Specialists in the Medical & Psychological Aspects of Transgender Health Care 

Carl W. Bushong, Ph.D., LMFT
Richard A. Martin, Jr., M.D., FACEP
Kimberly L. Westwood, CPE, CCE
et al.
  electrolysis guide  
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home > Electrolysis Guide > Pain Management

 PAIN MANAGEMENT TOPICS  
• Electrolysis Pain : What to expect; factors involved in the perception of pain.
• Pain Control : A preferred method to alleviate/eliminate the discomfort of electrolysis treatment.
• Oral Nonopioid Medications : Oral pain medication used in addition to topical pain management.
• Adjunct Medical Support : Physician facilitated pain management during electrolysis treatment.
• EMLA : A topical anesthetic.
• Occlusive Dressings : Application instructions for cream type topical anesthetics like EMLA.
• OTC topical analgesics : Non-prescription topical analgesics available to the electrology patient.
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Electrolysis Pain

analgesia
(ΰn΄el-jκ΄zκ-e, -zhe)
Absence of pain perception.

anesthesia
(ΰn΄ξs-thκ΄zhe)
Absence of all sensation.

Also see, a full list of  pain management terms.

Given the amount of energy needed to destroy a course, deeply rooted hair follicle, most often electrolysis treatment can be rather painful. And while patients do have a wide variety of responses to electrolysis, the most significant factor seems to be the ongoing nature of the discomfort.

Pain is not just a sensation but an experience. It should be thought of as an unpleasant sensation as well as an emotional experience associated with actual or potential tissue damage.

Pain can be highly variable between individuals as well as in the same individual at different times. The most common reaction to acute pain is anxiety. And in turn, anxiety can exacerbate an increased response to pain.

Electrolysis pain is particularly difficult to imagine prior to any treatment experience because most individuals can make little comparison to past physically painful experiences.

For most individuals, the experience of physical pain has been in the form of sudden injury (a serious cut, a broken arm, etc.), where physical trauma is inflicted and our internal mechanism for dealing with that pain (both physically and psychologically) is put into play. However, the electrolysis experience is not a single traumatic event followed a response to injury, and eventual recovery.  Electrolysis trauma is continually doled out during the treatment encounter, which may last for several hours duration. Generally, one's mechanism for dealing with a continuing series of painful experiences is not as effective as with a single random encounter.

Acute pain is normally associated with the concept of nociception, which is derived from noci (Latin for harm or injury).  It is only used to describe the neural response to traumatic stimuli. There are three types of acute pain: superficial, deep somatic, and visceral. These three types all have different features. 

Electrolysis pain is the superficial type of acute pain, which is due to the nociceptive input arising from the skin and surrounding tissue. It is characteristically well-localized and described as a sharp, pricking, throbbing, or burning sensation.

But to truly empathize with the potential for discomfort, one must consider the ongoing nature, not only of a single electrology encounter, but the continuation of encounters, within the treatment process.  Certainly for many transgender patients, a great deal of emotional and psychological stress is involved with the process of permanent hair removal.


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