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Women's Health

Severe pelvic pain (had hysterectomy)

07/30/2007

Question:

hi i am 32 years old and have suffer from serve pelvic pain for sometime, have had a full hysterectomy(still have my ovaries) due to abnormal smears and erosion of cervics, plus a few other things,The problem is I still have serve pelvic pain about every 3-6 weeks where it lasts about 20 minutes and I am cast and cannot move because of the pain cant sit because pressure pain goes up inside, after this very tender for a couple of days can still feel pressure if move to quickly lift anything pass wind or go to the toilet. I usually wake with this and the pain has me in tears. I also suffer from very tender breast which I know is normal for women but at times can be painful and cant take my bra off as when not supported they sting. at one stage was told after scan my ovary was in the wrong place and this was causing the pain because it wasnt sushioned but had a laproscopy and was then told it was normal, can ovaries move around. thanks for your time

Answer:

Chronic pelvic pain can be caused by many different issues, including problems that involve the ovaries or uterus, the bowel, the urinary system, or the nerves and muscles of the pelvis.  Sometimes even very thorough exams and tests fail to find any specific problem with these organs, which can make this condition very difficult to treat and especially frustrating for patients.

If you have already had a hysterectomy and a laparoscopy without improvement and without revealing a reason for the pain, it is unlikely that it has a gynecological cause.  The ovaries may become fixed by scar tissue after pelvic surgery, but it is unlikely that they "move around," as you suspect.

There are a variety of pain medications that help with pelvic pain, and many women also find improvement with a regimen of exercise and physical therapy.  There may also be a role for certain anesthetic injections, depending on where the pain is located.  You may want to consult a pain specialist who is expert in dealing with these issues.

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Response by:

The Ohio State University Jonathan A Schaffir, MD
Assistant Professor
Division of General Obstetrics and Gynecology
Department of Obstetrics and Gynecology
College of Medicine
The Ohio State University
Jonathan  A Schaffir, MD