Ask an Endo Surgeon | How Does Endometriosis Impact the Pelvic Floor?
Dr. McHale explains how endometriosis impacts the pelvic floor nerves and muscles.
Dr. Melissa McHale, M.D., is a Gynecologic Surgeon and Endometriosis Excision Specialist. She has performed over 300 complex excision of endometriosis cases and she has extensive experience with sacral neuromodulator implants, transvaginal ultrasound diagnostics, and the management of pain and fertility in endometriosis patients. Dr. McHale completed her OB/GYN residency at Johns Hopkins before completing a two-year fellowship with Dr. Andrea Vidali, a world-renowned surgeon specializing in endometriosis, miscarriage, and reproductive immunology at Braverman Reproductive Immunology and Endometriosis Surgery.
At Pelvic Rehabilitation Medicine™, we believe that the millions of women and men who suffer from pelvic pain should have access to care that provides relief. We don’t believe “a glass of wine will fix it” or that “it’s all in your head”. We will never abandon you – and from leadership to the front office to every pelvic pain specialist you meet, so much of our team has been in your shoes and believes the pelvic pain patient deserves better. This belief is what unifies us all at PRM.
Since 2017, PRM has provided an innovative solution to a health crisis that affects 15% of women and 10% of men. Persistent pelvic pain is often overlooked, untreated, and misguided. At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.
We offer a proprietary, simple, office-based procedure to treat the symptoms of chronic pelvic pain. The PRM Protocol™ consists of a series of pelvic nerve and muscle treatments to directly target inflammation in the pelvis and nerve pain. Depending on the condition causing your pelvic pain, other modalities may be needed in addition to our treatment.
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I'm Dr. Melissa McHale. I'm an endometriosis excision surgeon with PRM in the DC area. And recently somebody asked me, how does endometriosis impact the pelvic floor? And the answer is that for a lot of patients, having pain and inflammation and changes to the anatomy within the pelvis adds up over time.
And it causes the muscles and the nerves and the joints of the pelvis to all undergo an enormous amount of stress. And those things develop a ton of tension. And so when that happens, the pelvic floor can become dysfunctional, where it basically responds to someone living in pain for a long time and becomes an independent generator of pain.
And that's something where fixing or removing the endometriosis is the first step to remove the trigger that's causing that pain. Often it takes a team approach with physiatry, with physical therapy to come up with ways to retrain the nerves and the muscles of the pelvis and really undo the damage that endometriosis has been doing for so many years, to help patients feel better from pelvic floor dysfunction.
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