Message from Dr. E - January 2025

My passion for integrated care in women's health continues with the creation of this multidisciplinary regional approach to the clinical care, education, and research associated with persistent pain in the pelvic region in all genders. For over two decades, I have developed a specialized program for chronic pelvic and sexual pain.  I learned that there had been enormous advances in the science of pain transmission and processing involving genetics, gender, trauma, cumulative life experiences, nervous system, and muscle "memory," and that acute pain and inflammation are essential to our survival.  However, when enough "hurt" and trauma turn into chronic pain syndromes, many layers of the "onion" need to be peeled away.  Doing that cannot be accomplished by any single approach or practitioner.  We hope our Institute will contribute to "connecting the dots" for individuals and the community.

  • Over the years, Dr. E has trained other practitioners to understand and pass on his knowledge and treatment modalities.

Please click here to view Chapter 3 from the Pain Down There DVD, which Dr. Echenberg and three other professional colleagues co-produced over a decade ago.  

Our program for pelvic, genital, and sexual pain has seen patients (both women and men) from at least 40 different states and 20 countries outside the United States.  About 2300 women and men have benefited from Dr. Echenberg's knowledge, diagnostic skills, and unique combinations of non-surgical therapeutic techniques for the past 23 years.  There is no one elsewhere who spends the amount of time to provide meaningful education and help you "connect the dots" concerning your particular complex of symptoms. So many of you have had multiple surgeries and multiple invasive diagnostic studies and have been seen by so many different specialists, and yet you still have no clear answers as to why you have not been helped.

Dr. Echenberg's combination of using the most current neuroscience on chronic pain processing, a very personalized bio-psychosocial model approach, and his more than 40 years of medical experience working in the pelvic region all explain the "difference" experienced by patients in our program compared to any others elsewhere in the world.

Many new patients had already given up hope of finding significant relief from their symptoms. But they soon realized there is a way out of pain and suffering—through integrative care, compassion, and state-of-the-art knowledge of pain to help restore hope and purpose in their lives.

We continue to receive many requests from all over the US and the world. And we find it discouraging that there are still so many women and men with chronic and persistent abdominal/deep pelvic and genital pain (clitoral, vulvar, penile, vaginal, etc.), PGAD/RGS (the spectrum of genital hyper-arousal disorders), painful sexual intimacy, as well as pain issues related to the pelvic floor and core musculature, pelvic peripheral nerves, bladder, lower bowel, lower abdomen, low back, buttocks, tailbone, groin, and hip.  We developed an effective model of care that has been evolving in our program since 2001.

2025 into the future 

Dr. E intends to continue his Telemedicine consultations on a HIPAA-compliant platform. All consultations will remain virtual. You can make these calls at home and be accompanied by any close support person.