Pain during sex and chronic pelvic pain

The article was professionally consulted by Specialist Doctor II Lai Thi Nguyet Hang - Department of Obstetrics and Gynecology - Vinmec Ha Long International Hospital.

Pelvic pain for 6 months or more is considered chronic. The pain can come and go suddenly, sometimes appearing during menstruation or certain times such as before / after eating, during urination, pain during sex, especially in the recovery period. birth.

Chronic pelvic pain is a variety of pain in the pelvic region (under the navel and between the hips), which continues under various forms and does not almost completely disappear. Women with chronic pelvic pain may experience:
Vaginal or vulva pain during intercourse Pain in the vulva and surrounding tissues when wearing tight pants or sitting for too long. Some people even experience pain when wearing underwear Pain or burning when urinating even though there is no urinary tract infection Pain during bowel movements Menstrual pain Uterine or ovarian pain.

The initial cause of the pain can be:
Infection Giving birth Some other trauma Living in the wrong position for a long time. For example, it's normal for women to experience pain during sex for months after giving birth, especially if they've had an episiotomy or tear.
Pain that becomes chronic is often due to problems in the pelvic floor muscles. These are the muscles located between your pubic bone and sacrum that affect your bladder, intestines, and uterus and help control urine, bowel movements, and sexual activity.
When experiencing pain from a pelvic infection or injury, these muscles reflexively contract to protect the pelvis.
As a result, chronically tight muscles, nerves, trigger points and connective tissue become inflamed. Trigger points are small, tight patches of muscle that produce pain when compressed and are the source of pain elsewhere. Connective tissue is the place where tissues stick together.

The main goal of treatment is to relieve symptoms and improve the patient's quality of life. Depending on the cause of your chronic pelvic pain, your doctor will prescribe pain medication, hormone therapy, or antibiotics...
A physiotherapist - who specializes in pelvic rehabilitation can evaluate the symptoms. your pelvic floor muscles and determine if this is the cause of your symptoms.
If so, the doctor will work on the muscles and connective tissue to release the trigger points, as well as reduce the adhesion area during weekly therapy sessions. You are also taught to do pelvic floor exercises at home to relax tense muscles and strengthen weak muscles. Treatment can take several months, depending on the severity and complexity of the problem.
In addition to physical therapy methods such as spinal cord stimulation, trigger point injection,... patients can also be treated with psychotherapy to deal with pain and other accompanying symptoms.
If physical therapy doesn't work, your pelvic pain may be due to a pinched nerve. In that case, you need to see a neurologist for an evaluation. Sometimes surgery may also be indicated to correct the problem. It is important to identify the cause of pain during sex and chronic pelvic pain in order to provide appropriate treatment.
Periodic health check-ups help to detect diseases early, so that there are treatment plans for optimal results. Currently, Vinmec International General Hospital has general health checkup packages suitable for each age, gender and individual needs of customers with a reasonable price policy.
Results of the patient's examination will be returned to the home. After receiving the results of the general health examination, if you detect diseases that require intensive examination and treatment, you can use services from other specialties at the Hospital with quality treatment and services. outstanding customer service.

Reference source: .babycenter.com