During the COVID-19 Pandemic and Beyond, BostonUrogyn is Determined To Be There for You. We are now offering HIPAA-compliant Telemedicine Consultations, as well as Office Visits.

How Botox Can Help Relieve Pelvic Pain

botox, pelvic pain

While Botox® first burst on the scene as a wrinkle-busting cosmetic treatment in 2002, it had already been given the go-ahead by the FDA to treat strabismus (poor eye muscle control) in 1978. Realizing its potential in overriding muscles, Botox’s applications were expanded to include bladder spasms, excessive sweating, and neck and shoulder spasms.

Since urologists were among the first initiates into the world of Botox as they helped people overcome incontinence issues, it was just a matter of time before other urogynecologic solutions were explored, including pelvic pain.

Here at Boston Urogyn, under the experienced leadership of Dr. Neeraj Kohli, we’ve turned to Botox to help women in Wellesley, Massachusetts, deal with painful pelvic spasms that can often lead to problems with sexual intercourse.

If you’re struggling with pelvic pain, here’s how Botox may provide just the solution you’re looking for.

Behind the pain

Pelvic pain is a broad symptom that can be caused by an incredibly wide array of issues. There are any number of conditions that can lead to pelvic pain, starting with your monthly cramps to more serious conditions, such as pelvic inflammatory disease or endometriosis. For the purposes of this discussion, the type of pelvic pain we’re referring to is one that develops because of a problem in your pelvic muscles.

The first group of muscles is called your pelvic floor, which forms a type of hammock across your pelvis, providing support for your bladder, bowel, and uterus. If you’re experiencing muscle spasms in your pelvic floor, it can create pain during sex or just anytime.

Another problem with muscle control in your pelvic region is called vaginismus, which are painful contractions in your vagina during intercourse.

Sometimes these conditions are brought on by things like pelvic surgery, while in other cases these muscle problems develop for no known reason. The bottom line in all of these cases, however, is that the pelvic pain stems from malfunctioning muscles, and we have a solution.

How Botox works

Botox contains onabotulinum toxin A, which is a neurotoxin that temporarily paralyzes your muscles. This means that Botox can relax the muscles in your pelvis that are contracting or spasming painfully.

To administer the Botox, we inject it directly into the muscles that are responsible for your pain. Rest assured, we use a local anesthetic to ensure your comfort. That said, you may experience some soreness at the injections sites after your treatment, but this is generally short-lived. You should also refrain from having sexual intercourse for the first few days to avoid infection and to give the Botox enough time to work.

Over the course of 3-7 days following your injections, your muscles will gradually release their grip, bringing you much-needed relief. For some patients, Botox lasts up to 6-9 months, at which point they return for a follow-up treatment. Other patients experience a year or more of relief.

We closely monitor your results afterward so that we can make any adjustments during your next treatment, targeting the right pelvic muscles for best results.

If you’ve exhausted your treatment options for pelvic pain caused by muscle malfunctions, please give us a call to explore whether Botox may provide the best solution. Or you can use the online scheduling tool found on this website to set up a consultation.

You Might Also Enjoy...

Treatable Causes of Chronic Pelvic Pain

Your pelvis is the lowest part of your abdomen and is responsible for numerous bodily functions. Pain there can happen for a variety of reasons, but you don’t need to live with it. Let's look at some causes of pelvic pain and how we treat them.

Axonics for Your Bladder and Bowel: What to Expect

The sudden urge to urinate associated with an overactive bladder can be embarrassing and disruptive to your quality of life. Many patients also experience fecal urgency and accidental bowel leakage. Read on to find out how Axonics® Therapy can help.

Nutrition Tips to Help Manage Fecal Incontinence

Fecal incontinence can dramatically affect your quality of life, so treating it is important to allow you to do the things you enjoy. The food you eat can play a role in managing or even preventing this condition. Read on to find out more.

It Shouldn’t Hurt When You Have Sex

Sex is a fundamental part of our lives, but experiencing pain while having sex shouldn’t be. If you’re a woman, read on to find out how you can avoid or treat painful intercourse.

6 Telltale Signs of a UTI

Urinary tract infections (UTIs) are common, and you can get them for a variety of reasons. Getting a UTI treated quickly means knowing the signs, so let’s find out what to look for.

What the Pressure in Your Rectum Could Mean

Proper digestion is vital to your health. Any problems you have with getting food through your body could be trouble. Rectal problems in particular can indicate serious issues, and you should know what they could mean.