(036) Chasing the Two-Headed Dragon: Using BDSM to Manage Pelvic Pain from Endometriosis

Abstract Introduction Endometriosis is a chronic gynecological condition that indiscriminately effects approximately 176 million women across the world. Three major symptoms – dysmenorrhea (painful menses), dyspareunia (painful intercourse), and infertility – are the most commonly seen both at diagnosis and throughout management of the condition. Objectives Pain due to endometriosis impacts a woman on a daily basis and management of this pain is as varied as the woman diagnosed. Research has been done on the utilization of alternative treatments ranging from yoga to spinal cord stimulation. Methods This presentation will present a firsthand experience of a woman engaging in BDSM (Bondage and discipline, Dominance and submission, Sadism, and Masochism) to manage her endometriosis pain. Using a clinical case report format, a history of the patient’s diagnosis, interventions, and treatment will be presented as well as how the patient came to utilize BDSM in response to debilitating endometriosis pain. The patient’s decision-making process as well as descriptions of actual engagement in BDSM and how it connects to management of the pain for the patient will be presented. Results A common myth about BDSM is that it is about the desire to experience or inflict pain. In this case, it is the actual control and power over the pain as well as the displacement of pain that mitigates the experience of endometriosis pain for this patient. Conclusions Considered an “invisible illness,” many women with endometriosis express their feelings of loss in their quality of life across multiple facets including their primary intimate relationship. By expanding a clinician’s repertoire with additional methods of pain management for women with endometriosis and other pelvic pain experiences broadens the opportunity for improved quality of life for the patient and the couple. Disclosure No.