Many women have pain in their pelvis (lower part of the belly) from time to time, usually during their period. However, if you have daily pelvic pain, it could be a sign of a bigger problem with your bladder, bowels, reproductive
organs, or pelvic muscles. Many conditions cause pelvic pain, including endometriosis, adhesions, chronic appendicitis, or hernias.
If you suffer from your pelvic pain when you go to the bathroom, walk, sit, climb stairs, or drive a car, your problem may be in your bladder, bowels, or the muscles of your pelvis,
hips, or lower back. Problems such as endometriosis can cause pain because there may be tissue from the endometriosis on different organs within and outside of the pelvic cavity, which
includes the ovaries, bladder, behind the uterus, and bowel.
Treatment includes conservative (no surgery) and surgical treatment. Pain can be treated with birth control pills and/or non-narcotic pain medications. If these options do not work, you may be given
medications that take away the estrogen in your body, therefore placing you in a short-term, menopause-like state.
Decreasing the estrogen in your body will decrease the endometriosis implants and pain.
Laparoscopy is a type of surgery that is performed with a telescope that is attached to a camera (laparoscope). The laparoscope is inserted into one to four small incisions in
your belly. During a laparoscopic surgery, Dr barak will be able to view your pelvic organs to see if they, or any other conditions, are contributing to your pain. Some of the conditions that may be found are endometriosis, adhesions (scar tissue), appendicitis (infection of the appendix), or a hernia. Sometimes, even finding out that everything is normal can be helpful in choosing further treatment.
The two most common problems that can be treated with a laparoscopy are endometriosis and pelvic adhesions:
Endometriosis: Endometriosis can cause daily pelvic pain, painful periods, and pain during bowel movements or sex.
Having endometriosis can also make it harder for you to get pregnant.
At the time of your laparoscopy, Dr barak will attempt to remove the endometrial tissue that is seen with an electric current or laser. Treatment will help to decrease
or eliminate your symptoms and may make it easier for you to become pregnant.
Pelvic adhesions (scar tissue): Adhesions in and around the pelvic cavity may form if you have endometriosis, a pelvic infection, surgery on your pelvis, a cyst on an ovary,
or have had surgery on your pelvis. Scar tissue causes organs that normally are separate from each other to become attached. For example, your ovary can be attached
to your bowel, and Dr Barak will separate the adhesions with laparoscopic scissors to help relieve pain. This seems to work best when the adhesions are not too severe