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Sudden onset Pelvic Pain

By Joseph Hazan,M.D.,FACOG

Sudden onset pelvic pain is usually severe and can be associated with

nausea, vomiting, fever or backache. It is an emergency and urgent

management is required.

The most common causes are gynecologic in origin such as ectopic

pregnancy, ovarian cyst, ruptured ovarian cyst, torsion of tube and ovary,

fibroid degeneration or […]

Pelvic Pain Questions

By Joseph Hazan,M.D.,FACOG

 

As previously discussed in our blog

under Pelvic Pain

some causes of pelvic pain are

non-gynecologic and

could be related to muscles,

bladder, bones, joints,

nerves, lymph nodes, bladder

or bowel.

To help elucidate the source of

pelvic pain this brief

questionnaire is helpful:

1) Do you have a problem with

[…]

INTERSTITIAL CYSTITIS

By Joseph Hazan,M.D.,FACOG

 

INTERSTITIAL CYSTITIS IS ALSO

KNOWN AS PAINFUL BLADDER

SYNDROME

 

Approximately 25-85% of women

with chronic pelvic pain may have

IC (interstitial cystitis). The symptoms

are urinary frequency, urgency of

urination, urinary incontinence or

pelvic pain.

Painful intercourse may

also occur.

If you have these urinary symptoms

with negative urine culture, […]

IRRITABLE BOWEL SYNDROME

By Joseph Hazan, M.D., FACOG

This is present in 15-20 % of the population.

This problem is characterized by recurring

pain, frequent, alternating constipation and

diarrhea.

Tests are usually negative, because there is

no structural or biochemical abnormality.

Patients with IBS have an increased response

to experiencing pain initiated and aggravated

by stress.

[…]

ENDOMETRIOSIS

By Joseph Hazan,M.D., FACOG

 

Endometriosis affects females of the

reproductive age.

The inner lining ofthe uterus is called

endometrium.

This inner lining is normally

built up monthly and shed during the period.

Endometriosis consists of this type

of endometrial tissue being found outside

the uterus, in various areas.

It usually manifests itself as […]

DYSPAREUNIA

By Joseph Hazan,M.D.,FACOG

 

Dyspareunia is painful intercourse.

It can occur due to physical or

psychological factors. It can be

occasional or persistent.

It can also occur after intercourse.

Causes:

1) Infection:

Herpes

Bacterial vaginosis

Pelvic Inflammatory Disease

Yeast

Trichomonas

Sexually Transmitted Infection

Urinary Tract Infection

2) Endocrine

Menopause

Breastfeeding

Estrogen lowering medications

3) Trauma

[…]

PAINFUL PERIODS

Joseph Hazan,M.D.,FACOG

 

This problem, also known as

DYSMENORRHEA is the most

common female health issue.

70% of teenagers have this problem.

15% of those have severe symptoms.

10 % of women with severe symptoms

have pelvic abnormalities

( e.g. endometriosis).

We will address this topic separately.

These are the primary reasons for

[…]

MORE ON PELVIC PAIN

By Joseph Hazan,M.D., FACOG

 

The other causes of pelvic pain are

as follows:

Constipation

Colon cancer

Irritable bowel bowel

Inflammatory bowel disease

Colitis

Chronic intermittent bowel

obstruction

Diverticular disease

(including diverticulitis)

Abdominal wall muscle

and fascial ( myofascial)

pain

Chronic coccygeal pain

Back pain

Fibromyalgia

Pain from incorrect posture

Neuralgia of pelvic nerves

[…]

PELVIC PAIN

By Joseph Hazan, M.D., FACOG

 

In this series we will look into

some of the useful information

regarding major entities that

cause pelvic pain.

The type of pain we will address

will be chronic pain.

Most acute causes

for pain such as ectopic pregnancy,

ruptured or torsioned ovarian cyst,

appendicitis or kidney stones […]