I am a 20 yr old female. I have been treated for hypertonic pelvic floor dysfunction, but at my last follow-up (2 weeks ago) she declared that my pelvic floor is completely normal now, yet I am still having urinary issues. I had my urine checked for infection and it was negative (almost always is). I have had terrible pain shooting down my left side into my groin, which has happened before, and pelvic pain (also happens frequently, I assume from my endometriosis). I urinate an average of 8-15 times a day, and it gets urgent pretty quickly.
I want to know why this could be happening! My pelvic floor is definately not too weak. I do have unaddressed endometriosis on my left ureter, but I don't know how that would directly cause these problems... my urogyn. just gave me a script for uribel to help control the urinary frequency issues, but I want to know why this is happening in the first place.
Well, without a detailed clinical evaluation it would be difficult to determine the cause of your symptoms. With infections ruled out, possibilities that may need to be considered include GU inflammations, trauma, erosions, endometriosis, neuro-muscular causes etc. It would be best to discuss the situation, the suggested management plan and the expected prognosis in detail with your treating urologist.
Hope this is helpful.
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