We’ve learned a lot about treatments for menopausal symptoms, meaning vaginal symptoms as well as nonvaginal or nongenital symptoms. In general, when someone thinks about therapies for menopausal symptoms most think of hormonal replacement therapy and that’s still true. However, there are also...
Pelvic floor muscle dysfunction is associated with pelvic pain, physical disability, and sexual dysfunction. Prevalence estimates of musculoskeletal dysfunction in various pelvic pain conditions, including endometriosis, vulvodynia, and painful bladder syndrome, range from 21% to 80%.
Genitourinary syndrome of menopause (GSM) is a term used to describe what was formerly known as vaginal atrophy, atrophic vaginitis, or urogenital atrophy. The older terminology was replaced by this more descriptive term with the goal of more accurately describing the constellation of symptoms...
Endometriosis can have a negative influence on women’s sexual life. The aim of the current study was to test a conceptual model considering the interrelated role of anxiety, depression, sleep quality, physical activity, BMI, stage of endometriosis, the intensity of dyspareunia and...
A visceral pain example is endometriosis:
- Often affects the intraabdominal organs
- Can be within the wall of the uterus, affecting the uterine wall
- Can be in the pelvic peritoneum
- Has the capability to invade organs, causing an overlap of symptoms
- Can be in the peritoneal layer of the...
Chronic pelvic pain affects up to a third of women. What causes it? How is it assessed? Dr. Castellanos, whose practice is dedicated to evaluating and treating women with this type of pain, answers our questions.
The majority of women who suffer from sexual pain disorders oftentimes don’t receive the most appropriate care. Up until recently it wasn’t even recognized as an actual disorder, but with the change in nomenclature to genital pelvic pain penetration disorder it helps legitimize this condition as an...
Pelvic peripheral neuralgias may be a cause of pain in 6% of women with chronic pelvic pain. This type of pain is neuropathic and typically follows the distribution of specific peripheral nerves. Common causes of neuropathic pain include trauma and visceral pathology, and the diagnosis can be...
Dr. Fitzgerald debunks the common notion that pain in pregnancy is normal, and that sciatic neuropathy is usually the cause. Pelvic girdle pain is common and can be successfully treated nonpharmacologically. Proactive intervention can prevent an acute pain presentation from becoming chronic.