Pelvic Pain & Endometriosis Specialist

Femina Careo

Elias Moukarzel, MD

OBGYN & Urogynecology located in El Centro, CA & Carlsbad, CA

When pelvic pain becomes so severe, it interferes with how you function; it's time to seek professional help. Dr. Elias Moukarzel has over 18 years of experience and is board-certified in both gynecology and female pelvic medicine. At Femina Careo, with office locations in both El Centro and Carlsbad, California, Dr. Moukarzel treats endometriosis and other conditions that result in pelvic pain. Schedule your appointment online or call the office today.

Pelvic Pain Q&A

What causes pelvic pain?

When you experience pelvic pain, it can result from many things. The most common culprits include issues with your reproductive or urinary system or from a weak pelvic floor. Some of the most frequent forms of pelvic pain can come from:

Ectopic pregnancy
Menstrual cramps
Ovarian cysts
Pelvic inflammatory disease (PID)
Uterine fibroids
Endometriosis
Tumors
Cancer
Internal Scarring

What is endometriosis?

One of the most common causes of pelvic pain in women, endometriosis is a condition that causes endometrial tissue to grow outside your uterus, where it’s normally restricted, and often impacts your ovaries and fallopian tubes.

Endometrial tissue sheds from the uterus every 28 days, but when it’s migrated outside the womb, there’s nowhere for the tissue to go, which leads to pain, and in many cases, issues with fertility.

Many women don’t realize that they have endometriosis. Instead, they think the pain and severe cramping they experience during their periods is a normal part of menstruation, when really, it’s the result of endometriosis.

How is endometriosis treated?

Although there is no current cure for the condition, Dr. Moukarzel can work to treat your symptoms, decreasing their severity and frequency. He may also offer suggestions for infertility treatments that are the most effective with endometriosis.

Depending on a variety of factors, including your age and whether you plan on having children in the future, Dr. Moukarzel may recommend:

Over-the-counter pain relievers for mild and infrequent symptoms
Hormonal treatments, which may slow the growth of endometrial tissue
Surgical options, including laparotomy and hysterectomy

What is pelvic floor therapy?

Dr. Moukarzel may recommend pelvic floor therapy if he believes your pelvic pain contains weak, tight, or spastic tissues that were caused by disuse, surgery, or trauma, including childbirth.

Pelvic floor therapy may help if you experience pain in your:

Abdominals
Buttocks
Pelvic floor
Tailbone
Vagina
Rectum

Beyond pain, a weak pelvic floor can lead to urinary or fecal incontinence, all of which you can remedy with therapy.

What we offer