Nothing about Chronic Pelvic Pain

Frustrating for sufferers of chronic pelvic pain is that readily identifiable causes are often ruled-out and the pain persists. I've seen everything from EMG, to salivary hormone testing, to patient assisted laparoscopy with conscious pain mapping promoted or suggested to determine etiology. With a subjective set of symptoms, it seems sometimes a coin toss as to what the chronic pelvic pain is labeled. Polycystic ovary syndrome, interstitial cystitis, and pelvic congestion syndrome are among conditions that are available. Besides the therapies listed below, if you haven't tried progesterone, estrogen, testosterone, Depo-Lupron, metformin, thyroid, biofeedback, pelvic floor therapy (physical therapy), percutaneous electrical stimulation (PENS), percutaneous sacral nerve root neuromodulation (PNT), vein embolization, biomagnetic therapy, and various laparoscopic procedures you haven't done all that has been tried.

All these tests and treatments, and others, have different levels of acceptance and scientific validity within a clinical pathway. Several could be argued either way for many clinical presentations. This demonstrates that medicine is an art; the lucky/wise sufferers see a clinician that is both systematic and scientific as well as intuitive and compassionate.

Unconventional care is often mainstream care in unconventional circumstances. Nothing wrong with that when it's based on scientific observation or sound theory. The material enters the realm of fraud when medical intervention involves deceit, often about the likelihood for definitive (or predictable) outcomes or answers. The more obvious, or perhaps intentional the deceit is, the more it is fraud. Often the deceit surrounding care not based on scientific logic is not obvious, or is altogether absent among ignorance or an error in understanding or judgement. In these circumstances, maybe it's not fraud, it could be just poor practice of the art.