{"paper_id":"d64e7b74-a445-4ad5-960e-f09397240bf0","body_text":"Abstract\nGenital pain is an underdiagnosed complex of chronic diseases. Neural therapy (NT) is a simple, effective approach to these complaints. Gynecological pain is based on a variety of pathophysiological conditions. In many cases, there are three main conditions: Neuralgia, fascia tension, and silent inflammation. We assume that many gynecological chronic pain disorders are associated with one or more of these conditions. This new approach to gynecological pain allows a systematic therapeutic concept providing good success.\nThe chapter covers four frequent gynecological pain syndromes, which are treatable with NT: Chronic pelvic pain syndrome (CPPS), special stages of endometriosis, vulvodynia, and genital scar pain. Diagnosis and treatment are described in detail.\nScars may function as stoerfields or may cause local complaints such as pain. We distinguish between stoerfields affecting the genital region and genital stoerfields affecting other remote areas of the body. An important source of genital complaints are scars within the genital region itself, such as episiotomy, cesarean section scars, or coccygeal scars.\nFour gynecological techniques are described in detail: Paracervical injections to the uterovaginal plexus, suprapubic and vaginal, injection to the pudendal nerve, and special gynecological scar injection techniques. Indications and pitfalls of these techniques are discussed.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nGrage SL, Culetto A, Ulrich AS, Weinschenk S. Membrane-mediated activity of local anesthetics. Mol Pharmacol. 2021;100(5):502–12.\nRatschow M. Efficiency of therapeutic anesthesia. Acta Neuroveg (Wien). 1951;3(1–2):198–210.\nWeinschenk S, Hollmann M, Göllner R, Picardi S, Strowitzki T, Diehl L, et al. Injections of local anesthetics into the pharyngeal region reduce trapezius muscle tenderness. Forsch Komplementmed. 2016;23(2):111.\nWeinschenk S, Strowitzki T, Topbas Selcucki F, Gerhardt A, Feisst M. Paracervical tenderness (parametropathy) has a high diagnostic value in chronic pelvic pain. Submitted for publication; 2025.\nLeyendecker G, Kunz G, Herbertz M, Beil D, Huppert P, Mall G, et al. Uterine peristaltic activity and the development of endometriosis. Ann N Y Acad Sci. 2004;1034:338–55.\nKissler S, Hamscho N, Zangos S, Wiegratz I, Schlichter S, Menzel C, et al. Uterotubal transport disorder in adenomyosis and endometriosis – a cause for infertility. BJOG. 2006;113(8):902–8.\nWeinschenk S. Endometriosis, dysmenorrhea, and the autonomic nervous system. Erfahrungsheilkunde. 2004;53:523–32.\nWeinschenk F, Dittrich R, Müller A, Beckmann MW, Weinschenk S. Change of uterine contractility in the perfused swine uterus model after application of the local anesthetics procaine, lidocaine, and ropivacaine. Am J Obstet Gynecol. 2018;13\nWickstrom K, Bruse C, Sjosten A, Spira J, Edelstam G. Perturbation with lignocaine as a new treatment of dysmenorrhea due to endometriosis: a randomized controlled trial. Hum Reprod. 2012;27(3):695–701.\nWeinschenk S, editor. Handbook of neural therapy: diagnostics and therapy with local anesthetics (Textbook of therapy with local anesthetics). 1st ed. München: Elsevier, Urban & Fischer; 2010.\nWeinschenk S, Benrath J, Kessler E, Strowitzki T, Feisst M. Therapy with local anesthetics to treat vulvodynia. A pilot study. Sex Med. 2022;10(2):100482.\nGerhardt A, Feisst M, Strowitzki T, Zivanovic O, Weinschenk S. Vulvodynia and chronic vulvar pain – influencing factors and long-term success after therapeutic local anesthesia (TLA). Pain Therapy. 2025;14:1025.\nLabat JJ, Riant T, Robert R, Amarenco G, Lefaucheur JP, Rigaud J. Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria). Neurourol Urodyn. 2008;27(4):306–10.\nWeinschenk S, Hollmann MW, Strowitzki T. New perineal injection technique for pudendal nerve infiltration in diagnostic and therapeutic procedures. Arch Gynecol Obstet. 2016;293(4):805–13.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2025 The Author(s), under exclusive license to Springer Nature Switzerland AG\nAbout this chapter\nCite this chapter\nWeinschenk, S. (2025). Gynecology. In: Pinilla Bonilla, L.B., Beltrán Dussán, E.H., Angarita Lezama, A.R. (eds) Neuraltherapeutic Medicine. Springer, Cham. https://doi.org/10.1007/978-3-032-03257-7_39\nDownload citation\nDOI: https://doi.org/10.1007/978-3-032-03257-7_39\nPublished:\nPublisher Name: Springer, Cham\nPrint ISBN: 978-3-032-03256-0\nOnline ISBN: 978-3-032-03257-7\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}