Pelvic Pain

Chronic Pelvic Pain is a common condition seen in our practice. Because male and female pelvic
anatomy is so complex, it can often be challenging to evaluate and treat pelvic pain conditions.

Our center specializes in the diagnosis and treatment of pelvic floor-related pain conditions,
as well as pain conditions relating to the bladder, rectum, vagina or vulva.

Pelvic Floor Spasm

The pelvic floor muscles provide support to all of the pelvic structures, including the vagina,
uterus, bladder, rectum and bowel. Just like any other muscle, these muscle groups can go into spasm,
causing severe or nagging pain. When the pelvic muscles are in spasm, often times, other organs (e.g.
bladder, rectum, vulva) can be affected and result in dysfunction. Our center specializes in the
diagnosis and treatment of pelvic floor spasm. Multiple medical therapies are available. Our in-house
therapies can improve pain due to pelvic floor spasm, and in refractory cases, a variety of procedures
are available for these conditions.

Interstitial Cystitis/Painful Bladder Syndrome

Interstitial Cystitis, or Painful Bladder Syndrome (IC/PBS) is an inflammatory condition within the
urinary bladder which affects 3 to 6 million women in the United States. Symptoms of IC/PBS include pain,
pressure, or discomfort located over the urinary bladder or pelvis which is typically relieved with
urination. IC/PBS is more common in women, although the disease can affect men as well. Dr. Ingber is a
trained physician with vast experience in IC/PBS and can often make the diagnosis, by ruling out some of
the many other similar conditions that can mimick IC/PBS. Initial office evaluations will include a urine
test, a physical exam including a pelvic examination, and occasionally some office-based bladder tests.

Our center is one of the few which offers all the treatment recommendations by the American Urological
Association for IC/PBS.

Vulvodynia

The “vulva” refers to the structures outside the vaginal canal itself, specifically the labia majora
(large lips of the vulva), labia minora (small lips of the vulva), vestibule (entrance to the vagina)
and the clitoris. We see many women, both young and old, who have chronic vulvar pain. This pain may be
described as a burning, achy feeling in the vaginal region. Occasionally it can be worse with sitting,
intercourse, or even with tight clothing.

Our center specializes in treatment options and diagnostic evaluation for vulvodynia. A variety of
options are available, including behavioral therapies, topical and medical therapies, and in refractory
cases, surgical therapy. An in-office evaluation is the first step in the diagnosis and management of this condition.

Urethral Diverticulum

Women with Urethral Diverticulum typically have pelvic and bladder-related pain, related to a pouch which
can develop on the urethra and become inflamed. This condition often goes undiagnosed, and most women coming
to our center have already visited multiple other physicians prior to getting diagnosed. Many women have the
“three D’s” of diverticulum, which include “dysuria” (burning with voiding), “dyspareunia” (pain with sexual
intercourse) and “dribbling” of urine. Dr. Ingber has published extensively on urethral diverticula and has
remained the primary author on one of the largest series published to date on this condition.

Other Conditions

Often times there may be other conditions which are the cause of pelvic pain. Some of the conditions may be
treated by your gynecologist. Occasionally, specialized imaging such as an MRI may be required, or an examination
under anesthesia can be done to properly diagnose your condition.