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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 […]
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
[…]
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, […]
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.
[…]
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 […]
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
[…]
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
[…]
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
[…]
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 […]
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