What to do about pelvic pain? This is the correct treatment!

If pelvic pain occurs, you should consider diseases such as pelvic inflammatory disease, adenomyosis, and endometriosis, because these diseases can cause pelvic pain. This pain is very obvious, and there will be certain lesions in the affected area. It may be related to the patient's previous trauma. It may also be related to the woman's unhappy marriage, or even caused by sexual dysfunction.

1. Principles of medication

It is often difficult to achieve the desired effect with a single medication, so combination therapy is often used. Special attention should be paid to drug interactions, drug reactions should be checked frequently, and the types and doses of drugs should be minimized to reduce side effects and costs.

2. Commonly used drugs

(1) Analgesics include nonsteroidal anti-inflammatory drugs (NSAIDs), combinations of NSAIDs and milder anesthetics, and pure anesthetics.

(2) Antidepressants Antidepressants can not only fight depression, but also have analgesic effects whose mechanism is unknown. The efficacy of antidepressants for chronic pain is not very reliable, but they are widely used because they can be used as an alternative to anesthetics and are not easily abused and have low dependence.

(3) Organ-specific drugs can be used to treat CPP, targeting gastrointestinal symptoms, bladder irritation symptoms, and musculoskeletal pain.

(4) Other drugs such as medroxyprogesterone acetate (progesterone acetate) can reduce pelvic congestion by inhibiting ovarian function to relieve related pain. GnRH-a has been suggested to differentiate between gynecological and non-gynecological causes of pain.

3. Laparoscopic treatment

Laparoscopic treatment of chronic pelvic pain should be determined according to its specific circumstances.

4. Psychotherapy

Patients who do not have obvious organic lesions but have psychological disorders should receive psychotherapy. You can start with simple methods, such as education and reassurance, and gradually move to specific psychotherapy techniques, such as relaxation therapy, cognitive therapy, supportive therapy, etc.

5. Other treatments

Including physical therapy, massage and other therapies.