Dolor Pélvico Crónico / Temas del Dr. Mejía

Dispareunia o Dolor con las relaciones Sexuales
Ovarios
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Se considera el dolor pélvico crónico, aquel dolor que se presenta en la pelvis o fosas iliacas área considerada por muchas mujeres como de los ovarios, y muchas veces lo refieren como "me duelen los ovarios", con una duración mayor a 6 meses.
 
la mayoría de las veces el origen del dolor esta en otro órgano, pues en esta área puede doler la vejiga, el colon, el útero los ovarios, las trompas, el peritoneo o una asociación de lesiones en estos órganos.
 
 

LAS CAUSAS MAS FRECUENTES DE DOLORES PÉLVICOS SON:


la endometriosis, la inflamación pélvica crónica, las adherencias pélvicas o de colon, algunos tipos de cistitis como la insterticial, tumores ováricos o de cervix, hidrosalpinz o agua en la trompa, varicocele pélvica, lesiones nerviosas y en un porcentaje importante no se evidencia una lesión .

¿COMO LOGRA EL MEDICO DESCIFRAR CUAL ES LA CAUSA?


Digamos que a través del interrogatorio el medico logra orientar el caso en la mayoría de los pacientes, realizara un examen físico que incluirá una palpación de abdomen, una especuloscopia que es un examen vaginal con un especulo, para evaluar la vulva ,vagina y cuello del útero, examen el cual es molesto pero no doloroso, también realizara un tacto vaginal para saber como esta el tamaño del útero, su posición se es neutra o esta muy hacia atrás o retroversión, además podrá definir subjetivamente cual es el grado de inflamación y de dolor, saber cuales son los puntos de mayor dolor o puntos gatillo que disparan el dolor, podrá palpar nódulos o masas que orienten el la causa y gravedad de la lesión.

El medico además podrá ordenar algunos exámenes de primera mano como son el examen de orina (parcial de orina ) con o sin urocultivo y antibiograma, examen de materia fecal o coproscopico o coprologico, hemograma, creatinina, ecografía o ultrasonido transvaginal.

Ya en un segundo plano en donde los exámenes iniciales no resuelven u orientan el caso podrá el medico ginecólogo solicitar un procedimiento como es la laparoscopia diagnostica y operatoria o una cistoscopia en caso de sospechar una cistitis instersticial.

Con la laparoscopia se puede diagnosticar la endometriosis en cualquiera de sus tres niveles de complejidad , y de una ves tratarla , ya se a vaporizando los fosos liberando adherencias o sangrado los quistes endometriosicos o endometriomas que se encuentren durante la cirugía , además si la paciente esta interesada en fertilidad se realizara un examen llamado cromotubacion el cual se inyecta un liquido azul por la vagina para ver con el laparoscopio si sale por las trompas o por la fimbria y asi el ginecólogo laparoscopista podrá verificar que la tuba no se encuentre obstruida o este permeable , punto importante a tener en cuenta para la búsqueda posterior de embarazo.

Con la cistoscopia se podrá confirmar el diagnostico de cistitis intersticial y se planteara el tratamiento.

En algunos casos seleccionados se podrá solicitar una escenografía o un resonancia nuclear magnética pero no es lo corriente que se utilicen estos exámenes.

En otros casos se podrá realizar pruebas terapéuticas con unos medicamentos llamados análogos de la GnRh.

Según el diagnostico, el cual por lo general se aclara con los hallazgos de la laparoscopia operatoria, se enfocara el tratamiento medico, los controles y se definirá el pronostico o sea que se le explicara a la paciente como podrá ser el comportamiento de la enfermedad en el tiempo, como se realizaran los controles y el manejo de medicamentos siempre de la mano y la supervisión de su ginecólogo.

Para esta patología le recomendamos consultar con un Ginecólogo.

Ultima revisión del tema octubre 20/2011
Revisado y aprobado por el Dr. Alejandro Mejia López. Ginecólogo y Cirujano Estético.
 

Este contenido ha sido visto 4816 veces
 
Dispareunia o Dolor con las relaciones Sexuales
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Comentarios de los usuarios

gordana ivano 16 de Octubre de 2019 a las 21:59:49

Soy GORDANA IVANO, vivo en la ciudad de zagreb en croacia. Las verrugas genitales son el resultado de una infección de transmisión sexual conocida como Virus del Papiloma Humano. Muchas personas contraerán este virus en su vida, aunque no todos contraerán la cepa que causa las verrugas genitales. Para aquellos que terminan con el crecimiento, puede haber consecuencias como picazón, una vida sexual más complicada e incluso un aumento en la posibilidad de ciertos tipos de cáncer. Muchas personas con verrugas tendrán preguntas sobre ellas, incluso si alguna vez las eliminarán o no. Fui víctima de la enfermedad de las verrugas genitales, tuve esta enfermedad durante un período de dos años, de hecho pasé por muchas dolores, fui a varios hospitales y clínicas, pero me dijeron que no tenía cura, llegó al punto de que estaba haciendo planes para suicidarme, pero mi hermana mayor que vive en la ciudad de GRAD me dio la noticia de que su amigo David había sanado. de la enfermedad de las verrugas genitales a través de la ayuda de un médico a base de hierbas llamado DR UDO. Inmediatamente me contacté con el Sr. David y me dijo que era cierto que DR UDO lo había curado, me dio la dirección de correo electrónico del Dr. Udo, le escribí y le expliqué: dijo que podía curarme, antes de eso ya creía que podía curarme. Dos días después, DR UDO preparó el medicamento y me lo envió a través de la compañía de envío de DHL, usé el medicamento durante un período de 3 semanas y me curé por completo. , fui al hospital para una prueba y el mismo médico me confirmó que me había curado y liberado de Verrugas genitales. Realmente no sé cómo apreciar a DR UDO por este gran trabajo. Es un gran sanador. Tiene cura para muchas enfermedades y enfermedades. Esta es la dirección de correo electrónico de DR UDO y el número de WhatsApp. Correo electrónico; DRUDOAZIBAHIVHEALINGCENTRE @ GMAIL. COM. Número WHATSAPP; +2348051075165. Puedes escribirme a través de mi correo electrónico [email protected].

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My name is Sandra James, and I am based in the USA... “My life is back!!! After 14 years of Broken marriage, my husband left me and our two twins. I felt like my life was about to end i almost committed suicide, i was emotionally down for a very long time. Thanks to a spell caster called Dr Ehi whom I met online. On one faithful day, as I was browsing through the internet, I was searching for a good spell caster that can solve my problems. I came across a lot of testimonies about this particular spell caster. Some people testified that he brought their Ex-lover back, some testified that he restores womb, cure cancer and other sickness, some testified that he could cast a spell to stop divorce and so on. i also came across one particular testimony, it was about a woman called Sonia, she testified about how Dr Ehi brought back her Ex-lover in less than 7 days and reversed the effect of their little boy's cancer, and at the end of her testimony she dropped Dr Ehi 's e-mail address. After reading all these, I decided to give Dr Ehi a try. I contacted him via email and explained my problem to him. In just 3 days, my husband came back to me. We solved our issues, and we are even happier than before. Dr Ehi is really a gifted man, and I will not stop publishing him because he is a wonderful man... If you have a problem and you are looking for a real and genuine spell caster to solve all your problems for you. Try Dr Ehi anytime, he might be the answer to your problems. Here's his contact {shomorikaspelltemple@yahoo. com} or whatsapp: +234 9032276724 Thank you Dr Ehi.

Sandra James 04 de Septiembre de 2024 a las 11:32:57

My name is Sandra James, and I am based in the USA... “My life is back!!! After 14 years of Broken marriage, my husband left me and our two twins. I felt like my life was about to end i almost committed suicide, i was emotionally down for a very long time. Thanks to a spell caster called Dr Ehi whom I met online. On one faithful day, as I was browsing through the internet, I was searching for a good spell caster that can solve my problems. I came across a lot of testimonies about this particular spell caster. Some people testified that he brought their Ex-lover back, some testified that he restores womb, cure cancer and other sickness, some testified that he could cast a spell to stop divorce and so on. i also came across one particular testimony, it was about a woman called Sonia, she testified about how Dr Ehi brought back her Ex-lover in less than 7 days and reversed the effect of their little boy's cancer, and at the end of her testimony she dropped Dr Ehi 's e-mail address. After reading all these, I decided to give Dr Ehi a try. I contacted him via email and explained my problem to him. In just 3 days, my husband came back to me. We solved our issues, and we are even happier than before. Dr Ehi is really a gifted man, and I will not stop publishing him because he is a wonderful man... If you have a problem and you are looking for a real and genuine spell caster to solve all your problems for you. Try Dr Ehi anytime, he might be the answer to your problems. Here's his contact {shomorikaspelltemple@yahoo. com} or whatsapp: +234 9032276724 Thank you Dr Ehi.///

Christopher Anselm 16 de Septiembre de 2024 a las 07:41:12

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Christopher Anselm 16 de Septiembre de 2024 a las 07:49:44

Have you lost hope of ever recovering your money from scam brokers? I have good news for you and yes it is 97% possible for you to recover your money through a Certified Recovery Expert CYBER ASSETS WIZARD RECOVERY, I had lost over $128,000 to a fake broker and I lost hope of ever making profit through binary trading. After the loss, I had a long research on how to recover the lost funds, I came across CYBER ASSETS WIZARD RECOVERY,   a Specialized Crypto Recovery Expert who helped Scam Victims recover their Lost Funds. After submitting my case the expert worked on my case and all my funds were recovered back. to anyone looking for Recovery firm to Recover your lost Crypto. You can contact  CYBER ASSETS WIZARD RECOVERY, VIA EMAIL ON [email protected]

Adrean Abelard 17 de Septiembre de 2024 a las 05:05:11

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Adam fortner 17 de Septiembre de 2024 a las 10:58:35

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Maryy 25 de Septiembre de 2024 a las 07:22:28

I am Marry Timothy 40 years old female I tested genital herpes (HSV1-2) positive in 2016. I was having bad outbreaks. EXTREMELY PAINFUL. I have try different kinds of drugs and treatment by the medical doctors all to know was avail. Six months ago I was desperately online searching for a helpful remedies for genital herpes (HSV1-2) cure, which I come across some helpful remedies on how Dr AYO have help so many people in curing genital herpes (HSV1-2) with the help of herbal treatment because I too believe there is someone somewhere in the world who can cure herpes completely. At of the past 2 months, however, I've been following his herpes protocol and it stopped all outbreaks completely! To my greatest surprise I was cured completely by following the protocol of his herbal medicine . Don't be discouraged by the medical doctors. if you need you want to get rid of all kinds of Herpes and virus infections, Diabetes, Hepatitis A B C, Menopause and HIV with Natural Roots, There is a cure for HSV with the help of herbs and roots by a herbalist Dr AYO, he is so kind and truthful with his herbal treatment, kindly contact Dr Ayo for more information Email: [email protected] Skype : [email protected]

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RECOVER STOLEN CRYPTO FUNDS THROUGH  CYBER ASSETS WIZARD RECOVERY. It is believed that once a victim’s cryptocurrency is transferred from their wallet, typically held on a centralized exchange, to a decentralized exchange or private wallet, the funds are lost forever. However, there are professional services that can help you get your stolen Crypto back. If you find yourself falling victim to a Crypto fraudulent investment company, Contact  [CYBER ASSETS WIZARD RECOVERY] through VIA EMAIL ON [email protected] or TELGRAM https://t.me/hirehackerwizarderrecovery. Experienced team of cyber experts will carefully review the details you provide and analyze the circumstances surrounding the scam, This will enable them to take a swift action on your recovery case hence providing a positive result at the end and you will have your funds recovered back.

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