My last pain doctor suggested that my history of abuse (especially sexual abuse) might be the main source of my pelvic pain, along with neuropathy. I have muscular trigger points that cause low pelvic pain, despite having had two injections and a nerve block. It’s true that my endometriosis has progressed from stage one to stage two, after essentially being “reset” by a laparoscopy in March 2011, but I’m taking two forms of birth control to at least slow the progress, if not completely stop it.
I have no more options for controlling or reversing the endometriosis. Lupron didn’t work—all it did was leave me with horrible acne scars on my left cheek and $2,000 poorer. Another surgery is out of the question, mostly because of finances but also because there’s a very good chance it could cause more scarring and adhesions and actually make things worse. All this has led me to reconsider my stance on the mind-body connection, which I’d previously scoffed at.
I was looking up information on pelvic pain related to a history of abuse and found a study on the topic from 2000 (http://www.ncbi.nlm.nih.gov/pubmed/11084180). Some highlights:
- 22% of patients with chronic pelvic pain were sexually abused before their 15th birthdays
- 25% of women with chronic pelvic pain were exposed to emotional neglect, especially during childhood
- 38% were exposed to physical violence
I haven’t written as much about sexual abuse as the other forms I’ve suffered, and I think that’s probably because I still haven’t connected with any of it emotionally. Now that I’m in a functional relationship with a good person who makes me feel safe, appreciated, and generally cared-for, I’m beginning to feel better about myself and more secure and confident in my self-worth.
In short, I think I’m finally ready to talk about it, though in the interest of protecting their privacy, I’m going to avoid all but the vaguest references to abuse within my family.
I’m still not completely sure whether or not I was molested as a child, although more therapists and psychiatrists than you can shake a stick at have all told me that my partial memories, repression, sexual precocity, and general attitudes toward my body and sex are strongly suggestive (no pun intended) of early abuse. I was terrified of men until I was fifteen—I stopped crying and completely losing it around them around age seven or so, but I kept my eyes down, or at least averted, and would cross my arms over my chest and hunch over—anything to keep them from seeing me or even noticing that I was there.
My mother had a boyfriend who made me profoundly uncomfortable from the time I was five until she went to prison a year later.
I remember crying whenever she left me alone with him. They both drank, but I was especially frightened of him. He was tall and overtly masculine in a swarthy sort of way with dark eyes and hairy arms. I will never forget those arms, which I think explains my penchant for mostly hairless men with less testosterone-loaded features.
I have a memory from when I was about five-and-a-half of lying in bed in the room he’d set up for me in his house. (We frequently stayed overnight, and I’d always cry when she insisted I had to go with her.) They’d gone out on a date and had left me alone with his son, who was fifteen at the time and very kind and protective of me. He used to read me books before bed, but because he was pretty severely dyslexic and I was way ahead of the curve in terms of language and reading ability, I usually took over and read him to sleep on the living room floor before putting a blanket over him and tucking myself into bed.
For some reason, I was still awake that night when they came home, albeit in a drowsy twilight state. I remember them opening the door to check on me and seeing the dim, watery yellow light flooding in through the crack in the door. She walked away and he lingered there for a moment. I remember seeing him hesitate, then approach my bed. I remember his dark silhouette against the thin light from the hallway. I remember that hairy arm stretched over my chest, and then everything fades to black. The memory ends there.
It bothers me, not because of the implications but because I pride myself on being annoyingly self-aware and don’t like the idea that my brain, which I know so well, is still hiding things from me. I want to know. I don’t want to know. I’m curious, but I know there’s probably a good reason my brain is blocking that memory. What good would it do, anyway, knowing for sure whether or not anything had happened? I know that he was abusive toward both of us in other ways, and I feel like that should be enough.
But sometimes it’s not.
I’ve written about the other abusers—all four of them, for a grand total of five—in other posts and may revisit the topic later. But for now, I wanted to finally speak out about the one incident from when I was a child that’s still bothering me, that I still haven’t been able to untangle, in hopes that it might strike a chord in one of my readers. I don’t like to think about other people being abused, but I know it’s one of those horrible realities I have no choice but to face, especially since I want to specialize in trauma therapy.
It feels wrong to hope that someone will be able to relate, that they will reach out and that maybe we can have a dialogue and reach some sort of insight together (or at least achieve catharsis), but I feel like it would be incredibly helpful right now. I’ve learned that we need to lean on each other, because no matter how good the intentions of our friends, partners, and families might be, there is no substitute for being able to talk to someone who’s experienced what you’ve been through.
I am here for you, readers. If you need help, I will help as best I can. And if you need to howl into the void, I will be your void.