I have severe chronic pain in my abdomen and groin following two gynecological laparoscopic procedures in 2007and 2008. The first was exploratory, resulting in some pain. The second was to remove endometriosis, cysts in my ovaries and a septum is my uterus. I have had severe pain since the second surgery which has greatly impacted my quality of life. I see a pain specialist, who has diagnosed neuropathic pain in the genitofemoral nerve and also more generalized neuropathic abdominal pain. Medications and cortisone shots have helped somewhat, but I want to know what else can be done to treat this.
Hi ! Yes, you may be having a neuropathic pain, but seeing your history, other organic causes have to be ruled out. Because of the surgery in your uterus, and pelvic organs, chronic pelvic infection can not be ruled out. For this you have to be reviewed by your gynecologist, and also may have to go for ultrasound, and MRI if needed which may show some adhesive pathology in the pelvic organs which may also give rise to such symptoms of yours. Good luck.