When They Don’t Have Time for Your Pain

Doctors are supposed to treat all patients equally, but sadly, sometimes they don’t. In fact, if you are a woman, you may actually receive worse treatment for your pain than if you are a man. If being in pain isn’t hard enough— add a doctor who won’t listen, and you can end up depressed, frustrated, and distrustful of the entire medical profession. 

What kind of inconsistencies are happening exactly? Let’s take a closer look. 

  • In a study of almost 1000 patients published in the Academic Emergency Medicine journal, it took women with abdominal pain in an urban emergency department 16 minutes longer than men to be treated. Women were also not as likely to be prescribed opiates. The study concluded that “gender bias is a possible explanation for oligoanalgesia in women who present to the ED with acute abdominal pain.” (Oligoanalegesia is just a fancy term for when pain is undertreated.) 
  • A 2022 article in The Washington Post looked at studies that explored the inferior medical treatment received by women experiencing pain compared to men. This included enduring a longer wait time to be seen for a potential heart attack, or being told they have a mental illness when they had heart disease symptoms. “Among middle-aged women,” that study said, “31.3% received a mental health condition as the most certain diagnosis, compared with 15.6% of their male counterparts.” 

And then there are personal accounts of women struggling for years to receive a proper diagnosis.

Broad City actress Ilana Glazer spoke of her battle to be taken seriously by doctors for pelvic pain. She went undiagnosed for two decades! “I remember being 15 years old and my mom and I sitting there and this doctor telling me that my problem was too problematic for him, and just feeling laughed at and so angry,” she said.  

Essayist Carli Cutchin had to wait 11 years to be told she had a compressed pelvic nerve. The reason? Medical professionals simply didn’t believe that her pain existed.  

Cartoonist Aubrey Hirsch created a comic about being told her ear pain was not significant enough to be problematic. However, when the male doctor looked closer, he discovered it was a ruptured eardrum with an infection. “Why didn’t you say you were in this much pain?” the doctor asked her at the end of the session, even though she had!

A few years ago, when Hillary Koplinka was feeling tired and achy, she was told to participate in yoga by her male doctor for what turned out to be Hashimoto’s disease! 

Maybe you’ve heard stories like these from your female friends and family?

So what can you do? Although the onus shouldn’t be on the patient to get her doctor to listen, there are steps you can take to advocate for yourself.

Zocdoc suggests being thorough in keeping notes about “when, where and how” your pain occurs so you can describe it. Having another person validate your story is also important, be they a friend or relative. It can also help to parrot back the information the doctor shares during the visit. 

Finally, don’t stop until you find a doctor with whom you are comfortable. 

 And if you are having pelvic floor dysfunction pain and live in New York or nearby, consider Revitalize Physical Therapy. You will receive top notch medical care from providers who know what you are going through! We will never dismiss your pain because we recognize that having the right team who takes you and your pain seriously can make all the difference.

The Hidden Ways the Holidays Affect Your Pelvic Floor Health

Why The Holidays May Not Be So Happy When It Comes to Your Pelvic Floor (And What You Can Do About It)

As I write this, the holiday season is just around the corner. Time for friends, family, traveling and good food!

But the holiday season is also a time of stress, and stress can have a significant effect on your pelvic floor. People who are stressed “may unknowingly tense their pelvic floor muscles — similar to people who clench their teeth in response to stress,” the Washington Post notes. During the heart of the pandemic, Today covered how stress led to higher levels of pelvic pain, bladder troubles, constipation and painful sex for some.

Then there’s all that sitting — in the car, on the train, on the plane, at your family’s house. Too much can cause a tightening of muscles in the pelvic floor and decreased blood to pelvic floor tissues, according to Oprah Daily. 

If you already have the pelvic floor disorder known as urge incontinence, the last thing you want is to increase your time in the bathroom. Unfortunately, drinks with caffeine and alcohol can make you urinate more. Yes, there might be some trouble a-brewing in those delicious cocktails, coffees and teas!

And what about the food? The holidays, with its focus on dairy, meats and refined carbohydrates like white bread, mac and cheese and sweets, can encourage constipation. Chronic constipation seems to affect those with pelvic floor dysfunction in large numbers – up to 50 percent of people with PFD have it, according to the Mayo Clinic. Furthermore, constipation can cause pelvic floor dysfunction. (Traveling can also lead to constipation from reasons ranging from not drinking enough water to moving less to switching up your routine.)

So what can you do?

Some tips:

  • If you know a family member will cause stress, it’s okay to say that you won’t be able to make the event or to leave early.
  • It’s also okay to say you aren’t up for traveling if you sense it will trigger a flare. You can always postpone a visit until you are doing better or meet somewhere that requires less traveling for you.
  • And it’s okay to ask a host what she is planning to serve ahead of time and if some substitutions or additions can be made. Festive foods that support healthy bowel movements include sweet potatoes and everybody’s favorite, pumpkin. (Ideally, you should be going daily to a few times a week.)
  • Don’t let your physical therapy sessions slide! The holidays are a busy time of year and you may feel less inclined to go to physical therapy, but it’s more important than ever so you can feel your best. If your therapist is on vacation, ask if she can recommend a sub. (And if you’re in the New York area, I hope you’ll consider Revitalize Physical Therapy for your pelvic floor physical therapy needs!)

During the holidays, we are urged to be kind to all the folks we come across, but let’s not forget to be kind to ourselves!