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Anyone suffering from Chronic Pelvic Pain?



I've been suffering from Chronic Pelvic Pain for about a year and six months now. I'm 24 and a newly wed and its really taking a toll on me emotionally. The pain has just gotten worse and its seems like the doctors don't care anymore. I've had a laparoscopy and it is Endometriosis...but I didn't know endo could cause such excrutiating pain that I can't do much anymore. I am so exhausted all the time. Most of the time I feel like I don't even have an ounce of energy in my body. Is there anyone going through the same? If so can you please respond to this msg or email me.

You absolutely must visit http://www.endocenter.org and http://www.centerforendo.com - best places on the 'net for help and hope. There is no cure for Endometriosis, but there are ways to cope - start by talking to others here: http://groups.yahoo.com/group/erc...

Endometriosis CAN be treated successfully. The CEC (site above) is one place to start learning about excision surgery and how crucial it is to have ALL disease removed from ALL locations. It's entirely possible to do so, but regular gyns don't care enough and don't have the skills to do excision. Check out the CEC and get some hope, also visit the ERC's listserv and home page. Good luck, you're not alone!
Antidepressants. Antidepressants can manage many chronic pain syndromes. Tricyclic antidepressants, such as amitriptyline, nortriptyline (Aventyl, Pamelor) and others, seem to have pain-relieving as well as antidepressant effects. They're commonly used for chronic pain control even in people who don't have depression. Typically, you won't need as high a dose to treat chronic pain as you would to treat depression.
Physical therapy. Applications of heat and cold to your abdomen, stretching exercises, massage, or transcutaneous electrical nerve stimulation (TENS) therapy may improve your chronic pelvic pain. Your doctor might also recommend exercises to strengthen your pelvic floor muscles. A physical therapist can assist you with these therapies and can help you develop coping strategies for the pain.
Nerve separation (ablation). Sometimes the source of chronic pelvic pain is linked to the complex pathways in your nervous system. Procedures to control the pain impulses sent to your pelvic region might reduce or stop the pain. Such procedures include removing (excising) the targeted nerves, injecting a medicine into the nerve to block its sensitivity, or using heat or a laser to destroy nerve tissue.
Treatment for chronic female pelvic pain can be approached in two ways: treating a known, specific cause of the pain or treating the pain itself as a medical condition. If possible, your health professional will combine the two approaches. 3

Treatment of a known or suspected cause of pelvic pain
Based on your history, pelvic exam, and testing results, your health professional may find one or more conditions that could be causing or worsening your pelvic pain, such as endometriosis, irritable bowel syndrome, or uterine fibroids. Depending on the cause, your treatment may include:

Medication to control or stop the ovulation cycle, if your symptoms seem to be worsened by cyclic hormonal changes.
Other disease-specific medication, such as an antibiotic for infection or medication for irritable bowel syndrome.
Cognitive-behavioral therapy, counseling, or biofeedback.
Surgery to remove painful growths, cysts, or tumors. (However, studies have shown that surgery to remove scar tissue, or adhesions, does not relieve pain unless the adhesions are severe, referred to as stage IV adhesions. 3 )
Healthy lifestyle choices, such as regular exercise to manage stress and improve strength, mood, and general health, along with dietary changes, such as those recommended to manage irritable bowel syndrome.
Pain treatment
For both new (acute) and chronic pelvic pain, nonsteroidal anti-inflammatory drugs (NSAIDs) are the first-choice treatment for relieving pain and inflammation. NSAIDs are also highly effective for relieving menstrual pain because they block production of prostaglandin, which is responsible for cramping pain. Your health professional may recommend a nonprescription NSAID, such as ibuprofen, taken on a regular schedule. Different types of NSAIDs work for some people but not others. If your first trial doesn't work, your health professional will recommend a different type, possibly a prescription NSAID.

For cyclic pain that seems to be caused or worsened by menstruation, stopping ovulation and controlling hormone levels is commonly recommended and sometimes effective.

Birth control pills (oral contraceptives) or high-dose progesterone are commonly prescribed to reduce painful menstruation. Oral contraceptives are often prescribed for endometriosis-related pain, though there is little research that shows them to be effective. 1 However, when the risk of using an oral contraceptive is low, it is typically worth trying for several months.
Gonadotropin-releasing hormone agonists (GnRH-As) can relieve endometriosis-related pain by stopping production of the hormones that worsen endometriosis. GnRH-A treatment may also relieve cyclic pelvic pain not related to endometriosis, as well as pelvic pain related to irritable bowel syndrome. 1 However, this short-term treatment induces menopause for as long as you take it, with side effects such as hot flashes and loss of bone density. For more information, see the topic Endometriosis.
For chronic pelvic pain, combining medical and psychological treatment increases your chances of treatment success. Medications that may help manage your chronic pelvic pain include:

Nonsteroidal anti-inflammatory drugs (NSAIDs), taken on a regular schedule to relieve pain caused by inflammation or menstruation. If one type doesn't work for you, your health professional may recommend trying another before discontinuing NSAID therapy. Talk to your health professional about whether NSAID therapy is safe for you, how much to take, and what type of schedule to follow.
Tricyclic antidepressant medications (TCAs), which are used to treat chronic pain in other areas of the body as well. Limited research suggests that TCA therapy decreases chronic pelvic pain intensity for some women. 1
Narcotic pain medication, which is only recommended as a last-resort, short-term treatment for severe pelvic pain because of the risk of addiction.
Counseling and mental skills training help you learn the mental and emotional tools for managing chronic pain and the stress that worsens it. Commonly recommended approaches include:

Cognitive-behavioral therapy, focused on changing the way you think about pain and mentally influencing how pain affects you.
Biofeedback, which is the conscious control of body function that is normally unconsciously controlled.
Interpersonal counseling, focused on best managing your life events, stressors, and relationships.
Alternative pain treatments such as acupuncture, transcutaneous nerve stimulation (TENS), hypnosis, guided imagery, aromatherapy, meditation, and yoga are low-risk pain treatments that many people use to manage pain. Acupuncture and TENS have shown some success in relieving painful menstrual periods. Acupuncture has also been used as a treatment for nonmenstrual chronic pelvic pain but has not been well studied. 1

Surgical treatment for chronic pelvic pain should be limited to the treatment of surgically correctable problems. Surgery is most useful for treatment of a specific cause of pelvic pain, such as fibroids or endometriosis.

There is no evidence that surgical removal of the reproductive organs relieves chronic pelvic pain when the cause of pain cannot be found. It can even make the pain worse. 6 When surgery is done for pain with no known cause (hysterectomy or cutting of specific pelvic-area nerves), there is a risk of persistent or worsened pain after surgery as well as surgery-related side effects.

What To Think About
After 4 to 6 months of pain, some people develop chronic pain, which is a medical disorder that is separate from the original pain-causing condition. Because chronic pain and female pelvic pain have yet to be fully understood, treatment can be a trial-and-error process. It is common for women with chronic female pelvic pain to try many treatments before finding one or more that are helpful.

Decisions are complicated when considering treatment for chronic pelvic pain. Evaluate the following:

Are the symptoms bothersome enough to require treatment?
Do you want to have a child or more children?
Has a specific cause of the pain been discovered, or is the cause unclear?
Is menopause, which may stop symptoms, going to occur soon?
Would an opinion from another health professional be helpful?
Would an opinion from a physician who specializes in chronic pain be valuable?
Have you tried cognitive-behavioral therapy?


-Good luck to you and I hope you are feeling better soon!
Healthwise on Yahoo Health.
I would try hip adjustment from a chiropractor or massage therapist, accupunture, get good fitting comfortable shoes, and drink lots of water and a little apple cider vinegar every day.
Tags
Stress Stroke Substance Abuse Pain Management Pelvic Pain Polycystic Ovary Syndrome Pregnancy Premenstrual Syndrome Preparing for Surgery Progesterone
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