Pelvic Pain Management Vaginal Hysterectomy Surgery in Gurgaon South Delhi

Dr. Garima is a well-known gynaecologist in Gurgaon specialized in treating women’s pelvic health related problems. Lower abdomen area is considered as the pelvic area including uterus, vagina, lower intestines, rectum & urinary tract. Pelvic pain occurs in the lower abdomen area due to various reasons and under certain circumstances while they are menstruating, having intercourse, due to infection, and so on. Proper diagnosis may lead to knowing the exact reason for Pelvic Pain so as to control the pain and to prevent damaging pelvic organs.

In many cases, the actual reason is not analyzed so pain-relieving medicines are given to control the pain and to prevent damaging pelvic organs.

Symptoms of Pelvic Pain:-

The most common symptom is the pain which can raise in any part of the pelvic area affecting the whole lower abdominal or partial abdomen. The pelvic pain can raise in different ways varying female to female such as severe pain, steady pain, intermittent pain which comes & goes, dull aching, cramps, sharp pain, heaviness in the pelvis. Apart from the casual or random pain, the women may feel the pelvic pain at the time of:-

• Intercourse
• Bowel Movement or Urinating
• Sitting for long hours
• Standing for long hours

The pelvic pain can be so discomforting that you may feel problem while sleeping working and exercising. The woman may feel annoying and stressful all the time due to pain.

So when you are suffering any of the stages as mentioned above, it is the right time to consult the gynecologist or lady doctor at the earliest.

Causes of Pelvic Pain:

Chronic pelvic pain can happen due to tonnes of reasons or the combination of two or more. Some causes of Chronic pelvic pain is given under:-

• Endometriosis: one of the most common cause of pelvic pain. In this, tissue from the lining of your womb (uterus) will grow outside the uterus. At the time of menstrual cycle - thickening, breaking down of endometrium and bleeding each month happens as your hormone levels rise and fall. But it also happens outside the womb which lead to the cyst and fibrous bands of scar tissue formation which causes abdomen pain.
• The musculoskeletal problem referred to the conditions affecting your bones, joints and connective tissues (musculoskeletal system) — such as fibromyalgia, pelvic floor muscle tension, inflammation of the pubic joint (pubic symphysis) or a hernia — can lead to recurring pelvic pain.
• The chronic pelvic inflammatory disease may occur due to STDs and Long terms infection.
• Ovarian remnant: If surgery is performed to remove the uterus, ovaries and fallopian tubes, a small piece of the ovary may accidentally be left inside developing a painful cyst.
• Fibroids: These are referred as noncancerous uterine growths putting pressure on the lower abdomen. The fibroids will not cause Pain until they become deprived of blood supply.
• Irritable bowel syndrome includes the symptoms such as bloating, constipation or diarrhea.
• Painful bladder syndrome (interstitial cystitis). In which you may feel the pain in bladder if it is filled and once you empty, the pain goes simultaneously.
• Pelvic congestion syndrome: Enlarged varicose types veins are found in the uterus and ovaries which may cause although it is not certain as per the medical doctors.
• Psychological factors such as emotional distress, Depression, chronic stress or a history of sexual or physical abuse may increase your risk of chronic pelvic pain.

Diagnosis of Pelvic Pain:

After getting the painful symptoms, the right diagnosis is required, the doctor will initiate towards physical examination and checking the medical history.Apart from that, the doctor may also perform the following tests and check-ups as mentioned below:-

• Pelvic Exam: It is done to check the infection, abnormal growths and tenderness in pelvic floor area.
• Lab tests: The lab test may include Blood cell counts and urinalysis which can be done to check the UTI, Infection such as chlamydia or gonorrhea.
• Ultrasound: This is done to evaluate masses or cysts in the ovaries, uterus or fallopian tubes by using high-frequency sound waves producing precise images of pelvic structures.
• Other imaging tests These includes various test such as MRI, CT-Scan, X-Rays to check for the abnormal growth or any other pelvic issues.
• Laparoscopy: Small laparoscopy is making a small incision and inserting camera via the thin tube to take the images inside the pelvic organs. It will allow the doctor to check for the abnormal tissues or infection. This is also done to check for the endometriosis and chronic pelvic inflammatory disease.

Diagnosis may take time but the actual cause will lead to right and relevant treatment. Go for the proper diagnosis so as to live your rest of the life with no pain and discomfort.

Treatment of pelvic pain:-

The treatment is done to reduce the painful symptoms and to help the woman become pregnant who are planning to conceive. The treatments may vary as per the causes and the severity of the pain. Below mentioned are the treatments:-

• Medications
• Therapies
• Surgery
• Lifestyle Changes

1. Medications: The medicine will help to lower the infection is any and to relive the patient from the chronic pelvic pain. The medicines which are prescribed by the doctors are:-
   • Pain Relievers such as aspirin, ibuprofen etc to relief the pelvic pain. This is done in the initial stage of pain as it will not cure the actual problem.
   • Hormone Treatments: Some women may experience the pelvic pain at the time of ovulation, the menstrual cycle which may happen due to hormonal changes. So the doctor will prescribe birth control pills or hormone medicine to relieve the patients from the pain during that period of time only.
   • Anti-Biotics: If the pain rise due to infection, antibiotics will be given
   • Antidepressants: Women who are in depression may have chronic pain and antidepressants may be helpful in relieving the pain.
2. Therapies:- Some therapies and procedure may work to heal the pelvic pain to the great extent. These therapies are:-
   • Physical therapy: this includes physical exercises like stretching, massage and relaxation therapies to improve pelvic muscle situation. Sometimes physical therapists target specific points of pain using a medical instrument called transcutaneous electrical nerve stimulation (TENS). TENS delivers electrical impulses to nearby nerve pathways. Physical therapists may also use a psychology technique called biofeedback to relive the tight muscle areas to relax them
   • Neurostimulation (spinal cord stimulation): It includes implanting a device to block nerve pathways so that the pain signal can't reach the brain. this is also an innovative technique to beat pelvic pain.
   • Trigger point injections: anesthetic injection are given to the painful area so as to num that specific area. this is done to relieve the long-term chronic pelvic pain
   • Psychotherapy: this is done to the patients who are suffering from the stress or depression, sexual abuse, or family crisis or wedding issues may consult with the psychotherapist. they may perform biofeedback and cognitive behavioral therapy which will help Tham to cop up the situation and pelvic pain as well. Once the brain will in the positive direction, the pelvic immune system will develop.
3. Surgery: if the problem persists even after therapies and medications, surgery is the only option to treat the patient with chronic pelvic pain. The surgeries may include the following:-
   • Laparoscopic surgery: This is usually performed in the case of endometriosis. The doctor will remove the tissue using laparoscopic surgery in which surgeon will insert slender viewing instruments through a small incision. The process is a outpatients surgery which can be performed within half an hour.
   • Hysterectomy: In rare cases where the chronic pain in out of control. the doctor may advise the patient to remove from your uterus (hysterectomy), fallopian tubes (salpingectomy) or ovaries (oophorectomy). This will be done after taking consent of the patient only and after analysing the pros and cons of health issues.

Pain rehabilitation programs

This may involve the combination of programs to approach the right treatment to cure the problem at the earliest and with great significance. The pain rehabilitation programs are organized by the Pristyn care Laser Clinic and its team in-house or outside as per the availability and demand.

4. Lifestyle and home remedies:

It may involve relaxation techniques to keep the pelvic muscle healthy and some exercise will help you to reduce stress level. Women facing problems while sleeping, sitting or standing may be asked to follow some techniques to relieve pain.

Talking to your doctor will surely lead to having a healthy life and will let you know the best possible techniques to cure the Pelvic pain. Depending on the condition or the severity, the patients may be referred to gastroenterologist, Urogynecologist or physical therapist.

Before preparing for the appointment, Make a list of signs and symptoms that you are facing. At Pristyn care laser Clinic, the team of physiotherapist, gynecologist and nutritionist will help to cure the pelvic health problems to the great extent. Contact us to get treatment for pelvic pain in Gurgaon.