Gynecology

In: Neuraltherapeutic Medicine · 2025 · pp. 595–614 · doi:10.1007/978-3-032-03257-7_39 · W7118019174
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This chapter details neural therapy, a treatment for gynecological pain, by describing diagnostic and injection techniques for chronic pelvic pain, endometriosis, vulvodynia, and genital scar pain.

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This chapter discusses “neural therapy” (NT) for gynecological pain syndromes, framing genital pain as associated with neuralgia, fascia tension, and/or “silent inflammation,” and describing four treatable conditions: chronic pelvic pain syndrome (CPPS), special stages of endometriosis, vulvodynia, and genital scar pain. It outlines diagnostic and technique details for local anesthetic injections (including paracervical uterovaginal plexus injections, pudendal nerve injections, and specialized scar injection approaches) and addresses indications and pitfalls, with a stated limitation being that effectiveness and applicability depend on the proposed underlying mechanisms and case selection. A major focus is how genital and remote “stoerfields” from scars (e.g., episiotomy, cesarean scars, coccygeal scars) can contribute to local pain. This paper is centrally about endometriosis — it includes “special stages of endometriosis” among the four gynecological pain syndromes covered for neural therapy.

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Abstract

Genital 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. The 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. Scars 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. Four 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. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

Grage SL, Culetto A, Ulrich AS, Weinschenk S. Membrane-mediated activity of local anesthetics. Mol Pharmacol. 2021;100(5):502–12. Ratschow M. Efficiency of therapeutic anesthesia. Acta Neuroveg (Wien). 1951;3(1–2):198–210. Weinschenk 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. Weinschenk 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. Leyendecker 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. Kissler 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. Weinschenk S. Endometriosis, dysmenorrhea, and the autonomic nervous system. Erfahrungsheilkunde. 2004;53:523–32. Weinschenk 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 Wickstrom 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. Weinschenk 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. Weinschenk 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. Gerhardt 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. Labat 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. Weinschenk 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. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2025 The Author(s), under exclusive license to Springer Nature Switzerland AG About this chapter Cite this chapter Weinschenk, 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 Download citation DOI: https://doi.org/10.1007/978-3-032-03257-7_39 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-032-03256-0 Online ISBN: 978-3-032-03257-7 eBook Packages: MedicineMedicine (R0)

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