exam don’t hesitate to ask.

About the Author: Eric Daiter has been sponsored by The NJ Center for Reproductive Medicine, a leading provider of infertility treatment, to write information about chronic pelvic pain. For more information, please visit www.infertilitytutorials.com

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Sunday, January 13, 2008

Infertility Treatment Articles: Polycystic Ovary Syndrome

Polycystic Ovary Syndrome (PCOS) is a medical condition characterized by high levels of androgen hormones, missed or irregular periods, and multiple cysts on the ovaries. Researchers estimate 1 in 10 women have PCOS, although many are unaware they have it. Because of the confusing nature of the disease and the extensive list of symptoms, coping with PCOS poses a significant emotional and physical challenge.

While researchers have been aware of polycystic ovary syndrome for over 75 years, the exact causes are unknown. Some scientists suspect genes to be the cause. Often women who have PCOS will also have a sister or mother with the disease. Another theory is based around insulin. Women whose bodies have difficulty utilizing insulin end up with higher than normal levels of insulin in their system. Excess insulin increases the production of androgens, male hormones, which may lead to acne, facial hair growth, weight problems, and cysts on the ovaries. Other symptoms may include male pattern baldness, oily skin or dandruff, high blood pressure and cholesterol, infertility, chronic pelvic pain, and sleep apnea. Many women also experience bouts of depression related to their appearance or inability to conceive.

PCOS is one of the most common causes of female infertility. Clinical studies show approximately 70% of infertile women with an ovulation problem have PCOS. High levels of insulin stimulate the ovaries to produce testosterone. This excess testosterone can prevent the ovaries from releasing an egg, resulting in irregular menstrual cycle. Irregular and missed cycles reduce the chances of conception. Once pregnancy is achieved, it can cause complications during pregnancy which may lead to miscarriage or premature delivery. Incidence of miscarriage may be as high as 50%, or 35% higher than the national average. The theory is that high insulin levels result in an irregular blood clotting around the uterine lining which compromises the flow of nutrients and release of wastes between the placenta and the fetus.

Unfortunately there is no cure of the disease; however the symptoms are largely treatable by adjustments in lifestyle and medications. Some medications used during infertility treatment, such as metformin, can help normalize insulin levels and reduce the symptoms experienced. Losing weight may also help reduce symptoms. Oral contraceptive pills, such as can be taken to help regulate periods and cut down on the unwanted hair growth. Treatment plans must be customized, as each woman will experience varying levels of the symptoms.

Researchers are seeking women ages 12 and up to join in studies related to Polycystic Ovary Syndrome all across America. More information about these studies, ranging from genetics, to diabetes, to reproduction, can be found online at www.clinicaltrials.gov.

About the Author: Eric Daiter has been sponsored by The NJ Center for Reproductive Medicine, a leading provider of infertility treatment, to write information about chronic pelvic pain. For more information, please visit www.infertilitytutorials.com

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