Pelvic Conditions & Pelvic Pain Treatment in Los Angeles

Precise Diagnosis, Tailored Treatment, and a Clear Path Toward a Pain-Free Future

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What is Pelvic Pain?

Pelvic pain is discomfort or aching in the lower abdomen and pelvic region that can range from occasional to constant and debilitating. Persistent pelvic pain affects an estimated 15% of women at some point in their lives. Despite its prevalence, pelvic pain is often underdiagnosed, undertreated, and ignored, leaving many patients struggling to find answers and relief.
Whether caused by endometriosis, pelvic adhesions, fibroids, nerve conditions, or other gynecologic or urologic issues, pelvic pain can have a profound effect on daily activities, work, intimacy, and quality of life.

What Causes Pelvic Pain?

Pelvic pain can be linked to one or multiple overlapping conditions. Common causes include:
Endometriosis
Growth of endometrial tissue outside the uterus, often leading to inflammation, scarring, and chronic pain.
Pelvic Adhesions
Bands of scar tissue that bind pelvic organs together after surgery, infection, or inflammation.
Fibroids
Noncancerous growths of the uterus that can cause heavy bleeding, pelvic pressure, and pain.
Pelvic Inflammatory Disease
Infection of the female reproductive organs that may cause lasting damage.
Nerve Conditions
Pudendal neuralgia or other nerve entrapments that trigger chronic pelvic or genital pain.
Musculoskeletal Disorders
Muscle tension or dysfunction in the pelvic floor.
Reproductive and Menstrual Disorders
Such as painful periods (dysmenorrhea), which may or may not be associated with underlying conditions.
Woman in Los Angeles with persistent post-surgery pain from bands of scar tissue.

What Are Pelvic Adhesions?

Pelvic adhesions are bands of scar tissue that form between pelvic organs, often after surgery, infection, or inflammatory conditions like endometriosis. These adhesions can tether organs together, restrict movement, and cause persistent pain, infertility, or bowel and bladder dysfunction.

Treatment typically requires expert surgical intervention to carefully separate the scar tissue without creating further adhesions, something best handled by the best minimally invasive gynecologic surgeon in Los Angeles.

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How to Treat Pelvic Conditions

Effective pelvic pain treatment starts with identifying the root cause through detailed history, advanced imaging, and, when needed, diagnostic laparoscopy.

Dr. Siedhoff is a world-renowned gynecologic surgeon in Los Angeles, recognized as the best endometriosis excision surgeon in Los Angeles and best laparoscopic gynecologic surgeon in Los Angeles. He offers advanced, individualized treatment options, including:
Excision of Endometriosis
The gold standard for removing all visible disease while preserving healthy tissue.
Lysis of Adhesions
Carefully releasing scar tissue to restore organ mobility and reduce chronic pain.
Appendectomy
Removal of the appendix when it contributes to pelvic pain or is affected by endometriosis.
Presacral Neurectomy
Interrupting nerve pathways to reduce severe, treatment-resistant pelvic pain.
Myomectomy
Removal of fibroids while preserving the uterus for women who desire future fertility.
Supracervical Hysterectomy
Removal of the uterus while leaving the cervix intact.
Total Hysterectomy
Removal of the uterus and cervix for definitive treatment of certain pelvic conditions.
Oophorectomy
Removal of one or both ovaries when they are a source of pain or disease.
Collaborative Surgical Care
Partnering with urology, colorectal surgery, and pain management specialists when needed.
Non-Surgical Therapies
Pelvic floor physical therapy, medication management, and lifestyle adjustments to alleviate symptoms and improve quality of life.

FAQs About Pelvic Conditions

Is a painful period normal?
What are some painful period remedies?
How do I know if I need surgery for pelvic pain?

where to find the best minimally invasive gynecologic surgeon in los angeles

Debilitating pelvic pain is frustrating when you don’t know the cause or the cure. If you’re seeking answers, relief, and restoration of quality of life, board-certified and fellowship-trained, Dr. Matthew Siedhoff is recognized as one of the best minimally invasive gynecologic surgeons in Los Angeles. Regarded for his unparalleled surgical skill, deep compassion, and commitment to listening to each patient’s story, he has successfully treated some of the most complex pelvic pain cases at our conveniently located Beverly Hills office, serving greater Southern California.

From diagnosing hidden causes to performing advanced laparoscopic and excision surgeries, Dr. Siedhoff provides comprehensive, patient-centered care that addresses both symptoms and their underlying sources. If you’re ready for clear answers and a clear path toward true, lasting pain relief, contact us today for a consultation.

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