What causes pain on both sides of the pelvis?

The pelvis is an important part of the human body. If some adverse symptoms occur in the pelvis, it will have a great impact on human health. For example, pain on both sides of the pelvis is a symptom that cannot be ignored, because this symptom is likely caused by diseases such as endometriosis, interstitial cystitis, pelvic floor tension myalgia, pelvic congestion syndrome, or vulvar pain. Below we will introduce these diseases in detail!

That is, viable endometrial tissue grows outside the uterine cavity and bleeds simultaneously with the endometrium during each menstrual period.

Best treatment: First-line treatment for endometriosis includes nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen sodium, birth control pills, and other hormonal drugs that shrink the endometrial tissue. Your doctor may recommend minimally invasive surgery to remove or destroy the endometrial hyperplasia, or, in severe cases, a hysterectomy may be necessary.

2. Interstitial cystitis

It presents as intermittent bladder discomfort, probably caused by the breakdown of mucin that lines the bladder epithelium and protects it from excess acid.

Best treatment: Amilor, the first oral medication developed specifically for IC, adheres to the surface of the bladder epithelium and takes 6-9 months to fully exert its efficacy. Other drugs that may completely cure patients include antihistamines, various tricyclic antidepressants (for their analgesic properties), anti-epileptic drugs (increasingly the preferred drug for intractable pain), and other drugs that can be administered directly into the bladder.

3. Pelvic floor tension myalgia

Many factors, both physical (such as difficult childbirth) and psychological, can lead to chronic tension and pain in the pelvic floor muscles that support the pelvic organs.

Best treatment: The most effective treatment involves pelvic floor physical therapy. It is equivalent to a set of vaginal exercises: it allows you to learn how to correct your pelvis and how to do core muscle stretching exercises to prevent pelvic floor muscle spasms. Botox injections can prevent muscle spasms by temporarily relaxing the muscles. Trigger point injections of an anesthetic (lidocaine) can help some women find relief.

Pain caused by varicose veins in the pelvis. The principle is the same as varicose veins in the legs. The venous valves become fragile and cannot close normally, causing blood to accumulate and produce pain.

Best treatment: The hormone progesterone is usually doctors' first choice, and studies have shown that the drug can relieve pain while also constricting blood vessels. If the drug does not improve significantly, embolization therapy can also effectively close the damaged veins, and 70% of female patients have been cured through this treatment. If you are not planning to become pregnant, hysterectomy (removal of the damaged veins along with the fallopian tubes and ovaries) is currently recognized as the most effective treatment.

There is no known cause of vulvodynia, but some experts speculate that women who have had a yeast infection before may be at greater risk. Another possible cause: nerve damage caused by anything from horseback riding to childbirth. About 75% of affected women also experience vulvar vestibulitis - pain at the entrance to the vagina.

Best treatment: The first choice of medications for treating vulvar pain include anti-epileptic drugs, antidepressants, and lidocaine local anesthetics. Kristen Wesley, vice president of the National Vulvar Pain Association, pointed out that some experts have successfully developed a new topical prescription by mixing the above drugs, which can be applied directly to the infected area. Ninety percent of women with the disease are cured by surgery to remove the nerve endings at the entrance to the vagina (vestibule), but this is a last resort treatment.