Pelvic pain is a complex medical problem. It can be related to the bladder, the pelvic floor musculature, the nervous system, or the bowels and their function, among other things. Emotional and psychologic stress can also have a significant impact on pelvic pain. At the moment, there is not enough research to help us fully understand how all these systems relate. And although there isn’t yet a standard way to manage pain, at Holly Kay Wyneski MD, we integrate several types of treatments until we are successful.
Evaluations may include comprehensive pelvic exams, cystoscopy, X-rays, and functional testing of the bladder and pelvic floor.
Treatments can involve oral, vaginal, and/or rectal medications; bladder instillations; and physical therapy. Sometimes surgical intervention is necessary for ulcerations in the bladder and anatomic issues that create problems.