How to treat chronic pelvic pain

Chronic pelvic pain generally refers to non-cyclical pain that lasts for more than half a year. At this time, the use of some opioid drugs for treatment is not particularly effective. This type of chronic pelvic pain is also a common gynecological disease, especially chronic pelvic pain. The cause is relatively complicated. It is necessary to understand the specific cause in time and then use symptomatic medication to treat it. Let’s take a look at how to treat chronic pelvic pain.

How to treat chronic pelvic pain

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 not only fight depression, but also have analgesic effects with unknown mechanisms. 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) In the process of organ-specific drug treatment of CPP, gastrointestinal symptoms, bladder irritation symptoms and skeletal muscle pain can be targeted.

(4) Other drugs

For example, 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.

Causes

Organic diseases such as chronic pelvic inflammatory disease, endometriosis, adenomyosis, pelvic adhesions, etc. can cause pain, but many patients only have mild pathological changes or no organic changes. Pelvic organ distortion caused by adhesions and endometriosis does not necessarily cause pain. Even if it does, the location and degree of pain may not be related to the location and severity of the lesion. It may be related to traumatic sexual experiences, marital unhappiness and sexual dysfunction.