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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pelvic Pain

i have been in and out of the ER and doctors offices no one can tell me what is wrong i have had really bad pelvic pain for the past year i have had sugery and they thought i had Endometriosis but when they went in found nothing noone can give my answers please help me
Mon, 2 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.

This becomes very tricky if on surgery for pelvic pain finds no endometriosis.

I would suggest the following :
Get an MRI of the thoraco-lumbar spine and the pelvis with specific reference to the deep pelvic pain, that the Radiologist can coordinate with ...

This may find the lesion and help you to get a treatment.
Till then you can be started on empirical basis with Gabapentin and see the results.
If everything is normal, you can get an appointment with a Psychologist or a Psychiatrist and a Neurologist to find or rule out sensory nerves problems.
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Suggest Treatment For Pelvic Pain

Hi. Thanks for your query. This becomes very tricky if on surgery for pelvic pain finds no endometriosis. I would suggest the following : Get an MRI of the thoraco-lumbar spine and the pelvis with specific reference to the deep pelvic pain, that the Radiologist can coordinate with ... This may find the lesion and help you to get a treatment. Till then you can be started on empirical basis with Gabapentin and see the results. If everything is normal, you can get an appointment with a Psychologist or a Psychiatrist and a Neurologist to find or rule out sensory nerves problems.