Dr. Vahora, MD, FACOG
For millions of women, pelvic pain is an unwelcome companion that disrupts daily life, strains relationships, and diminishes quality of life. Whether caused by endometriosis, uterine fibroids, or other conditions, this pain is not something you should accept as “normal” or endure in silence. According to Dr. Parveen Vahora, MD, effective treatment options exist that can help you reclaim your life.
Understanding the Conditions
Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, often on the ovaries, fallopian tubes, or pelvic tissue. This condition affects approximately one in ten women of reproductive age and can cause severe cramping, heavy periods, pain during intercourse, and infertility. The displaced tissue responds to hormonal changes just like uterine lining, leading to inflammation, scarring, and debilitating pain.
Uterine fibroids are non-cancerous growths that develop in or around the uterus. While some women experience no symptoms, others suffer from heavy menstrual bleeding, prolonged periods, pelvic pressure, frequent urination, and lower back pain. Fibroids can range from tiny seedlings to bulky masses that distort the uterus.
Both conditions share common symptoms, including chronic pelvic pain that can significantly impact work, relationships, and mental health. Many women wait years before receiving an accurate diagnosis, often dismissed with suggestions that their pain is “just bad periods.”
Medication Options
Dr. Vahora emphasizes that treatment should be personalized based on symptom severity, desire for future pregnancy, and overall health. For many women, medication provides effective relief.
Hormonal therapies, including birth control pills, hormonal IUDs, and progestin therapy, can help manage endometriosis by reducing or eliminating menstruation, thereby decreasing pain and slowing endometrial tissue growth. GnRH agonists create a temporary menopause-like state, shrinking endometrial implants and providing significant pain relief.
For fibroids, similar hormonal medications can reduce heavy bleeding and shrink fibroids. Tranexamic acid helps control excessive menstrual bleeding, while nonsteroidal anti-inflammatory drugs (NSAIDs) address pain and inflammation. Newer medications like GnRH antagonists can shrink fibroids while causing fewer side effects than older treatments.
Surgical Solutions
When medication proves insufficient, surgical options offer more definitive relief. For endometriosis, laparoscopic surgery allows surgeons to remove or destroy endometrial tissue through small incisions, often providing significant pain relief and improving fertility prospects. In severe cases, hysterectomy may be recommended.
Fibroid treatment includes several surgical approaches. Myomectomy removes fibroids while preserving the uterus, making it ideal for women who wish to maintain fertility. Uterine artery embolization blocks blood flow to fibroids, causing them to shrink. Focused ultrasound surgery uses sound waves to destroy fibroid tissue non-invasively. For women who have completed childbearing and experience severe symptoms, hysterectomy offers permanent resolution.
Taking Action
Dr. Vahora stresses that no woman should accept chronic pelvic pain as inevitable. If you experience persistent symptoms, seek evaluation from a specialist who understands these conditions. Tracking your symptoms, pain levels, and menstrual patterns can help your physician develop an accurate diagnosis and effective treatment plan.
Remember, you deserve relief—especially when it comes to intimacy. With today’s treatment options, living with debilitating pelvic pain or painful sex is no longer necessary. Women do not deserve to be in pain during sex, and you shouldn’t have to suffer in silence. We offer MonaLisa Touch, a gentle laser treatment that can help restore comfort and confidence. This Valentine’s Day, give yourself the gift of pain-free intimacy. Don’t wait—reach out to a healthcare provider who will listen, investigate, and work with you to find the solution that’s right for your unique situation.
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DR. PARVEEN S. VAHORA, MD, FACOG: Our practice’s mission is to inspire women to live their best lives by providing compassionate and personalized care. We do everything we can to make you feel as comfortable as possible. For all your women’s health needs, we are here by your side through all phases of life.
Our gynecologist’s office is small, intimate, and welcoming. Women under our care are treated with the utmost respect, which means we offer personalized care, educating them on conditions, treatment options, and preventive measures. Our focus is on sexual health. We are proud to offer the MonaLisa Touch® for patients going through menopause as well as post-menopausal women, breast cancer survivors, and those suffering from pain during intercourse or intense dryness. We also offer genetic testing for breast, ovarian, and colon cancer. From birth control to robotic surgery, we have got you covered.
Trinity Office:
9332 State Road 54, Suite 403, Trinity, FL 34655
727.376.1536