Hypogastric Plexus Block and Ganglion Impar Block for Cervical and Endometrial Cancer Pain Management

This study is testing whether nerve block procedures — injecting numbing medication near nerve clusters in the pelvis (the hypogastric plexus) and the tailbone area (the ganglion impar) — can effectively manage severe cancer-related pelvic and perineal pain in people with cervical or endometrial cancer who are no longer getting relief from standard pain medications. **You may be eligible if:** - You are over 18 years old - You have cervical or endometrial cancer with severe, uncontrolled pelvic or perineal (groin/rectal area) pain - Your pain has not been adequately controlled by at least 2 weeks of standard pain medications - You are tired of taking oral medications or experiencing significant medication side effects (like constipation, nausea, or breathing problems) - Your pain score is above 4 out of 10 **You may NOT be eligible if:** - You have a blood clotting disorder or are on blood thinners - You have a local infection in the area where the injection would be given - You refuse participation Talk to your doctor to see if this trial is right for you.