Let's Talk Chronic Pelvic Pain

Summary: In this episode, we sit down with Dr. Lara Harvey to discuss pelvic floor dysfunction—what it is, how it’s diagnosed, and the full spectrum of treatment options available. We review the basics of pelvic floor anatomy and walk through what to expect during a pelvic exam, including how clinicians assess muscle tension, coordination, and pain. Dr. Harvey then breaks down evidence-based treat...

In this episode of "Let's Talk Chronic Pelvic Pain," Dr. Annie Apple interviews expert Dr. Melinda New to shed light on two causes of pelvic pain: vaginismus and vulvodynia. If you're dealing with pelvic discomfort related to these conditions or just want to deepen your understanding, this episode provides valuable insights into diagnosis and treatment options. Outline: Overview of vaginismus: inv...

Summary: In this episode of Let’s Talk Chronic Pelvic Pain , we’re joined by Dr. Ryan McGowan, Assistant Professor of Clinical Anesthesiology and Pain Medicine, to explore the complex world of chronic pain and central sensitization. Together, we break down how pain is processed in the body, why it can persist even after an injury heals, and what treatment options are available including medication...

Summary: Dr. Annie Apple and Pam Waynick-Rogers DNP WHNP discuss how trauma-informed care can transform the approach healthcare providers take, especially during sensitive procedures like pelvic exams. This episode explores patient autonomy, the impact of trauma, and how to advocate for a safe, supportive environment for patients with pelvic pain or trauma histories. Outline: What is trauma-inform...

Summary: In this episode, Dr. Annie Apple and Dr. Michelle Weyhaupt, a psychiatrist and specialist in women's mental health, delve into the significant connection between mental health and chronic pelvic pain, aiming to destigmatize these conditions and affirm their validity. We explore the physiological and psychological aspects, offering insights into comprehensive treatment approaches. Outline:...

Summary: Curious about pelvic floor physical therapy and how it can transform your health? In this episode, we dive into what pelvic floor PT is, who can benefit, and how the assessment and treatment process work, exploring a specialized and often misunderstood field. Outline: What is pelvic floor physical therapy and which conditions does it treat? Differences between hypertonic (high tone) and h...

Summary: In this episode of Let's Talk Chronic Pelvic Pain , Dr. Annie Apple interviews clinical psychologist Dr. Susanna Sutherland, PhD to explore how mental health and coping skills play a crucial role in managing chronic pelvic pain. They discuss practical strategies for developing positive coping mechanisms, addressing emotional challenges like grief and loss, and navigating therapy options—e...

Summary: This episode explores the impact of pelvic pain on sexual function, emotional well-being, and relationships. It covers common sexual health disorders related to pelvic pain, such as hypoactive desire and pain with penetration, and discusses the emotional challenges like shame and anxiety that can arise. The episode highlights treatment options, including medications, pelvic floor physical...

Summary: This episode of Let's Talk Chronic Pelvic Pain delves into adenomyosis and uterine fibroids, two significant causes of chronic pelvic pain. Dr. Howard Curlin explains the anatomy of the uterus, the symptoms associated with adenomyosis and fibroids, and the challenges in diagnosis. The conversation also covers various treatment options, including medications and surgical procedures, while...

Summary: The episode provides an in-depth look at endometriosis treatment, focusing on surgical options such as diagnostic laparoscopy, excision, and ablation techniques. It discusses the factors influencing surgical planning, including disease severity and location, and the choice between conservative and definitive surgery. The episode also covers the importance of preoperative health optimizati...

Summary: In this episode of Let’s Talk Chronic Pelvic Pain , Dr. Annie Apple and Dr. Nick Quam begin a two-part series on endometriosis by focusing on medication and non-surgical treatment options. They review the hormonal basis of endometriosis and explain how treatments like birth control, progesterone therapies, and GnRH-modulating medications work to reduce inflammation and pain. The episode a...

Summary: In this inaugural episode of Let’s Talk Chronic Pelvic Pain , Dr. Annie Apple introduces the mission behind the podcast: providing clear, evidence-based, and accessible education for people navigating chronic pelvic pain. Joined by Dr. Teale Muir, a fellow in Complex Benign Gynecology, we define chronic pelvic pain, discuss how common it is, and review the wide range of conditions that ca...