New England Center for Pelvic Health

10/22/2025

Want to thank American Board of OB/GYN for making these articles required reading. I'm glad that more of my gynecology colleagues are learning about chronic pelvic pain and how we need to change our approach.

People ask me why I have success with treating chronic pelvic pain. I tell them that I consider myself a "regionalist" not a "specialist". Maybe it's time we incorporated that concept into our medical education.

Read more about Chronic Pelvic Pain:

https://journals.lww.com/greenjournal/fulltext/2024/07000/from_dismissal_to_solutions__prioritizing.1.aspx

https://journals.lww.com/greenjournal/fulltext/2024/07000/health_care_utilization_by_patients_with_chronic.2.aspx

uary 1, 2016, and December 31, 2019, were included. Utilization was examined for 12 months after the index diagnosis. The greedy nearest neighbor matching method was used to identify a control group of individuals without chronic pelvic pain. Comparisons were made between those with and those withou...

10/16/2025

"Untreated [pelvic floor dysfunction] has a profound impact on [long-term health outcomes and quality of life], especially in women with sleep apnea, menopause, and pelvic pain. Early diagnosis and intervention are critical to mitigating these effects and improving long-term outcomes."

Call us today for accurate diagnosis and treatment for a better quality of life tomorrow.

ObjectiveThis study aimed to evaluate the long-term health outcomes and quality of life (HRQoL) associated with untreated pelvic floor dysfunction (PFD) in w...

10/11/2025

How does endometriosis cause/contribute to infertility:

1. Abnormal perennial environment characterized by oxidative stress and higher concentrations of inflammatory cytokines effect s***m function (Meaning: constant inflammation affects how s***m move)
2. Abnormalities in oocyte cytoskeleton function
(Meaning: endometriosis can affect egg structure and function)
3. AMH is decreased in early stage endometriosis (Meaning: endometriosis may cause lowered egg count)
4. Tubal impact (scarring, blockage, etc.)
(Meaning: endometriosis can scar or block Fallopian tubes)

Cystectomy and Ablation Yield Comparable Pregnancy Rates, While Coagulation May Harm Fertility

09/29/2025

https://www.endonews.com/laparoscopy-benefits-women-with-endometriosis-across-all-stages
We can help! Call us today

Laparoscopy Benefits Women With Endometriosis Across All Stages

06/24/2025

Was discussing this exact topic with a colleague yesterday. Could there be a link? Until we know for sure, we need to appreciate the relationships between these diseases.

Migraine is the third leading cause of disability worldwide, and is a common type of primary headache affecting both sexes under the age of 50. This disease has…

06/20/2025

Here in sunny, beautiful Halifax, Nova Scotia to meet with staff of IWK Endometriosis and Chronic Pelvic Pain clinic. Great to connect and collaborate with colleagues who share a similar philosophy with regard to treatment of these conditions. Looking forward to meeting up and working together in the future. 

06/10/2025

We have been having this discussion more and more with our patients who are post-menopausal (surgically and non-surgically) and have a history of endometriosis.

The bottom line is that hormone replacement therapy should be tailored to the individual patient. BUT, research shows that combined progesterone AND estrogen are safe and effective for patients with a history of endometriosis.

(Next research opportunity: comparing these outcomes in HRT patients who have had different surgical interventions for endometriosis.)

Endometriosis is a chronic, inflammatory, and progressive disease, and is associated with reduced ovarian reserve depending on the extent of the disease or surgical…

06/10/2025

06/04/2025

Proud to see University of New England College of Osteopathic Medicine open its new home at the Portland campus. Also proud and excited to announce I will be teaching future doctors as adjunct faculty! More great educational announcements coming in the next year.

05/19/2025

"Sedation Gynecology". We need to discuss, respect and address the patient's pain experience and expectations. This is why since the very beginning of this practice, we have always offered SEVERAL options for pain control and anxiety reduction for in-office procedures. See our website or call us today for more information.

ACOG has released recommendations to improve pain management for in-office gynecologic procedures, emphasizing patient counseling and evidence-based relief options.

04/30/2025

Adolescents with endometriosis need multifactorial treatment plans that address not just the disease but its current and future impacts.

Endometriosis is a worldwide, chronic, and progressive disease affecting one in ten reproductive women. Of these, 67 % reported experiencing the symptoms before…

04/14/2025

We have been discussing “secondary sufferers”.

https://www.facebook.com/share/r/18vU1faCxn/?mibextid=wwXIfr