Is Your Pelvic Pain Caused by Your Bladder?

Published on May 27, 2016

Interstitial cystitis (IC) is a chronic pelvic pain condition that has its origin in the bladder. Two to seven percent or the population (primarily women) suffer from this potentially debilitating condition. Women with recurrent urinary tract infection symptoms and negative cultures, recurrent vaginal irritation symptoms without positive culture or significant discharge or irritation, and more classically, pain with bladder fullness should be evaluated for IC.

Traditionally, diagnosis and treatment of this condition has been very complicated. However, with greater understanding of the condition, it has become very treatable.

Diagnosis of IC involves a complete history and physical evaluation, eliminating other causes for the symptoms, along with more specific testing. Treatment is usually by a combination of diet modification and medication, as well as natural therapeutic agents and therapy.

OK, I Had My Baby. Now, What is Going to Happen to My Body?

Published on May 11, 2016

Fourth trimester is the three month period after delivery when a mother’s body deals with the residual changes from carrying the pregnancy and child birth. This time period is critical since neglect in correcting these changes can lead to chronic lifelong issues.

During pregnancy, significant changes occur to a woman’s body in order to support the pregnancy, including the following:

  • Swelling of the extremities
  • 25-30 pounds of weight gain (on average)
  • Stretching of the abdomen and the breasts due to the engorgement of the breast glands and growing uterus
  • Hormonal changes that affect mood and a sense of wellbeing
  • Changes in the body resulting in a disfavorable self-perception and body image
  • Tearing forces during labor may compromise control of the bowel and bladder function
  • Sex may become uncomfortable, unpleasant or even painful
  • Desire for sex and libido may suffer in some women
  • A bulge in the abdomen may indicate diastasis recti (an exacerbating hernia or splitting of the abdominal muscles)
  • Persistent back and arm pains affecting mobility
  • Bulging tissue from the anal area and bleeding with bowel movement may indicate fissures and hemorrhoids
  • Other mental, psychological and physical changes that leave the body different than the one prior to pregnancy

By paying attention to these changes, we have solutions that can correct or minimize the after effects of a pregnancy and allow the body to return to its emotional, psychological and physical state.

Can Endometriosis Become Cancer?

Published on May 11, 2016

One of the most common conditions in women is endometriosis. It occurs in 1 out of 10 women. The symptoms are usually persistent pain with menstruation, bloody cysts of the ovary and fertility issues. It is usually considered to be a benign condition. However, for years there has been suspicion to its association with certain ovarian cancers.

Several recent studies have now shown that endometriosis can transform to ovarian cancer in some patients. It is not clear which patients are susceptible to this harmful transformation into ovarian cancer and what the causes are, but multiple factors such as genetic history and a patient’s environment may play a role.

Early detection and the complete surgical excision of the endometriosis along with hormonal suppression will likely result in a better treatment outcome and will help reduce the chance of ovarian cancer. Also, the removal of the Fallopian tubes in women that undergo a hysterectomy or desire permanent sterilization has shown to reduce the risk of ovarian cancer.

A pelvic ultrasound is one method of evaluating the Fallopian tubes and ovaries that can be done in the office. Another is MRI of the pelvis that increases the chance of early identification of a malignancy.