The Pelvic Pain Clinic at UNC is a local and regional center for women seeking evaluation and treatment for pelvic pain that has been difficult to treat. Conditions we commonly see include endometriosis, adhesions, pelvic support problems, muscular problems, and pain during sexual relations. The Pelvic Pain Clinic can provide special advanced laparoscopic and surgical techniques.
The Chronic Pelvic Pain Clinic staff has collectively provided comprehensive care for gynecologic pain problems for over twenty years. We take the time necessary to evaluate previous records, speak with referring physicians, and take a thorough history of the pain problem. We investigate the possible contributions of all involved systems in the body, as well as the changes in the pain that may have occurred over time.
During the physical examination, we look carefully for contributions to the pain not usually detected by the routine pelvic examination, such as muscle spasms, trigger points, and subtle changes in pelvic structures. We bring long experience to the often difficult task of deciding what treatments are the best to use and when to use them.
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Chronic pelvic pain can often have more than one cause. For example, a woman with endometriosis or scar tissue from surgery may develop muscle tightness and bowel problems as well as poor sleep patterns and depressed mood. Some or all of these problems may need attention before health is restored. We try to get as complete a picture of all the parts of your problem including how the problem has affected your life in order to make an evaluation of your needs.
When you come for your office visit, you will talk with a registered nurse and a physician about the pain. We are interested in the patterns of the pain (what makes it worse, what makes it better, etc.) and how the pain is interfering with your life. Following this interview, you will have a physical exam. After this, we will talk with you and your family further about the findings and plans for treatment.
You may need one or more different kinds of treatment. These might include medications, nerve blocks or injections, exercises, counseling, or gynecologic surgery. The clinic doctors have extensive experience with laparoscopic surgery. We work closely with physical therapy at UNC Hospitals and other pain specialists at UNC as it seems necessary. In many situations, it may take a number of visits to complete the evaluation before your improvement begins.