In such instances of chronic pelvic pain, we may need to get a pelvic examination by the Gynecologist, a high vaginal
swab for gm stain and culture and a pelvic ultrasound (also to look at
the post void residual urinary volume). The therapeutic options for
whatever is detected can be limited to: (Pasted from
http://www.upointmd.com/therapic_page.php )
Antibiotics
May be helpful for patients with the
Infection domain. Should only be used to treat positive cultures.
Pelvic Physical Therapy
May be helpful for patients with the
Tenderness of Skeletal Muscles domain
Pelvic floor physical therapy is the best technique to treat pelvic
floor spasm. Therapy may include myofascial release, stretching and
paradoxical relaxation.
Dietary Modifications
May be helpful for patients with
Urinary or
Organ Specific domains
Some people find certain food triggers that worsen symptoms. They are
not the same for everybody, but common ones include caffeine, spicy
foods, alcohol and wheat products. Try eliminating from the diet and see
the impact on symptoms. If elimination doesn't help at all, you don't
need to keep avoiding them.
Psychologic support
May be helpful for patients with the
Psychosocial domain
Pelvic pain is not "all in your head" but having chronic pain can
increase stress, cause depression and make other stressful events in
life more difficult to handle. Depression can be treated with counseling
and medication. Cognitive behavioral therapy and stress reduction can
greatly reduce the impact of symptoms. Short term therapy with
anti-anxiety medications may be used with caution during a symptom
flare.
best wishes,
ArogyaUDHC team
PS: Rakesh Biswas is morally and legally responsible for this suggestion and ArogyaUDHC team is working under the hypothesis that informational support (such as this) for the patient and local physician is likely to be beneficial toward achieving better health outcomes."