International Women’s Day 3-8-2015 CureJoy

Pelvic Pain and Sexual Rejuvenation by Hal S Blatman, MD

Medical care for women’s sexual needs lags far behind what is available for men. Personal issues of pelvic pain, sexual dysfunction, and stress incontinence have not received the level of attention that has been given to male erectile dysfunction and prostate problems. Fortunately there is new technology that is changing what can be done for pelvic health and restoration of sexual function in women.

Pelvic pain for example, is often attributed to psychological trauma, pudendal neuralgia, interstitial cystitis, or vulvodynia. One of the mysteries is how anyone can tell where pelvic pain comes from. If you are one of the many people who suffer with pelvic pain,…where do your doctors and therapists think the pain is coming from? And has treatment for the proposed diagnosis worked to stop your pain?  If not, is the continued pain being attributed to “your problem is difficult to treat”and “we need to take this treatment to the next level”(which also does not have a great success rate?).

What about the person who goes to the emergency room complaining of pain in his left arm. If the doctor spends a lot of time looking at the left arm, doesn’t do an EKG, and the patient dies of a heart attack, everyone can recognize that there is a disconnect between the symptoms and the cause. What if the same thing is true about pelvic pain? What if the pelvic pain is like the left arm pain, and the problem that causes it is not coming from the left arm or the psychological trauma, pudendal neuralgia, interstitial cystitis, or vulvodynia.

We have learned that pelvic pain is usually due to trauma and injury to the fascia of the pelvic floor, inner thighs, buttocks, and lower abdomen. Repetitive strain injuries caused by running, hiking, or cycling, and even childhood play or other trauma may injure the fascia and tendons of the adductor, other thigh, and pelvic muscles. If these muscles have tender trigger points, or their attachments near the pubic bone are tender, this fascia can refer pain to the bladder, vulva, scrotum, and prostate. If the pelvic floor muscles are tender and have trigger points, the injuries to the fascia attachments will cause unending weakness and pelvic floor related pain. Unexpectedly, we have found that urethral and clitoral pain is often associated with injured fascia in the lower abdomen.

What if your pelvic pain doctors and physical therapists are all treating your “left arm?”What if your pain comes instead from past injuries to the muscles and fascia of your inner thighs, inner pelvis, buttocks, hip rotators, abdomen, and pelvic floor? Indeed, we find that pelvic pain is no different than a migraine headache in the pelvis. We also find that old injuries to the fascia of the thigh, buttocks, and pelvis, can be restored and healed with prolotherapy and injection therapy with Platelet-rich Plasma. Conditions we have successfully treated with these new technologies include: pelvic pain, pelvic floor dysfunction, adductor strain, hip strain, rectus abdominis strain, interstitial cystitis, vulvodynia, clitoral pain, and gluteal strain. If your current treatment is not helping enough and this makes some sense to you, call today to explore options you may not have considered.

What if your problem is not pelvic pain, but bladder leakage when you exercise, cough, swing a racquet, or sneeze. There are a few surgical procedures that gynecologists are performing that can be very helpful for many people. Some of these treatments have potential side effects of infections and over-correction with actual difficulty urinating afterwards from too tight a repair. A new treatment involves harvesting your own Platelet-rich Plasma from a veinous blood draw in your arm (like a blood test), and then injecting a very high concentration of your own growth factors, platelets, and stem cells to regrow and restore your aging or injured tissue. Your own blood based growth factors can be injected into the tissue around your urethra to significantly improve or strop urinary stress incontinence that comes from pregnancy/delivery and age.

Finally, what can be done to help women increase their sexual nervous system sensitivity so that they can reach orgasm more quickly, and have more enjoyment in their sexual experience? There are actually two different choices, and they can be started together. The first involves application of bio-identical hormones and other medications to the vagina and clitoris. These agents will improve lubrication and health of vaginal tissue, as well as improve sensation. The other choice involves injection of your own Platelet-rich Plasma to rejuvenate the nervous system and erectile mechanisms present in the G-spot and the clitoris. When these same growth factors are painlessly injected into the clitoris and G-spot, sexual function and ease of achieving orgasm may be greatly improved. The procedure is called the “O-Shot.”

Dr. Blatman is a medical doctor with offices in Cincinnati, OH, and soon NYC. He is certified to administer the O-shot, and he is expert in treating myofascial pelvic pain.

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