Pain

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Pain

Pain is a very complex subject. When pain happens to be worse or pain around the time of the periods (cyclical), it is likely to be a gynaecological cause. Otherwise, the pain can also be coming from other organs like the bladder, bowel, or muscles.

Apart from painkillers, the best way to deal with pain is to find the cause and treat it. For example, if it was cause by Endometriosis, best have a Laparoscopy to cut them out.

Cyclical Pain

If pain is always predictable with the menstrual cycles, this could be a symptom of Endometriosis or Adenomyosis. The best test for Endometriosis is to have a laparoscopy, but you would usually be offered a Pelvic Ultrasound Scan first in case this was all related to an Ovarian Cyst.

Non-cyclical Pain

The doctor will usually ask a lot about pain when you first see someone about the pain. If it has nothing to do with your periods, we would love to know if it is related to filling or emptying of the bladder; or bowel motion; or if you have noticed any particular positon or things that makes it worse or better. All these information will make it more likely that we can find the cause for your pain and help you rather than just throwing painkillers at you.

Pain during sex (Dyspareunia)

Painful sex can be related to an Ovarian Cyst, or it could be Endometriosis. Hormonal contraceptives can usually improve the problem, but if not, a gynaecologist will be able to help.

If Endometriosis is very likely, a Laparoscopy will be offered and this is best done by an Endometriosis specialist so that the problem can be treated at the same time to give the best chance of improvement.

Chronic Pain

Sometimes women put up with pain for a very very long time that the body learns that pain is a permanent feature. This form of pain is more difficult to manage. If medical or surgical treatment by a Gynaecologist helps, this is great news. Otherwise sometimes we need help from a Specialist Pain Consultant.

Please be aware that each of these are a lengthy chapter in their own right so it is impossible to cover everything here. Every woman is unique and what is described here may not represent your individual case. It is important to see a doctor to discuss your individual case in addition to taking on the information from here.