Menopause and Pregnancy-Related Pain: Which Specialist to Consult?

Menopause

For adults experiencing menopause, they should visit a gynecology clinic.

Regarding your second question, if your wife is experiencing pain at the junction of the hip and spine during pregnancy, which persists even after childbirth, it would be appropriate to consult an orthopedic specialist for this symptom.

Xiao Jian, 30~39 year old female. Ask Date: 2005/05/14

Dr. Wang Weijie reply Internal Medicine

For women experiencing menopause, they should visit the obstetrics and gynecology department, while men should consult the urology department.
If there is unexplained pain at the junction of the buttocks and spine when turning at certain angles, to the extent that it hinders movement or standing, they may consider seeing a rehabilitation specialist or an orthopedic doctor.
Sincerely, Lu Li-Cheng.

Reply Date: 2005/05/14

More Info

When dealing with menopause and pregnancy-related pain, it's essential to consult the appropriate specialists to address your specific concerns effectively.
For menopause-related issues, you would typically want to see a gynecologist who specializes in menopause management. Many gynecologists have additional training in menopause and can provide comprehensive care, including hormone replacement therapy (HRT) and management of symptoms such as hot flashes, mood swings, and vaginal dryness. Some may also refer you to a menopause specialist or a reproductive endocrinologist if your symptoms are particularly complex or if you have specific hormonal concerns.

Regarding the pain your wife is experiencing during pregnancy and postpartum, particularly in the area where the hip and spine meet, it is advisable to consult an orthopedic specialist or a physical therapist who specializes in women's health. This type of pain can often be attributed to the physical changes that occur during pregnancy, such as hormonal changes that relax ligaments and the added weight and pressure on the spine and pelvis.
The pain your wife describes, especially if it is severe enough to hinder movement or standing, could be related to several factors, including:
1. Pelvic Girdle Pain (PGP): This is common during pregnancy and can persist postpartum. It occurs due to the strain on the pelvic joints and ligaments as the body adapts to the growing baby.

2. Sciatica: The sciatic nerve can become compressed during pregnancy, leading to pain that radiates from the lower back down through the legs.

3. Lumbar Strain: The additional weight and changes in posture during pregnancy can lead to muscle strain in the lower back.

4. Postpartum Recovery: After childbirth, the body goes through a recovery phase, and sometimes pain can re-emerge as the body adjusts back to its pre-pregnancy state.

If the gynecologist has indicated that the pain should resolve after childbirth, it is still important to monitor the situation. If the pain persists or worsens, seeking a second opinion or further evaluation from an orthopedic specialist or a physical therapist can provide additional insights and treatment options. They may recommend physical therapy, specific exercises, or other interventions to alleviate the pain.

In summary, for menopause-related issues, consult a gynecologist specializing in menopause. For pregnancy-related pain, particularly in the hips and lower back, an orthopedic specialist or a physical therapist with expertise in women's health would be the appropriate choice. Early intervention can often lead to better outcomes and improved quality of life.

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