Pelvic Pain, Women
Background
Pelvic pain is fairly common in females, and takes several common forms. They are more common in women with a history of sexual abuse. If you have a history of abuse and have not yet received counseling, it can be an important part of the healing process.
Specific conditions
See the specific sections below for more information on pelvic pain in females:
- For rectal pain, see Rectal Pain.
- For vaginal/vulvar pain Vulvodynia.
- For bladder pain or painful urination, see Interstitial Cystitis.
Treatments
Recommended Supplements
BCM-95 curcumin, boswellia, DLPA and nattokinase
A special mix of BCM-95 curcumin, boswellia, DLPA and nattokinase has been a pain relief miracle.
Take 1-2 tablets 3x day. The effect builds over a week, and maximizes at 6 weeks. The dose can often then be lowered to 1-2 a day or as needed. It’s like putting out a fire. Once the pain settles, you may no longer need as much.
Medications
The treatment needs to be adapted to the specific type of pelvic pain. So use the links below according to the type that you have. For each of them, though, the family of medications used for nerve (neuropathic) pain are especially helpful.
If the following medications cause next-day sedation, begin at a lower dose and increase as tolerated. Give it 6-12 weeks to work.
Neurontin
100-1,200 mg at bedtime and up to 3,000 mg a day.
Lyrica
100-300 mg at bedtime.
Low-dose Elavil
10-25 mg at bedtime.
Other Therapies & Advice
Endometriosis
If your pelvic pain is mostly around your period, ask your gynecologist to consider endometriosis as well as the usual menstrual cramps.
Check for fibromyalgia
If you have fatigue OR widespread achiness associated with insomnia, you likely also have fibromyalgia. Fibromyalgia is now very treatable, and the pelvic pain often improves with the fibromyalgia treatment as well!
More Information Online
Articles on Pelvic Floor Muscle Pain by Dr. T
The S.H.I.N.E. Approach and Treatment Protocol