The reasons most women come to see me, and how I approach them.
Frequently asked questionsPain that stays in your pelvis for months is never normal and always deserves investigation.
Behind it there may be endometriosis, chronic inflammation of the cervix or endometrium, myofascial pain of the pelvic floor, nerve entrapment, interstitial cystitis or digestive problems, and often several causes at once.
Noting when the pain appears and how it changes with your cycle helps a great deal. Treatment is multidisciplinary and adapted to what we find.
Not having found it yet does not mean it is not there. Behind pelvic pain that lasts for months there may be endometriosis, chronic inflammation of the cervix or endometrium, myofascial pain of the pelvic floor, nerve entrapment, interstitial cystitis or digestive problems, and often several causes at once.
A record of the pain: when it appears, how long it lasts, what makes it worse and how it changes across your cycle. It sounds like a small thing and it is one of the most useful in guiding the investigation.
Possibly, and that is not a bad sign: treatment for chronic pelvic pain is multidisciplinary and adapts to what we find. Pelvic floor physiotherapy, for instance, is a usual part of the plan.
When the days before your period change your body, your mood and your life.
An inflammatory disease that takes far too long to diagnose and deserves a complete approach.
Irregular periods, excess androgens and a metabolism that needs attention.
The most common benign tumours of the uterus: often they only need monitoring.
A stage to live well informed and without fear, caring for your intimate health too.
Itching, burning and discharge that keep coming back despite treatment.
Pain during sex, dryness or low desire often have a physical cause that can be treated.
Preparing your body before trying for a pregnancy.
Diet, lifestyle and environment as the foundation of any treatment.
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Low back pain, neck pain and women's back pain seen through Dr Lolas' theory of premenstrual syndrome (PMS) and cervical inflammation.
Whether a test or treatment is right for you is decided together, in consultation, after assessing your case. This page is for information only and does not replace a medical assessment.
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