While the pain patient is being evaluated, the gender of the patient is peculiar. Pain assessment in women will provide better results with different perspectives.
CONTINUOUS (CHRONIC) PAIN IN WOMEN
Studies have shown that men and women have different disease experiences. Biological, psychological and sociological factors form the basis of this. The difference between the two sexes in terms of perception, transmission and feeling of pain in the brain; chemical, metabolic, physical and hormonal changes.
Men and women have different attitudes towards pain due to different social roles. While women describe their pain in fine detail, men are reluctant to tell about their pain. Men and women have different social roles expected of them in society. Different social expectations about gender also determine the response to painful stimuli.
Chronic (ongoing) diseases caused by most lifestyles are more common in women. As a result; Severe, frequent and long-lasting painful complaints and diseases are more common in women than in men. Abdominal pains, musculoskeletal pains and headaches are more common in women.
In cases where laboratory data cannot be detected in the early period, physicians; they believe that women have more emotional play and psychosomatic illnesses are common. As a result, women’s pain is often evaluated psychologically and antidepressant treatments are started. Psychosomatic-antidepressant drugs are used more to relieve women’s pain. However, this attitude of physicians causes them to approach their pain in the wrong way, especially for female patients.
Most women experience pain from non-illness causes such as menstruation, ovulation, pregnancy and labor pain. Menstrual pain is very important in women’s experience of pain. 33% of women with menstrual pain have moderate pain, 32% have severe and 14% have excruciating pain. Menstruation pain is a problem of the whole body, this complaint; It is the first indication that the female energy system is not fully balanced. It indicates an imbalance in the hormonal system that forms the basis of the female energy system.
The organs that control bodily functions in the female energy system work together in many cases to maintain balance. Daily chemical, physical, social and vital stresses; It directly affects the hormonal system working as a whole, disrupting its balance. The hypothalamus, pituitary, thyroid, adrenal gland, ovaries and uterus work together to keep this hormonal system in balance. Information on the thyroid (goiter)/uterine connection has shown that in the female body, these organs work together to balance the body. A woman with a thyroid problem must have an imbalance in her uterus. The uterus is the target organ for many hormones. An imbalance in the target, that is, in the uterus, causes an imbalance in the whole body. For this reason, removal of the uterus, changes in bleeding and menopause, changes and complaints occur in the whole body. This information was in response to how surgery performed anywhere on the female body could make other parts of the body sick and cause unexplained complaints.
When an operation is performed on the female body, the harmony of the female organs is greatly affected. Complaints arise that will cause new surgeries to be performed again. The reason for all these is the hormonal imbalance of the body and the imbalance in the uterus. The main problem in lower abdomen, groin, waist, leg and hip pains is unnoticed or untreated imbalances in the uterus.
After the hormones are finished, they are retained by the liver, destroyed and given to the production again. In cases where the liver cannot function adequately, similar hormonal imbalances are caused. Various painful complaints occur as a result of hormonal imbalances in liver failures.
Two of the important hormones that cause menstrual imbalance and pain in women are estrogen and progesterone. During menstrual periods, women may be exposed to spiritual tides due to hormonal imbalances. Rising estrogen levels trigger the desire to eat in women, paving the way for new ailments. When diet, lifestyle and environmental factors are controlled, female energy system organs such as ovaries, uterus and thyroid cause less problems. During these periods of imbalance, if food is not taken care of and if animal foods containing artificial hormones (milk, cheese, eggs, meat) are consumed excessively, the female energy system will deteriorate more. For this reason, it is absolutely necessary for women to stay away from artificial hormones.
Imbalances in the female energy system often manifest as pain. In this case, pain in women, which starts as a symptom of disease, is not treated in a timely and correct manner, leading to chronic diseases and organ loss. For these reasons, ongoing diseases in women are also common.
CAUSES OF PAIN SPECIAL TO WOMEN
In recent years, the importance of gender differences in pain science research has increased. In particular, the complex and special nature of women’s energy systems has revealed the need to approach these patients with more specific information. If we summarize the main painful diseases that are common in women and caused by gender differences:
1. Premenstrual Syndrome (PMS : PreMestrous Syndrome)
a.PMS-Type A – Anxiety (restlessness, moodiness)
b.PMS-Type C – Craving for Food (increased appetite)
c.PMS-Type H – Hydration (Swelling, edema)
d.PMS-Type D – Depression (unhappiness, malaise)
2. Painful Menstruation (Dysmenorrhea) and/or Midmenstrual Pain (Mıttelschemerz)
3. Residual Ovarian Tissue Syndrome: Pain After Gynecology and Obstetrics Operations Syndrome
4. Chronic Pelvic Pain Without an Obvious Cause
5. Uterine Retroversion-Painful Sexual Intercourse (Dyspareunia)
6.Repetitive Painful Functional Ovarian Cysts
7. Presence of Uterine Wall Cells in Different Places – Endometriosis
8. Posterior Parametritis
9. Tuberculous salpingitis
10. Rectal, Perinaeal and Genital Pain of Psychological Origin
1. Premenstrual Syndrome (PMS) : Premenstrual Syndrome)
PMS is a problem of the whole body. In women, the health of the whole body directly depends on the health of the female system. The cause of PMS; There may be an imbalance in the hormonal system of the body and in the uterus. Other reasons are; It could be another organ problem in another distant part of the body, a surgical site, or an emotional injury that affects the hormonal system. Hormonal imbalances often initiate PMS and other menstrual irregularities.
In extreme situations of constant stress, the adrenal gland is forced to produce intense adrenaline. In this case, the balance of the entire hormonal system is disturbed. If the liver cannot function adequately, the secreted hormones cannot be sufficiently destroyed and removed from the environment. In this case, hormonal imbalances occur. Intensive consumption of animal foods (including eggs) and out-of-season vegetable foods containing synthetic hormones also cause hormonal imbalances.
Being sexually abused in childhood, mostly as an emotional cause, is a frequently encountered problem. The conscious mind hides this abuse experience in their bodies, especially in their female organs, even if they are not aware of it.
Biological resolution of organ problems, physical abuse can be brought to the surface and destroyed with psychological support. PMS treatment should be carried out with holistic body treatments that will be organized as a result of holistic evaluation of the body.
According to Guy Abraham’s research, PMS has been defined in the following types.
a. PMS-Type A – Anxiety (irritability, moodiness): Mood changes such as extreme fear, distress, irritability, vulnerability, insecurity are the characteristics of this type of PMS. In case of various mineral deficiencies, the body tries to complete these deficiencies with the consumption of refined salt (NaCl) due to its similarity to these minerals. Refined salt causes water retention in the brain and other body organs. This situation causes anxiety and other mental changes during the menstrual period in women with type A PMS. For this, foods with high refined salt content, namely; Processed foods such as ready-made soups and processed dairy products should be avoided.
In these patients, neural therapy interventions to be applied by holistic evaluation and food supplements determined by kinesiological examination will provide rapid recovery. As a food supplement; Minerals such as chromium, zinc, especially B complex (B6, B12) and other specified vitamin supplements will provide significant support.
b. PMS-Type C – Cravings for Food (increased appetite): Many women have cravings for food a week or ten days before their period. In particular, PMS-Type C patients have an irresistible craving for sweets and sugar. On the basis of this, there is a predisposition to hypoglycemia (low blood sugar), as an example of a hormonal imbalance. Low blood sugar is a kind of hormonal balance disorder and can cause increased headache. In these patients, low blood values, that is, anemia, are frequently encountered.
In PMS-Type C, neural therapy interventions to be applied by holistic evaluation and food supplements to be determined by special (kinesiological) examination techniques will provide rapid improvement. As a food supplement; Intake of minerals such as magnesium, iron, chromium, zinc, and consuming especially green fresh seasonal vegetables, undercooked or raw, will provide significant support.
c. PMS-Type H – Hydration (Swelling, edema): This type of women feel general swelling in the premenstrual period and complain about this situation. The body of these women swells more easily than others and is subject to inflammation, inflamed. Some develop rashes in the thyroid region of the cheeks and neck, with obvious red spots. Others experience painful tense muscles, muscle stiffness and water retention.
PMS – In Type H women, sensitivity to various foods has been proven to be responsible for this swelling of allergies. Serious weight gains such as 1-3 kilos can be encountered overnight or in a short time. The swelling is mostly in the ankles and hands, together with pain and stiffness in all joints. Especially when the swelling areas on the feet are pressed with a finger, a situation with a dimple in the skin occurs.
In type H women, identifying foods with food sensitivity (allergy) and removing them from their diets stops swelling and inflammation in the body. It is possible to determine food sensitivity kinesiology and with special tests (see Chronic painful diseases and food sensitivity). Eating foods selectively and salt restriction practices control swelling. For this, foods with high salt content; Processed foods such as ready-made soups and processed dairy products should be avoided.
Again, it would be beneficial for these women to stay away from foods containing caffeine and coffee varieties. Apart from coffee, caffeine-containing teas, various cold drinks and medicines (Geralgine K etc.) should be avoided. These products cause more inflammation, inflammation and swelling in the body. In addition, caffeine adversely affects hormone production, causing hormonal disorders. It is inconvenient for these women to consume cigarettes, it causes more severe effects than other women. In these, smoking increases the cell oxygen consumption and raises the body temperature more.
It is beneficial for women in this group to take B complex vitamins and magnesium support. It may be recommended to use natural diuretic, herbal products (parsley juice, celery, bearberry, etc.) for short periods of time. In addition, the diet of these women should include omega 3, 6, 9 fatty acids. Although these fatty acids are abundant in flaxseed oil, grape seed oil, these oils should be used in salads or directly without heating.
d. PMS-Type D – Depression (unhappiness, malaise): Women in this group experience extreme mood swings. This behavior is an intense reaction to situations that would not normally cause an emotional response. Depression develops as a result of excessive accumulation of progesterone hormone in the body. Another cause of depression can be heavy metal (lead) accumulation in the body. Additional symptoms are irritability, forgetfulness, sleep disorders such as frequent waking, and numbness in the legs and arms. Numbness in the arms and legs can cause serious movement restrictions. In these cases, various radiological film images are made, leading to diagnoses such as lumbar hernia and neck hernia, causing patients to undergo unnecessary surgery. For these reasons, various screwing and prosthesis operations are performed on these patients after many waist and neck hernia operations, creating more inextricable situations. However, while herniated disc is more common in men, more women have to have herniated disc surgery in some hospitals.
Women in this group should avoid refined sugar and other processed carbohydrates that trigger mood swings. They are seriously damaged by strong stimulants such as coffee, ready-made soft drinks and alcohol, and they should be protected. It is beneficial to stay away from all kinds of spicy foods and to feed them with seasonal fruits, vegetables and cereals, especially during depressive periods when menstrual periods are approaching.
Vitamins B and E, minerals such as magnesium and zinc and certain amino acids (Thyrosine, L-Phenylalanin, L-Glutamine etc.) will be beneficial in the treatment of this group of women. Herbal teas such as chamomile tea can be preferred as a sedative.
“Complementary Medicine” applications such as neural therapy, acupuncture, kinesiology, phytotherapy, balanced diet will provide treatment for all types of PMS (Premenstrual Syndrome). The use of diet, vitamins, minerals, amino acid supplements, neural therapy and micro-acupuncture methods can successfully provide body balancing for the disorders detected in the kinesiological examinations and “vegatest” results of women suffering from PMS. These applications, which we have been trained in, are the methods that are successfully applied within our pain center.
2. Dysmenorrhea (Painful Menstruation)
There are two types of dysmenorrhea: primary dysmenorrhea and secondary dysmenorrhea.
Pain in primary dysmenorrhea is not due to any identified structural cause.
In secondary dysmenorrhea, pain is present with structural organic anomaly.
The frequency of dysmenorrhea is quite high and the related studies differ. In one study, 72% of 19-year-old girls were shown to have dysmenorrhea.
2-A. Primary Dysmenorrhea (Primary Painful Menstruation)
There is no structural defect in primary dysmenorrhea. It usually starts a few months after the first menstruation and lasts for several years. The pain is usually colic and mild. Pain is characterized as severe when daily activities are inhibited. In most, the pain begins half a day before menstruation and lasts less than a day. There are periods of pain that start with or two days before menstruation and last for a maximum of two days. In 25% of the patients, a continuous pain develops independent of menstruation. The pain usually develops symmetrically in the pelvis, around the pelvis, and in the lower abdomen.
It radiates in the back to the thigh area, hips, lower back, back and is continuous (ongoing-chronic) in 25% of patients. When low back, hip, leg pain is in the foreground, these complaints are confused with herniated disc or hip joint pain. Even operations can be performed by connecting false positive disc hernia images in radiological imaging methods such as MRI. Diagnoses in favor of rheumatological diseases such as sacroiliitis and ankylosing spondylitis can be made due to pain reflected in the hip and misleading changes in radiological images in the pelvis (sacroiliac) joint.
If primary dysmenorrhea is severe, nausea, vomiting, diarrhea may occur. It may cause separation from work and school by limiting daily activities, and may disappear on its own within a few years. But it disappears after the first birth in 8 out of 10 patients.
Although traditional medicine has not determined the exact cause, it is thought that the pain may be due to increased cervix tension, absence of normal menstrual relaxation, a temporary obstruction in blood flow, accompanied by increased prostaglandin synthesis. Therefore, instead of therapeutic methods, he only uses painkillers. In severe cases, birth control drugs are used for pain control. However, adequate pain treatment cannot be provided, and pain can only be temporarily reduced to some extent.
Modern approaches have determined that these patients have a hormonal imbalance, an imbalance in hormone quality or hormone receptors in the hormone target organ (uterus) even if hormone levels are normal. In these patients, these disorders can be detected by special examination methods (kinesiological) and advanced tests (Vegatest). In particular, uterine receptor imbalances associated with the thyroid gland should not be overlooked. The histories of endocrine-hormonal diseases and thyroid hormones of the patients should definitely be reviewed.
In these patients, the causes of hormonal imbalance can be determined with special examination methods (kinesiology) and special tests (vegatest) to be performed with a holistic approach. As a result of the finalization of the diagnosis, medical treatments, neuraltherapeutic interventional pain treatments and complementary phytotherapeutic treatments can provide permanent recovery.
2-D. Secondary Dysmenorrhea (Secondary Painful Menstruation)
If the pain is due to a cause, it is called secondary dysmenorrhea. Pain can be felt in the pelvis, thighs, buttocks, lower lumbar region. Pain is caused by endometriosis, adenomyosis, submucosfibroids, and various types of obstructive dysmenorrhea and is often unilateral. In these patients, back, hip and leg pain, which is exacerbated in some periods, is unilateral and when dysmenorrhea is not considered; Even unnecessary operations can be performed by connecting false positive disc hernia images in radiological imaging methods such as MRI. Due to the pain reflected in the hip and the misleading changes in the radiological images of the pelvis (sacroiliac) joint, diagnoses in favor of rheumatological diseases such as sacroiliitis and ankylosing spondylitis can be made and long-term chemical drug treatments can be performed.
a) Endometriosis
The most common symptom is increased pain during menstrual periods or continuous menstrual-like pain. The pain lasts throughout the period, sometimes for more than a day. It is the situation where some cells from the uterine tissue settle in the extrauterine regions. Cause-oriented treatments are applied. Phytotherapeutic treatments that act as organic hormones in the treatment of pain give successful results. Again with a holistic approach, balancing hormonal irregularities with neural therapy gives successful results.
b) Adenomyosis
The presence of uterine surface tissues as small islets in the uterine muscle layer is called adenomyosis or endometriosis interna. The most common complaints are bleeding disorders and pelvic pain. Menstruation usually progresses with severe pain and the patient may be deprived of activities. Adenomyosis often leads to infertility.
Pain and abnormal bleeding disappear after menopause. However, patients usually have to undergo hysterectomy (removal of the uterus by surgery) before menopause for these reasons.
With interventional neuraltherapeutic pain treatments, pain treatment is possible as a result of correction of pelvic lymphatic-venous blood flow. Especially when hormonal imbalance is treated with natural phytotherapeutic medical products, pain control and other complaints can be permanently improved with neuraltherapeutic interventional treatments. Operations performed only on patients with persistent pain and bleeding cause other problems such as severe back, hip, leg numbness and pain later on.
c) Fibroids
They cause colic pain when they extend from the uterine muscle structure to the uterine cavity or when they close the uterine horn. Rarely, they are treated surgically.
d) Obstructive Dysmenorrhea (Occupational Menstrual Pain)
Secondary dysmenorrhea, which occurs when the menstrual blood flow is congenitally or acquired, is defined as obstructive dysmenorrhea.
Congenital pain usually occurs a few months after the onset of menstruation, when enough blood has accumulated to stretch the vagina or uterus. When the hymen is completely closed, menstrual blood accumulates in the vagina and painful menstruation occurs before the menstrual blood comes. In the presence of a double uterus, menstrual pain is unilateral when there is fluid accumulation in one of them.
Various congenital anomalies can lead to secondary dysmenorrhea. Acquired forms occur with adhesions after surgery such as removal of the cervix (cervical amputation), electrocautery or conization applications. Diagnosis can be made depending on the history of the disease and clinical examination.
2-C. Psychologically Induced Dysmenorrhea
It was observed that the dysmenorrhea examined in this group were not as frequent as exaggerated. When no organic cause is found and a neurotic structure or another psychological source is found in the psychological evaluation, the diagnosis is made as psychologically originated dysmenorrhea.
These patients can be diagnosed and treated with special examination (kinesiological) methods. When the underlying disorder is hormonal imbalance; Neural therapy applications together with phytotherapeutic medical treatments will contribute to recovery.
2-D. Mid-menstrual Pain (Mıttelschemerz)
Mid-menstrual pain progresses with pain on the days of ovulation. The pain may occur on the same or altered side of the pelvis, or it may be felt in the entire lower abdomen. The disease manifests itself as recurrent pain during ovulation. The pain can last from a few hours to a day or two, sometimes up to four days. When its severe form is accompanied by intra-abdominal bleeding, tenderness is detected in the lower abdomen. The increase in muscle tension created by the contractions of the ovary, canal wall or muscle layer of the maturing egg is held responsible. In addition, it may rarely develop due to the endometriosis focus.
Mild analgesics are sufficient. Pain can be prevented with drugs containing estrogen. If severe forms are accompanied by intra-abdominal bleeding, interventional laparoscopy may be required.
Such ongoing painful conditions may be due to hormonal imbalance. In these patients, as a result of special kinesiological examination methods, phytotropic hormone treatments and interventional pain treatments that will be evaluated with a neuraltherapeutic holistic approach, permanent improvements can be achieved.
3. Residual Ovarian Tissue Syndrome: Pain Syndrome after Gynecology and Obstetrics Operations
As a result of cesarean section, removal of uterus and/or ovaries, uterine scar tissue or surrounding cut organs-tissues Painful conditions due to residual ovarian tissue syndrome are called. Traditional medicine methods recommend surgical intervention as a treatment in these patients and recommend careful removal of the remaining ovarian and scar tissue. However, these surgical interventions cannot provide pain relief.
As a result of the fact that women who were subjected to the operation due to gynecological diseases and obstetrics had to undergo surgery one after another due to many diseases (goiter, gallbladder, herniated disc, hip, knee, hemorrhoids, fissures, etc.), the research was deepened. Recent developments; It is in the direction that the scar tissue of the operation performed creates an “impairing area”. As a result of the removal of the uterus and ovaries, which are the target organs of many hormones, or injury due to surgery, severe pain in the form of numbness and burning may occur in the lower abdomen, both or unilateral hips and legs. Due to the removal of the uterus, which is the target organ of many hormones, hormonal imbalances are also caused and many different complaints arise from sleep disorders to depression. These patients are exposed to different back surgery interventions with lumbar hernia diagnoses as a result of MR imaging methods, but recovery cannot be achieved. Some patients are treated for rheumatological diseases, which will last for many years, with diagnoses such as sacroiliitis.
In these patients, it is beneficial to detect and treat the interference field with kinesiological examination methods and hormonal imbalances with special blood tests (vegatest). Correction of disruptive field treatments with interventional pain treatments and neural therapy, and treatment of hormonal imbalances with phytotherapeutic (organic herbal) medical products and neuraltherapeutic hormonal axis injections give successful results.
These patients should not be directed to unnecessary and unsuccessful new surgeries. Thus, the patient will be protected from an operation that will not be necessary and may not provide adequate treatment. Successful results are obtained with these applications in our pain clinic.
4. Chronic Pelvic Pain with No Obvious Cause (Lower Abdominal-Lower Waist) (Bpogkpa)
There are complaints of ongoing, recurrent pelvic pain for which no cause or damage is found. Pain originates from sex or urinary tract organs. Chronic pelvic pain without obvious pathology (BPOGKPA); It is the new name for pelvic pain that has been known for more than a century and has been given various names such as pelvic sympathetic syndrome and cannot be attributed to an obvious pathology.
In order to diagnose BPOGKPA, at the end of the diagnostic studies;
1) Pain has the character of gynecological pain;
2) Despite the laparoscopic examination, a known cause of gynecological pain should not be detected in the patient.
Most of the patients complain of unexplained pelvic pain and severe sexual intercourse pain. The most important complaint is lower abdomen and/or lower back pain. The pain may be present in one, both of the pelvis, or commonly in the entire lower back and/or abdomen. Low back pain can be felt in the lower back and hips. Pain complaints are more severe before menstruation and decrease in the first and second days of menstruation. Abdominal examination may reveal pain in the ovarian regions. Uterine examination can be sensitive. On examination from below, pain can be detected in the uterus and ovaries. The vagina is often congested and edematous.
Recently, many reasons have been put forward that may contribute to this ailment. Complaints of some of the patients; sakrouterinligamanın veya geniş ligamanların biri veya ikisinin posterior kısımlarının travmatiklaserasyonuna bağlı olduğu düşünülmektedir. Venöz kan ve lenfatik sıvı dolaşım faktörlerinin süregelen ya da aralıklı alt karın ağrısına yol açabileceğine dair bulgular mevcuttur. BPOGKPA olgularında pelvis ve rahmin kan ve lenf dolaşım tetkiklerinde duraganpelvik kanlanma saptanmış, bu durumun tek başına etken olamayacağı düşünülmüşse de, pelvik varislerin varlığı ağrının ana nedeni olarak kabl görmüştür.
Son araştırmalardaki “Bozucu Alan” teorileri bu tabloyu açıklamakta daha etkin görünmektedir. Kadınlarda adetlerle değişen rahim, over dokuları ve bölgedeki kan-lenf dolaşımı bozuklukları dolayısı ile damar yapıları “Bozucu alan”lar gibi davranarak bu açıklanamayan ağrıların sebebi olabilir. Aylık adetler, kızlık zarının yırtılması, düşük, küretaj, rahimiçi araç kullanımı, doğum, rahim ağzı yara-yırtıkları, sezaryan ve diğer pelvis-alt karın bölgesi am
