Pelvic Disorders

Common Pelvic Disorders

• Problems may include one or more of the following:

  • Endometriosis. Endometriosis is a condition in which tissue similar to the lining of the uterus, the endometrium, grows in abnormal places in the abdominal cavity. The most common sites for endometriosis to grow are the ovaries, the fallopian tubes, and the lining of the pelvis, especially behind the uterus. It is characterized by pain during periods and intercourse and is also a frequent cause of infertility.
    Pearl Women’s Center is a national referral center for high level endometriosis care, offering advanced excision surgery to women with all levels of endometriosis.
  • Pelvic Pain. Pelvic pain is one of the most frequently misdiagnosed conditions in gynecology. Pearl Women’s Center practitioners are experts in diagnosing the often elusive cause of this debilitating condition. We emphasize the importance of a thorough evaluation which includes a comprehensive history and physical exam, possible laboratory studies and, often times, imaging. Dr. Mohling has had an emphasis on pelvic pain in her clinical practice for over 20 years. This includes treatment of painful periods, pain with intercourse, vaginismus, painful bladder syndrome, myofascial pain syndrome with trigger points, pudendal neuralgia, endometriosis and adenomyosis. Treatment for pelvic pain must be individualized to the patient’s unique circumstance and may include medication, therapeutic options, alternative therapies or surgical intervention.
  • Pelvic Inflammatory Disease (PID). PID is an infection of the upper reproductive organs. It occurs when bacteria move upward from the vagina and cervix to the uterus, ovaries, or fallopian tubes. Most cases stem from sexually transmitted diseases (STDs), generally gonorrhea and chlamydia. When the STD goes untreated, the bacteria that caused it can lead to PID. PID can cause serious long-term problems like infertility, ectopic pregnancy, and chronic pelvic pain. Although PID can threaten your health and cause infertility, it can be prevented and treated.
  • Pelvic Floor Disorders Pelvic floor disorders occur when the pelvic muscles and connective tissues that hold the pelvic organs in place are weakened or injured. Because of the great stress pregnancy and childbirth exert on the pelvic floor muscles, pelvic floor disorders are very prevalent in women who have had multiple childbirths. The most common type is prolapse, or a dropping down of the uterus or bladder. Vaginal prolapse occurs when the top of the vagina loses support and can drop through the vaginal opening. Prolapse can affect the bladder, the uterus and cervix, the vagina, and the rectum. Treatment can range from exercise to surgical intervention depending on the type and severity of the disorder. Symptoms can include urinary or fecal incontinence and feelings of heaviness or pulling in the pelvis. Pearl Women’s Center practitioners are experts in the diagnosis, treatment and surgical correction of pelvic prolapse. We offer the least invasive options available to achieve the highest chance of success.