- Pelvic pain can be elusive as it can be due to a variety of causes from symptoms of ovulation, to pelvic muscle tension or many gynecologic issues.
- Women who have had gynecologic procedures can have long term side effects that produce pain. For instance, Endometrial Ablations work by preventing menstrual lining regrowth and thus preventing cycles. Eventually, in the years after an ablation, the ongoing hormonal production from the ovaries may cause the lining to regrow. Pelvic examinations do not determine lining thickness, only an ultrasound can.
- Ultrasounds can determine many uterine conditions, can look at the wall of the uterus, outside a uterus, and whether there is blood within the cavity. Aging causes a condition of endometriosis within the wall of the uterus, known as adenomyosis. But research and repeat ultrasounds have shown even much younger women can have this condition. It too is diagnosed by ultrasound.
- There are rare causes of hematometra that wouldn’t be caused by the endometrial ablation. If a young woman has vaginal tract abnormalities that cause blood to back within the vagina, before backing up with in the uterus, the term is hematocolpos.
- Pelvic inflammatory disease (PID) can cause pain. If the fallopian tube (tubes) is dilated with blood as well, the term is hematosalpinx. If the condition is in the fallopian tube after an endometrial ablation it is called a post endometrial ablation syndrome. It also can be seen on ultrasound. Many causes of this hematometra, or blood trap are due to infections, usually an infection of the cervix, but it may have been the whole uterus.
- Other causes are scaring, prior surgeries such as endometrial ablations (not a common cause of this), Ascherman’s syndrome with scaring in side the uterus itself, tumors of the cervix, or even some cases due to radiation treatments after cancers. IUDs are not typical causes of hematometra. The symptoms are usually sharp pains, often in a cyclic timing, and they usually are located very low in the pelvis or the abdomen, right in the mid line. Sometimes the ultrasound testing to determine what is going on may have to be accompanied by a fluid test called SIS or even cultures.
- It takes a gynecologist to diagnose this condition. Pelvic exam is helpful but the best tool for the first diagnosis is an ultrasound. Often the best treatment is just opening up the block, but physically looking into the cervix to see if pockets of blood can be released via a surgical procedure. Some cases are more complex than this.
- For women still wanting to conceive treatment can reverse the symptoms and causes of pelvic pain.
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- ED
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- Emsculpt Neo
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- endometrial ablation
- endometrial cancer
- endometrial polyp
- Endometriosis
- energy hormones
- erectile disfunction
- errection
- estrogen
- exercise
- fasting
- fat
- fatigue
- Female Sexuality
- fertility
- fetal health
- fibroids
- Fitness
- forgetfulness
- GC
- gender
- genetics
- gestational diabetes
- glucose
- gluten
- GNRH
- growth hormone
- gut health
- gynecologic cancer
- gynecologic infection
- gynecological surgery
- hair
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- heart
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- heart health
- heavy menstrual bleeding
- heavy periods
- hemorrhoids
- herbal therapy
- herpes
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- hirsutism
- Hormonal Acne
- hormone balance
- hormone health
- hormone tests
- hormone therapy
- hormones
- hot flash
- hot flashes
- HPV
- HSV
- hyperhidrosis
- hypertension
- hysterectomy
- immune health
- incontince
- incontinence
- infertility
- IUD
- kidney health
- Kyleena
- Laser
- lasers
- LEEP
- leg health
- Leiomyomata
- libido
- Liletta
- lip filler
- liver
- longevity
- lubricants
- lung health
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- mammogram
- mastitis
- meditation
- melanoma
- melatonin
- men's health
- menopause
- menstrual cycle
- menstrual periods
- menstrual spotting
- mental health
- mercury
- metabolism
- microbiome
- migraines
- Mirena
- miscarriage
- Mona LIsa
- Mona Lisa Touch
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- mood
- mood swings
- Myfembree
- nexplanon
- night sweats
- non-hormonal therapy of menopause
- numbness
- Nutrition
- nutrtion
- OAB
- obesity
- Oral Contraception
- oral contraceptives
- orgasm
- Oriahnn
- ovarian cancer
- ovarian cyst
- ovarian cysts
- ovarian health
- ovulation
- oxytocin
- Ozempic
- pain
- painful sex
- pap smear
- PCOS
- pelvic exam
- pelvic floor
- pelvic floor health
- pelvic pain
- perimenopause
- phentermine
- PID
- pigment protection
- PMDD
- PMS
- polyp
- postmenopausal bleeding
- pregnancy
- pregnancy planning
- premature menopause
- prenatal care
- preterm birth
- progesterone
- PRP therapy
- rectocele
- semaglutide
- sex
- sexual arousal
- sexual health
- sexuality
- SHBG
- skin
- skin health
- Skin Tightening
- Skyla
- sleep
- smoking
- sperm
- STD
- STD STI
- sterilization
- stress
- sun damage
- sunscreen
- Supplements
- sweat
- Sweating
- tampon
- tampons
- testosterone
- testosterone pellet
- testosterone pellets
- ThermiVa
- thryoid
- thyroid
- Trichomonas
- ultrasound
- Upneeq
- urine
- uterine cancer
- uterine fibroid
- uterine fibroids
- uterine prolapse
- uterus
- UTI
- vaccination
- vaginal discharge
- vaginal dryness
- vaginal estrogen
- Vaginal health
- vaginal odor
- vaginitis
- vasomotor symptoms
- vFit
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- vitamins
- vulva
- VVA
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