Pelvic Pain

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Study Indicates Elagolix May Lower Heavy Menstrual Bleeding Risk In Women With Uterine Fibroids

They just won't stop! We could have predicted this without a study and this was shown with Lupron years ago. It was abandoned because practitioners learned that the health ramifications of low estrogen were detrimental to health and that the reality that patients didn't do as well as reported. Also, when lupron was stopped the

Study Indicates Elagolix May Lower Heavy Menstrual Bleeding Risk In Women With Uterine Fibroids2020-02-04T20:01:59+00:00

Oral Gonadotropin-Releasing Hormone Antagonist Relugolix Compared With Leuprorelin Injections for Uterine Leiomyomas A Randomized Controlled Trial (Green Journal of OB/GYN)

Every year we are required as part of our board certification to read a large number of scientific articles with questions.  This article is on our list for 2019.  Now Both relugolix and AbbVie's elagolix are oral drugs that do the same thing as Lupron, an injectable drug that has been around since the late 1980's.  I have

Oral Gonadotropin-Releasing Hormone Antagonist Relugolix Compared With Leuprorelin Injections for Uterine Leiomyomas A Randomized Controlled Trial (Green Journal of OB/GYN)2020-02-04T20:03:27+00:00

Botulinum Toxin for Chronic Pelvic Pain in Endometriosis

I recommend pelvic floor rehabilitation therapy to all our endometriosis patients after surgery.  I do believe that pelvic floor dysfunction does play a big role in endometriosis pain.  If the pelvis, including the pelvic floor muscles are subjected to intense inflammation due to the endometriosis, then we would it is easy to understand that these

Botulinum Toxin for Chronic Pelvic Pain in Endometriosis2020-06-28T22:59:44+00:00

Study Shows Women With Endometriosis More Likely To Use Opioids For Prolonged Periods, Use Benzodiazepines Concomitantly

Of course this is the case.  The medical system is failing endometriosis patients in a dramatic way.  If you were taught that endometriosis surgery doesn't work and that it recurs anyway, and that most medicines to treat pain only work or are allowed to be used short term, then as a doctor you really don't

Study Shows Women With Endometriosis More Likely To Use Opioids For Prolonged Periods, Use Benzodiazepines Concomitantly2020-01-16T05:18:20+00:00

Uterine Fibroids

​Uterine fibroids (also known as leiomyomas) are extremely common muscle tumors (or growths) that develop from a single muscle cell within the womb.  It is stated in the literature that up to 75% of women develop a fibroid prior to menopause (1).  That being said, not all women require intervention.  The questions that need to

Uterine Fibroids2020-01-16T18:39:03+00:00

Many Women with Menstrual Symptoms Do Not Tell Their Families or Physicians, Study Indicates.

Many Women With Menstrual Symptoms Do Not Tell Their Families Or Physicians, Study Indicates. These findings are completely consistent with our findings after taking thousands of histories of women with pelvic pain.  We ask every patient if their period pain was worse than their peers in the teen years.  The vast majority say they don't

Many Women with Menstrual Symptoms Do Not Tell Their Families or Physicians, Study Indicates.2020-01-16T19:15:12+00:00

Laparoscopic Endometriosis Excision Improves QoL, Study Indicates.

https://www.mdedge.com/obgyn/article/191907/surgery/endometriosis-surgery-women-can-expect-years-long-benefits The above link will take you to a very important study. For those of us providing excision surgery, we have known this for a long time. Most published studies on pain only have a follow up period of 6 mos to 1 year with occasional studies looking at 18 mos to 2 years. For

Laparoscopic Endometriosis Excision Improves QoL, Study Indicates.2020-01-16T19:35:03+00:00

ACOG Opposes FDA Guidance Against Removal Of Uterine Fibroids With Ultrasonic Aspirators

It’s a sad state of affairs in the surgery world. I’m on my way back from the ASRM meeting, our national fertility society. There was some discussion of fibroids from various angles including radiologic uterine artery embolization, a non-surgical treatment for fibroids. The real argument with the Power Morcellator is whether the fibroid could be

ACOG Opposes FDA Guidance Against Removal Of Uterine Fibroids With Ultrasonic Aspirators2020-01-16T20:14:42+00:00