Causes include disorders of the bladder, uterus, ovaries, and intestines; infections; endometriosis; adhesions; and other medical conditions. A consultation with our pelvic pain specialist can determine the cause and a course of treatment for relieving your chronic pelvic pain.

What are the symptoms of chronic pelvic pain?

Chronic pelvic pain can manifest in various ways, including pain during or after sexual intercourse, periods, or bowel movements. Other symptoms include:

  • Aching
  • Burning
  • Stabbing
  • Pressure
  • Tenderness in the lower abdomen
  • Fatigue
  • Depression
  • Anxiety 
  • Trouble sleeping

It is essential to consult a doctor specializing in pelvic pain if you are experiencing any of these symptoms, as they can indicate an underlying medical condition that requires treatment.

What are the causes of chronic pelvic pain?

Chronic pelvic pain is usually multifactorial. To get to the root cause, we first must understand the concept of multiple pain generators:

  • Neurological sources include tension in the muscles or organs in the pelvis, nerve damage or irritation, or entrapment or dysfunction of nearby nerves. 
  • Vascular causes can include inflammation or varicose veins in the pelvic area due to weak valves or excessive pressure on those vessels. 
  • Physiological sources may involve problems with digestion, bladder control, and significant hormone imbalances. 
  • Pharmacological causes are related to any medications taken for long periods that can lead to changes in how we experience pain. 
  • Psychological causes are linked with past trauma and distressful attitudes, which can make us more vulnerable to pain or may aggravate existing conditions.

To identify the source(s) of chronic pelvic pain, it is crucial to seek medical assistance from a pelvic pain specialist with an extensive background in pinpointing the cause of pelvic pain and treatment.

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Chronic pelvic pain prevention and treatment

While there are not currently any preventions for chronic pelvic pain, there are many treatment options that can help you find relief. Treatment for and recovery from chronic pelvic pain may involve a combination of the following:

  • Medications
  • Physical therapy
  • Psychotherapy
  • Surgery
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BOTOX for pelvic pain

BOTOX injections are an innovative treatment for those experiencing chronic pelvic pain. Tiny doses of the purified botulinum toxin relax the muscle spasms that cause pain. The injection is relatively painless and usually takes 15 minutes. Results take a few days to become apparent and last about three months, at which point you will need another injection to maintain relief.

It is important to note that while these injections may provide relief, they are not a cure-all and must be used in conjunction with other treatments, such as physical therapy or medication. Additionally, it may be necessary to undergo several rounds of injections before achieving the maximum benefit.

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Why choose Pelvic Pain Doc for your pelvic pain treatment?

Our fellowship-trained doctor is board-eligible in urology and gynecology and specializes in sexual and pelvic health. We work closely with our patients to help them achieve their goals for the quality of life they want and deserve. Our 5-star care from a thought leader and expert in resolving pelvic pain can help you find relief from your symptoms. At Pelvic Pain Doc, we take a holistic approach to lifestyle changes that can help reduce or end months or years of pain. Living with chronic pain can be difficult, but there is hope. Patients often fly in from all over the country for treatment, as only some doctors offer this expertise. In addition to providing exceptional care, Dr. Bahlani is often a guest on informational podcasts and the media to discuss pelvic pain. When you’re ready to relieve chronic pelvic pain, contact us to learn more about your treatment options.

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