Pointing out that pelvic pain, which 10 out of every 1 women struggles with, can lead to infertility if not treated, Prof. Gynecology, Obstetrics and IVF Specialist. Dr. Erkut Attar said that if the pain is not diagnosed early, it can become chronic and affect the central nervous system.
Pain in the pelvic region, known as the lowest part of the abdomen, where the uterus, ovaries, vagina, anus, lower parts of the large intestines, bladder and lower urinary tract are located, affects women the most. Making statements about the pelvic pains that 10 out of every 1 women struggle with, Prof. Dr. Erkut Attar, “It is necessary to pay attention to menstrual pain that lasts longer than 6 months. A simple menstrual pain causes women to deal with infertility in the future. Pain can have different causes, but depression, anxiety and stress can be added to all of these.
CHOCOLATE CYST IS CAUSED BY 70 PERCENT OF PELVIC PAIN
Pointing out that there are many underlying causes of pelvic pain, Yeditepe University Hospitals Gynecology, Obstetrics and IVF Specialist Prof. Dr. Attar continued his words as follows: “The cause of 70 percent of pelvic pain is endometriosis, which is popularly known as chocolate cyst, especially in women. If a woman feels constant pain for 6 months, we define menstrual pain as chronic pelvic pain. In addition, irritable bowel syndrome, painful bladder syndrome can also cause pelvic pain. All these are diseases that make the patient uneasy. Depression, anxiety, restlessness and stress add to these.”
PERIODIC PAIN SHOULD NOT BE SEEN AS 'FATE'
Stating that there are misperceptions among the public about menstrual pain, statements such as 'it will pass in the future, it will pass with birth' are wrong. Dr. Attar said, “Menstrual pain is seen as destiny and affects their whole lives. There may be serious diseases such as endometriosis behind menstrual pain. Endometriosis can also lead to infertility if left untreated. After all, what seems like a simple menstrual pain is the tip of the iceberg and can cause women to deal with infertility problems in the future. However, it can reach dimensions that can affect his daily life, business and academic life.” used the expressions.
DO NOT EXPECT PAINS OUTSIDE THE PERIOD
prof. Dr. Erkut Attar stated that the pain that develops outside of the menstrual period is also serious and it is not right to wait, “The severity of the pain is also very important. Menstrual pain and chronic groin pain are separate things, but they can also be seen together. Anomalies in the uterus can also cause it. Therefore, it is necessary to consult a physician for differential diagnosis.
PATIENTS WITH PELVIC PAIN ARE VERY DIFFICULT TO DIAGNOSIS
Stating that it is difficult to diagnose patients with pelvic pain, Yeditepe University Hospitals Gynecology and Obstetrics Department Head Prof. Dr. Erkut Attar said, “When left untreated, pain is learned by the brain, and in this case, treatment can be difficult. However, if the disease is diagnosed at the initial stage, it can be treated much more easily with birth control pills and hormone treatments. However, in cases that become chronic and pain is learned by the central nervous system, treatment becomes much more difficult. We treat these patients as a multidisciplinary team.”
Reminding that the first-line pain treatments are usually insufficient after the central nervous system learns about pain, Prof. Dr. Erkut Attar said, “We have to give additional treatment and medications. The duration and cost of treatment may increase. In addition, other pain syndromes, psychological problems and sleep disorders further aggravate the situation.
IT AFFECTS NOT ONLY THE PATIENT, IT ALSO THE ECONOMY OF THE COUNTRY
Underlining that pelvic pain patients are not affected economically alone and that it is a situation that also affects the country's economy, Yeditepe University Hospitals Obstetrics and Gynecology, IVF Specialist Prof. Dr. Erkut Attar said, “First of all, patients have difficulty in continuing their daily lives due to pain. That's why he can't go to work. The result is a significant loss of workforce. In addition, time is wasted because the correct diagnosis is not made. All these cause economic losses. In modern countries, large funds are allocated for these diseases," he said.
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