Interstitial Cystitis/Bladder Pain Syndrome Near Richmond, VA

Access specialized treatment for persistent bladder pain.

What is Interstitial Cystitis/Bladder Pain Syndrome?

Interstitial cystitis, often referred to as bladder pain syndrome, is a long-lasting condition that produces pain and pressure in the bladder and surrounding pelvic area, along with urinary symptoms such as urgency and frequency. Unlike a urinary tract infection, interstitial cystitis is not caused by bacteria, and symptoms often continue even when treatments for UTIs are used. Those affected may experience symptoms ranging from mild discomfort to severe bladder pain, which can disrupt daily life and activities. The term interstitial cystitis is somewhat misleading, as it originally implied bladder inflammation, but most patients do not show actual signs of inflammation. Bladder Pain Syndrome is a more accurate description.

This condition can affect anyone but is more common in women. People with a history of chronic pelvic pain, urinary tract infections, or other bladder issues may be at higher risk. If you have ongoing bladder pain or urinary urgency without a clear infection, it is important to schedule a consultation with a gynecologist.

Symptoms of Bladder Pain Syndrome/Interstitial Cystitis

Symptoms of interstitial cystitis differ between individuals but can include:

Bladder pain, burning, or general discomfort
Frequent urination, often in small amounts
A persistent urge to urinate
Pelvic pain, pressure, or tenderness

These symptoms may fluctuate, with periods of flare-ups that can make the condition more challenging to manage.

Causes of Bladder Pain Syndrome/Interstitial Cystitis

The causes of interstitial cystitis can be varied, and in many cases, no single definitive cause is identified. Some clear causes include injury from surgery, radiation, or chemotherapy. Research indicates that issues with the nerves transmitting bladder pain signals may play a role. The condition is also linked to other pelvic pain syndromes, such as irritable bowel syndrome (IBS) or endometriosis, which can contribute to heightened nerve pain signals. About 10% of patients have ulcerative lesions, known as Hunner ulcers, which can cause symptoms. Most commonly, the pain is found to originate from myofascial issues related to the pelvic floor muscles.

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What are the Risks of Untreated Interstitial Cystitis/Bladder Pain Syndrome?

There are no life threatening risks associated with this condition, nor any association with cancer. Untreated interstitial cystitis/bladder pain syndrome can lead to worsening symptoms, such as increased bladder pain and urinary urgency, which may significantly impact your quality of life. Over time bladder symptoms can become more intense, making daily activities difficult. Chronic pain can also affect mental health, leading to stress or anxiety. Early diagnosis and treatment are key to managing or eliminating symptoms and improving quality of life.

What To Expect During Your Appointment

At your appointment, your gynecologist will discuss your symptoms, carry out a pelvic examination, and may order tests to exclude conditions such as bladder cancer or a urinary tract infection.

Possible treatments for Bladder Pain Syndrome include:

Medications to ease bladder pain or reduce inflammation
Bladder instillations, which deliver therapy directly into the bladder
Pelvic floor physical therapy

Your gynecologist will collaborate with you to create a treatment plan tailored to your needs, helping you manage symptoms effectively.

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Why Choose The Center For Advanced Gynecology

The Center for Advanced Gynecology, founded in 2018, is committed to supporting your health by offering a wide range of expertise, with a strong focus on gynecological care and advanced surgical options when required.

Our team brings specialized knowledge in the non-surgical management of chronic pelvic pain, painful intercourse, pudendal neuralgia, and conditions involving vaginal, vulvar, and bladder pain for patients in Richmond, VA.

Since opening, we have recognized the community’s need for care that goes beyond specialty services and have expanded our practice to include routine gynecologic care, cancer screenings, Pap smears, menopausal support, treatment of hormonal imbalances, hormone replacement therapy, breast health services, contraceptive care, urinary incontinence treatment, and management of pelvic organ prolapse.

Frequently Asked Questions

Although interstitial cystitis and urinary tract infections (UTIs) share overlapping symptoms such as bladder pain, frequent urination, and urgency, they are not the same condition. UTIs are caused by bacteria in the urinary tract, while interstitial cystitis is a chronic bladder disorder unrelated to infection. A gynecologist can provide the necessary tests and evaluation to distinguish between the two and recommend the right treatment.

In certain individuals, the lining of the bladder becomes inflamed, which can worsen pain associated with interstitial cystitis. This irritation can heighten bladder sensitivity, particularly when it fills with urine. The bladder wall contains not only protective lining but also nerve endings and the detrusor muscle, all of which may contribute to bladder pain. Some treatment options aim to repair or calm the bladder lining, offering relief from symptoms.

Painful bladder syndrome, also referred to as interstitial cystitis, is marked by persistent bladder pain, increased urinary urgency, frequent trips to the bathroom, incontinence, and challenges with fully emptying the bladder. These symptoms may fluctuate in severity and sometimes improve or worsen over time. If symptoms persist, scheduling an evaluation with a gynecologist is important.

Transcutaneous electrical nerve stimulation (TENS) delivers mild electrical currents to nerves, which can interfere with pain signaling and ease bladder discomfort. For patients dealing with chronic bladder or pelvic pain, TENS can provide relief and is often used as part of a more comprehensive care plan. Because it is non-invasive, it can be a safe option to consider.

Interstitial cystitis does not directly increase the likelihood of bladder cancer. However, since both conditions can produce similar symptoms, it is essential to undergo diagnostic evaluations to rule out more serious concerns. Your gynecologist will guide you on which screenings or tests are appropriate to confirm the diagnosis and address your symptoms.