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Gynecology: in Nîmes, a service at the cutting edge of innovation to treat pelvic pain

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Professor Pierre Marès and his team run a gynecology department which uses the most innovative technical means to treat pelvic pain.

Professor Pierre Marès, obstetrician gynecologist at the University Hospital of Nîmes, has been working for several years with his team on the application of therapeutic methods to reduce, or even end, the pelvic pain from which many women suffer, regardless of their age. or their pathology.

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Pelvic pain linked among other things to cancer operations, but not only, frequently affects the quality of life of women, and can sometimes even lead to depressive states

“Gynecological treatments exist but they are not always sufficient to relieve the patients, declares the former head of the gynecology department of the CHU de Nîmes. Pelvic pain linked among other things to cancer operations, but not only, frequently affects the quality of women’s lives, and can sometimes even lead to depressive states “.

To fight against these phenomena, and if necessary provide a response to the symptoms felt by the patients, the hospital practitioner decided to set up a highly equipped department for the assessment and treatment of pelvic pain.

You should know that vulvodynia, dyspareunia and other perineal pain today affect nearly 15% of women during their lifetime.

“You should know that vulvodynia, dyspareunia and other perineal pain today affect nearly 15% of women in their lifetime. And these sometimes excruciating pain have the effect of deeply affecting their physical, emotional and relational space” .

An almost unique service in France

Currently, one of the main strengths of this service – which moreover makes it almost unique in France – is that it has a qualified multidisciplinary team as well as all the technical means available on the market to deal with pelvic pain.

The protocol is thus based on three devices adapted to specific practices: LED photomodulation, laser and radiofrequency. ” The care that is practiced in the room is not painful and does not present side effects, assure Katy Juvin and Cécile Serroul, the two specialized nurses of the service. But above all, they preserve a maximum the privacy of the patient “.

That the latter take care “to listen in order to better understand her pain” because “it is essential that she feels reassured and comforted in her approach “.

More than 350 patients

However, some agree in recognizing that the evolution of the technique in recent years has enabled medical teams to better identify the pathologies and the care to be implemented. ” Overall, 90 % of patients who come to our department find a 50 % improvement in pain. “

This service regularly welcomes three groups of patients, “aged 16 to 80”, for vulvar pathologies, “which concern 30% of women under 30”, post-cancer pain, “not only gynecological” and symptoms of menopause.

Overall, 90 % of patients who come to our department find a 50 % improvement in pain

More than three hundred and fifty patients are taken care of each year in the service. “Currently, the waiting period is at least a month, says the doctor. The duration of treatment is on average six weeks. It may be a little longer for people with post-cancer.”

When will health insurance be covered?

However, the obstetrician gynecologist from Nîmes not only defends the therapeutic aspect of the process, the goal of which, among other things, is to awaken in the patient personal skills to reclaim her body, he also fights for the coverage of these services with health insurance.

“In particular, I would like these sessions, which can sometimes last over an hour, to be considered long consultations. In other words, consultations billed at € 70 instead of € 35 as currently; which is equivalent to the price of a normal consultation in cabinet ” , explains Professor Marès, who nevertheless recalls that it was the hospital’s patronage fund that paid for the purchase of the equipment as well as the three treatment devices.

A treatment which, it should be emphasized, is not only intended for the patients concerned, but also for the men whose women suffer from these pathologies because most often this treatment makes it possible to make possible a dialogue that has sometimes become complicated within ‘a couple.

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