Chronic pain – A unique experience that requires a unique treatment.

Chronic pain – A unique experience that requires a unique treatment.

Women diagnosed with endometriosis often have to endure extreme pain levels since their early teens. This pain reaches its peak around ovulation. Approximately 400 to 500 periods take place before menopause. Beside this chronic exposure to pain due to ovulation, many patients have to go through countless gynecological examinations and several operations. Still, the level of pain that is experienced by endometriosis varies from patient to patient.

The threshold of pain is the point when an individual starts to feel pain. This point is different for every individual and completely subjective. It's subjective because a pain threshold depends on ethnic backgrounds, sex, gender or genetics. Also the threshold can shift in time. Women who are diagnosed with endometriosis are exposed to pain frequently or even daily. This causes a threshold shift. Women diagnosed with endometriosis will get used to a certain pain level. A pain threshold will adjust itself to this experience.

The definition of chronic pain is pain that will last for longer than six months. When pain becomes chronic, this type of pain will no longer be a warning. It can become even dangerous because the individual who is coping with chronic pain will develop a so called pain tolerance. This tolerance will be the foundation of cognitive methods that helps the individual cope with chronic pain. Remarkable is that these cognitive methods only seem to apply to intense chronic pain. When an individual is exposed to minor pain after forming such cognitive methods, cells responsive to pain have a tendency to respond more powerful to minor stimuli. So if you as an endometriosis patient slightly overreact when you graze your skin or hurt yourself in a minor way, don't worry. It does not mean you are a wimp at all. It just shows your brilliant cognitive skills that only warriors have.

Women diagnosed with endometriosis can handle pain to extreme extends. Because they are exposed to pain on a regular basis it will increase their pain tolerance. By becoming more conditioned to pain, pain can be handled to extreme levels. For example, last year I broke my pinky on New Year's Eve. Somehow in a silly movement my pinky got stuck in a pocket on the bag I threw on my bed. I flinched, but it never occurred to me it could actually be broken. My family was worried about my finger that looked broken. But because I was able to cope with the pain and we were about to start a festive dinner, I didn't want to be a party wrecker. Besides, I see the local hospital too many times already due to endometriosis. Six weeks later I went to my doctor because my pinky still hurt a little. He send me to the hospital and an x-ray showed that I had a mallet finger. Everybody in the ER but me was shocked that I walked around with a broken finger for six weeks. I actually remember making a mental note, telling myself to remember this feeling because this is what it feels like when something is broken.

Because the experience of pain is entirely subjective, pain levels as described by a patient can not be used to determine a certain stage of endometriosis. Sometimes a woman experiences little pain while surgery shows much endometriosis or vice versa. Although this experience is subjective it is of great importance to know the background of a patient when treating endometriosis. Because the  psychological aspects of this disease are different for every patient. Every case is unique and therefore needs a treatment specifically designed for one individual. Important to know is how someone copes with chronic pain and the changes in someone's lifestyle due to endometriosis. It affects a womans life in so many ways. All these aspects have to be taken into account when treating endometriosis. When endometriosis is treated in this way the quality of life will also be secured and can (when possible) be improved. This is why Dr. Seckin believes it is so important to know a patient before surgery. To know how a woman is dealing with this disease and how it affects her life. He once told me that if he would not take this into account he could just as well operate on a piece of wood. This is why many times his patients will also be seen by a psychologist. Such a session does not need to last for hours. It will be used for a solid foundation of the treatment that has to be designed for a specific individual. Over all it is of great importance that a surgeon takes psychological aspects into account.  

Every woman is shaped by different experiences which makes chronic pain a multidimensional given. The brain constantly negotiates with chronic pain and defines unique cognitive methods that allows a patient to cope with the well known killer cramps. All domains in a woman's life are coloured in a certain way, which is different for every individual. Because pain is being influenced by many psychological aspects, a treatment that fits like a glove will only be accomplished when taking all these aspects into account.


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Patient Reviews

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  • Angela Aro

    I have struggled with endometriosis and adenomyosis since first starting my period at 13. I was diagnosed at 21 and what followed was a series of unsuccessful surgeries and treatments. My case was very aggressive and involved my urinary tract system and my intestines. After exhausting all of my local doctors I was lucky enough to find Dr. Seckin. We…

  • Emi O

    Seckin and Dr. Goldstein changed my life!

  • Kristin Sands

    Like so many women who have tirelessly sought a correct diagnosis and proper, thorough medical treatment for endometriosis, I found myself 26 years into this unwanted journey without clear answers or help from four previous gynecological doctors and two emergency laparoscopic surgeries. I desperately wanted to avoid the ER again; a CT scan for appendicitis also revealed a likely endometrioma…

  • Wilfredo Reyes

    Dr. Seckin literally gave my wife her life back. I am eternally grateful to him for his generous, determined spirit to see that Melanie finally live free from the prison bonds of Endometriosis.

  • Carla

    I am so grateful to Dr Seckin and Dr. Goldstein. My experience was nothing short of amazing. I was misdiagnosed with the location of my fibroids and have had a history of endometriosis. Dr. Seckin was the one who accurately diagnosed me. Dr Seckin and Dr. Goldstein really care about their patients and it shows. They listened to my concerns,…

  • Melissa Boudreau

    When I think of Dr. Seckin these are the words that come to mind. Gratitude, grateful, life-changing, a heart of gold. I feel compelled to give you a bit of background so you can understand the significance of this surgery for me. I am passionate about Endometriosis because it has affected me most of my life and I have a…

  • Jaclyn Harte

    Dr. Seckin and Dr. Goldstein radically changed my quality of life. They treat their patients with dignity & respect that I've personally never seen in the literally 25+ doctors I've seen for endometriosis. This summer, I had a surgery with Dr. Seckin & Goldstein. It was my first with them, but my 5th endo surgery. I couldn't believe the difference,…

  • Megan Rafael Moreno

    I was in pain for 2 years. I was getting no answers, and because dr Goldstein and dr seckins were willing to see and treat me I'm finally feeling almost back to normal. They were very down to earth and helpful in my time of need. Dr Goldstein was easy to talk to and caring, she took care of me…

  • Nancy Costa

    Dr. Seckin is one of the best endometriosis surgeon. Every time I go to the office, he really listens to me and is always concerned about my issues. Dr Seckin's office staff are a delight and they always work with me. I feel I can leave everything to them and they will take care of it. Thank you to the…

  • Rebecca Black

    Fast forward 5 years to find out incidentally I had a failing kidney. My left kidney was only functioning at 18%. During this time, I was preparing all my documents to send to Dr. Seckin to review. However, with this new information I put everything on hold and went to a urologist. After a few months, no one could figure…

  • Monique Roberts

    I'll never stop praising Dr. Seckin and his team. He literally gave me back my life.

  • Erin Brehm

    I had a wonderful experience working with Dr. Seckin and his team before, during and after my surgery. I came to Dr. Seckin having already had laparoscopic surgery for endometriosis 5 years prior, with a different surgeon. My symptoms and pain had returned, making my life truly challenging and my menstrual cycle unbearable. Dr. Seckin was quick to validate my…

  • Anita Schillhorn

    I came to Dr. Seckin after years of dealing with endometriosis and doctors who didn't fully understand the disease. He quickly ascertained what needed to be done, laid out the options along with his recommendation and gave me the time to make the right decision for me. My surgery went without a hitch and I'm healing very well. He and…

  • Nicholette Sadé

    Dr. Seckin brought me back to life! I am now 3 weeks into my recovery after my laparoscopy surgery, and I feel like a new and improved woman! Being diagnosed with Endometriosis, then 25yrs old in 2015, and discovering the severity of my case being stage 4, made me devastated. Dr. Seckin's vast knowledge of the disease, sincere empathy, and…