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Re: Pelvic Pain caused by depression?From: Abby (anonymous@obgyn.net)Thu, 18 Jul 2002 12:04:16 -0500 (CDT)
At Thu, 18 Jul 2002, Anonymous wrote: > >Would someone please explain how depression can be a CAUSE of pelvic >pain? This makes no sense to me at all. Is the suggestion that >depression literally causes pain in the pelvic region or that the pain >is imagined? How is pain imagined if it nearly cripples you over when >you try to stand or walk? And how is a diagnosis reached that depression >is the root of the problem? > >-- >Thank you in advance.
>Anonymous, First, all physical reasons for pelvic pain should be ruled out. I'm not a doctor, but I would think tranvaginal ultrasound and laproscope would be used to find things such as fibroids, cysts, endometriosis, and congestion (sort of like varicose veins in the pelvic area). Another thing to check might be "referred pain" where you feel pain in the pelvis, but the problem is from another part of your (and I don't mean in your head). The signs of depression are usually pretty obvious even to a non-medical person and you could probably easily find a list of symptoms on the internet. I wouldn't readily accept a diagnosis of depression if you don't exhibit , for example changes in eating or sleeping habits, AND all the physical causes haven't been ruled out. I'm not a medical professional, but if they can't explain to you HOW depression causes pain, then find a new doctor.I don't think you need to be a psychiatrist to provide some sort of medical explanation to a patient- it seems like med school 101 to me.I would be far more willing to believe the reverse: that pain is causing depression. Doctors who want to throw pills at you such as Prozac, Paxil without thoroughly ruling out the cause, and w/o substantiating "depression" are lazy.
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