Pelvic pain in women can be caused not only by gynecological diseases, but also by problems with the intestine, musculoskeletal system and even the herpes virus. This was told socialbites.ca by a urogynecologist and NI at the Semeynaya Clinic (Moscow). Pirogov St.Petersburg State University (St.Petersburg) Anna Berdichevskaya.
“Chronic pelvic pain can be associated with gynecological diseases: endometriosis, adenomyosis, polycystic ovary syndrome, pelvic inflammatory disease, etc. Also, the root cause may be gastroenterological problems, for example, irritable bowel syndrome,” Berdichevskaya explained.
Urological problems such as cystitis, recurrent infections, and hypersensory bladder often lead to the development of pelvic pain. In addition, musculoskeletal problems can manifest with myofascial pain syndrome of the pelvic floor muscles. In this case, pudendal nerve neuropathy, cystitis-like conditions or other pain syndromes in the pelvis may develop.
“I had a patient in my practice who had been living with pelvic pain for three years. On examination, she was found to have a rash on one of her hips that appeared about once a month. Tests showed that this rash was caused by herpes zoster, Herpes Zoster. It was herpes virus infection that caused the pelvic pain: the virus hit her peripheral nerves on one side of the woman’s body. As a result, on the second or third tablet of the antiherpetic drug, the patient’s problems disappeared, ”says Berdichevskaya.
If the symptoms persist for at least three months, as indicated by the doctor, you can talk about chronic pelvic pain syndrome. The pain may be intermittent or continuous. Discomfort can also be provoked by some kind of trigger: use of certain foods, change in body position, sexual contact and touching the vulva.
Source: Gazeta
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