Dysmenorrhea & Pelvic Pain: Endometriosis, Adenomyosis & Other Causes | Dr. Dan Martin
Mar 1, 2022
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Dr. Dan Martin, expert in pelvic surgery for endometriosis, discusses dysmenorrhea, endometriosis vs. adenomyosis, issues with estrogen, proper diagnosis, treatments, and when to see a doctor. Emphasizes the importance of seeking medical advice when pain worsens. Exploring the complexities of diagnosing endometriosis and addressing the prevalence of pelvic pain in women.
Early education on pelvic pain is crucial for seeking proper medical care.
Accurate diagnosis of endometriosis, adenomyosis, and fibroids is challenging but vital for tailored treatments.
Deep dives
Understanding Pelvic Pain and Dysmenorrhea
Pelvic pain, including dysmenorrhea and pain during menstruation, affects a significant percentage of women. It is crucial to differentiate between normal period pain and severe, non-responsive pain that could indicate underlying issues like endometriosis. Dr. Dan Martin discusses the prevalence of dysmenorrhea and pelvic pain, emphasizing the need for early education and awareness among adolescents and women to seek appropriate medical care when experiencing severe or worsening pain.
Diagnosing and Treating Pelvic Conditions
Diagnosing conditions like endometriosis, adenomyosis, and uterine fibroids can be complex due to overlapping symptoms and delayed diagnosis timelines. Differentiating between these conditions is essential for tailored treatment approaches, ranging from hormonal therapies to surgical interventions. Dr. Martin highlights the challenges in accurate diagnosis and the importance of timely interventions, especially in cases of severe pain, infertility, or progressive symptoms.
Exploring Treatment Options and Patient Advocacy
Managing pelvic conditions often involves a combination of therapies, including hormonal treatments, surgeries, and supportive measures like physical therapy or alternative therapies. Patient advocacy and self-advocacy play a crucial role in navigating healthcare experiences, especially when faced with dismissive attitudes from providers. Dr. Martin discusses the role of birth control in managing estrogen-sensitive pain and the ongoing research to improve treatment outcomes for conditions like endometriosis.
Addressing Research and Future Perspectives
Ongoing research in women's health, particularly in understanding the complexities of endometriosis, offers hope for improved diagnostic methods and treatment modalities. Dr. Martin sheds light on the diverse factors contributing to conditions like endometriosis and the challenges in achieving a definitive cure. With advancements in research and treatment options, there is optimism for better outcomes and increased awareness surrounding pelvic health and pain management.
Dr. Dan Martin is the Scientific and Medical Director for EndoFound. Forty-five peer-reviewed publications on endometriosis are included in his more than 414 publications focused on pelvic surgery for endometriosis and fertility. The prevalence of dysmenorrhea varies between 16% and 91% in women of reproductive age, with severe pain in 2%-29% of the women studied.
We discuss:
Endometriosis vs. Adenomyosis vs. Fibroids
Causes of pelvic pain
Issues with too much estrogen
How to be properly diagnosed with your pelvic pain condition
Treatments you can do at home to manage pelvic pain vs. when it is time to see a doctor
All treatment options related to pelvic pain conditions
“If pain is getting worse and not better with medication, it is not normal.” - Dr. Dan Martin
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More about Dr. Dan Martin
Dr Martin is Professor Emeritus, University of Tennessee Health Science Center; a community member of the Virginia Commonwealth University Institutional Review Board; and a life fellow of the American College of Obstetricians and Gynecologists. He has been Divisional Director of Reproductive Endocrinology and Divisional Director of Minimally Invasive Surgery at the University of Tennessee and Divisional Director of Medical Education at The Johns Hopkins Medical Institutes. Dr. Martin is Past-president of the American Association of Gynecologic Laparoscopists and the Gynecologic Laser Society.
**The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor. Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.**
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