We welcome and treat patients with a variety of conditions involving the reproductive system. If you’ve been diagnosed with uterine bleeding, uterine fibroids, pelvic pain (chronic or acute), pelvic prolapse, incontinence, infertility or endometriosis, our minimally invasive surgical approach may give you the relief you’ve been seeking.

Our patients enjoy the personal attention of a small practice with the expertise and knowledge of a sophisticated specialty clinic.

General GYN and Wellness Care

At New England Center for Pelvic Health, we believe that wellness and preventative care is vitally important. Our patients can have all their regular and periodic health exams performed or ordered through our office. Our patients get “private practice attention” and board-certified specialty expertise. See for yourself how we make routine patient care exceptional.

We offer complete evaluations for annual physicals including any appropriate diagnostic tests. We recommend every woman consider a complete annual review and check of her health.

Recommendations:

Sexual Health & Dysfunction

At the New England Center for Pelvic Health, we embrace the importance of sexual health as a cornerstone of your overall well-being and quality of life. Recognizing the intricate nature of sexual health, our team is dedicated to offering comprehensive solutions for sexual pain and dysfunction, ensuring every individual receives the care and attention necessary for a balanced and harmonious sexual life.

Addressing Common Sexual Health Concerns

  • Persistent Genital Arousal Disorder (PGAD)/Vulvar Dysesthesia: A condition characterized by unwanted, persistent genital arousal.
  • Anorgasmia: Difficulty achieving orgasm despite adequate sexual stimulation.
  • Low Libido: Decreased interest or desire in sexual activity.
  • Dysorgasmia: Pain or discomfort during or following an orgasm.
  • Dyspareunia: Pain during intercourse, which can be either introital (at the entrance of the vagina) or deeper (within the pelvis or abdomen).

Our Dedication to Your Sexual Health Journey

  • In-depth Evaluations: Our specialists prioritize accurate diagnoses, considering the unique circumstances of each individual’s sexual health challenges.
  • Customized Care Plans: We craft personalized treatment strategies that address both the physical and emotional facets of sexual health and pain.

A Safe and Secure Environment

  • Confidentiality and Comfort: We provide a secure setting for you to discuss intimate details about your sexuality and relationships to the extent that you are comfortable discussing.
  • Empathetic and Expert Care: Our team is not only skilled in medical treatment but also in offering empathetic support, ensuring a comfortable space for addressing sensitive issues.

Why New England Center for Pelvic Health is Your Choice for Sexual Health and Pain Management

We consider all elements of your health and lifestyle in our treatment plans, focusing on a holistic recovery.

Our experts bring a wealth of knowledge and experience in tackling a broad spectrum of sexual health issues, including sexual pain.

We prioritize your needs and comfort, offering a respectful and empathetic treatment experience.

Begin Your Path to Sexual Health Recovery

Are you ready to address your sexual health and pain concerns? Reach out to us for a confidential consultation and take the first step towards reclaiming a joyful and healthy sexual life in Maine and across New England.

Sedation Gynecology

Gentle, Effective Pain and Anxiety Management for In-Office Procedures

We offer nitrous oxide sedation using Nitronox™, a safe and effective solution to manage pain and relieve anxiety during procedures like IUD placement, colposcopy, injections, and endometrial biopsy.

At our clinic, we understand that certain routine gynecological procedures can be a source of anxiety and discomfort. 

What is Nitrous Oxide or Nitronox™?

This pain-management option uses a blend of two gases: nitrous oxide and oxygen. Commonly known as “laughing gas,” nitrous oxide helps reduce pain and anxiety while allowing you to remain awake and alert. This makes in-office procedures—such as hysteroscopy, IUD placement, biopsies, and nerve blocks—more comfortable with minimal discomfort.

Nitrous Oxide is ideal for those with a significant fear of pain or challenging/traumatic past experiences and can be used without prior labs or testing.

Procedures Suitable for Nitrous Oxide Sedation:

How Does It Manage Pain During Your Procedure?

Nitronox™ is not anesthesia but a fast-acting relaxant that helps keep you calm and comfortable during procedures. Delivered through a mask or mouthpiece, it allows you to stay awake and in control, receiving medication only as you inhale for personalized relief.

How Long Do the Effects Last & How Will I Feel?

Nitronox™ wears off within minutes, allowing you to quickly return to your normal routine. It has been safely used for over 100 years to reduce pain and anxiety during minor procedures. Some patients may feel lightheaded or nauseous, but these effects fade quickly once use stops, and treatment can be adjusted at any time.

What are the Side Effects?

Some women have experienced nausea after extended use of the gas; if this occurs, medication is available to help relieve it. It may also cause a feeling of unsteadiness when standing. A member of our team will always be present when you get up to ensure you have support if needed.

Is there any reason I wouldn’t be able to use Nitronox™?

Yes, nitrous oxide may not be suitable for you if you:

  • Are unable to hold your own facemask
  • Have a known vitamin B12 deficiency
  • Are currently pregnant
  • Have taken a narcotic medication within the past 2 hours
  • Have other medical conditions identified by your provider that may increase your risk

Injection Therapy For Chronic Pain

What is Injection Therapy?

Injection Therapy is a specialized treatment approach designed to alleviate pain and discomfort, directly at the source. Using various types of medicines, this therapy targets specific tissues, depending on the source of your pain, offering immediate and effective relief.

Types of Injections:

  1. Trigger Point Injections: Designed to alleviate pain in specific muscls, these injections are effective for managing muscle spasms and “knots”.
  2. Tendon Injections: These injections target tendons or the tendon sheath to reduce inflammation and pain, particularly beneficial for conditions like tendonitis.
  3. Botox Injections: Beyond cosmetic uses, Botox injections are utilized to relieve muscle-related pain, offering relief in chronic conditions arising from sustained muscle spasm.
  4. Nerve Blocks: Ideal for pain stemming from nerves, these injections provide temporary relief by blocking pain signals from specific nerves.  Depending on how the nerve “resets”, the relief may be more prolonged
    • Iliohypogastric/Ilioinguinal Nerve Injections: Focused on alleviating pain in the lower abdomen and groin area.
    • Pudendal Nerve Injections: Specifically aimed at relieving pain in the pelvic area.
    • Others: Depending on your pain picture and which nerve is the source, Dr. Lucas may offer local nerve block or suggest another local provider in the area to provide it.  
  1. Ultrasound Guidance for Needle Placement

Pelvic Floor Manual Therapy

The Power of Pelvic Floor Manual Therapy for Chronic Pelvic Pain

Patients experiencing chronic discomfort or dysfunction in the pelvis often overlook an effective solution: Pelvic Floor Manual Therapy. 

Dr. Lucas uses his expertise in chiropractic and osteopathic manual therapy to apply specialized techniques that help relieve pain and discomfort associated with pelvic floor dysfunction. These manual therapies aim to rebalance the pelvis in terms of muscle and joint function. This is achieved using non-invasive techniques (external and/or internal) that do not cause significant pain.

Pelvic tissue distortions contribute to the pelvic floor dysfunction and pain, leading to subsequent dysfunction of the pelvic organs. These therapies can benefit those struggling with incontinence, spasm, or pelvic pain.

Diagnosing and Treating the Pelvis with a Holistic Approach

At the New England Center for Pelvic Health, we take a holistic approach to diagnosing and treating pelvic pain, focusing on how the body’s systems connect to and affect the pelvic floor.

Dr. Lucas specializes in musculoskeletal care for men and women, using a range of treatments—including manual therapies and targeted techniques—to restore proper pelvic function.

What are the Manual Therapy Options for Pelvic Pain & Dysfunction?

The diagnosis of soft tissue aberration or joint motion restriction requires an experienced provider like Dr. Lucas, with a keen sense of touch and a comprehensive understanding of both Osteopathic and Chiropractic Manual Therapy. By reliably assessing the structures within the pelvis, he can identify tissues for repair and designate the appropriate technique for repairing them.

Joint mobilization, a key component of Dr. Lucas’s treatment approach, is an articular manipulation technique used to improve or restore proper mobility of spinal and/or pelvic joints. It plays a vital role in pelvic floor manual therapy and can be highly effective in restoring flexibility and function. Specific areas of stiffness or restriction are identified and subsequently mobilized, enhancing the range of motion and dampening pain signals.

Myofascial release isMyofascial release is a hands-on pelvic floor manual therapy technique involving stretch and massage of connective tissue to reduce tension and improve flexibility. Dr. Lucas’s expertise in this technique realigns tissue fibers, promoting elasticity of the tissues and restoring proper mechanical movement, particularly beneficial for those suffering from chronic tension in the pelvis.

Structured stretch technique, a crucial part of Dr. Lucas’s therapeutic arsenal, is designed to release tension and improve mobility. These techniques, combined with patient education on incorporating them into daily routines, increase flexibility and restore balanced function of pelvic structures.

 *For those who have already had surgery, Osteopathic or Chiropractic Manual Manipulation can be useful for symptom relief and be combined with other modalities based on patient preference, tolerance and need.

**Patients get varying degrees of improvement from these modalities and routine re-assessment is necessary to adjust care plans.

Vaginal Digital Microscopy

At the New England Center for Pelvic Health, Dr. Lucas uses Vaginal Digital Microscopy to accurately diagnose and treat vaginal and vulvar conditions. As an ISSVD-certified specialist, he is committed to providing precise, high-quality, and compassionate care.

Symptoms vaginal digital microscopy adresses:

  • Vaginal discharge
  • Itching or irritation
  • Burning or pain
  • Odor
  • Recurrent infections or unclear symptoms

Enhanced Visualization with Digital Microscopy

In-office Digital Microscopy allows Dr. Lucas to achieve enhanced visualization of vaginal and vulvar tissues. This non-invasive technique produces high-resolution images, enabling him to detect subtle changes and conditions that traditional examination methods might overlook. Detailed imagery is crucial for identifying issues such as inflammation, abnormal tissue growth, and other anomalies with enhanced accuracy.

A Patient-Centered Approach:

Dr. Lucas believes in a patient-centered approach, prioritizing comfort and understanding. Vaginal Digital Microscopy is a quick and comfortable procedure, typically completed within minutes. Patients value the non-invasive nature of this examination, which involves minimal discomfort.

Tailored Care and Treatment

Following the comprehensive analysis provided by Vaginal Digital Microscopy, Dr. Lucas develops personalized treatment plans catering to the specific needs of each patient. Whether addressing common conditions or more complex cases, his objective is to ensure optimal health outcomes and enhance the quality of life for his patients.

At the New England Center for Pelvic Health, Dr. Lucas is dedicated to integrating cutting-edge technologies like Vaginal Digital Microscopy into his practice. This commitment enhances diagnostic capabilities and offers a distinct difference in patient care and precision.

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