September 02, 2015
When a woman has bothersome bladder leakage and is seeking to get her bladder back under her control, the first thing her provider will diagnose is whether the leakage is stress-type incontinence ("drips" small amount of urine with cough, sneeze, exercise), or urge-type incontinence (loses large volume of urine, "gullywashers" soaking pads and clothing). Stress-type drip patterns are more common, but urge incontinence can put a huge dent in your quality of life and can be terribly bothersome. Urge incontinence is also called overactive bladder, and may involve a spectrum of symptoms with urinary frequency, urgency, and leakage. Many women have a combination of symptoms and both types of leakage patterns, i.e. mixed-incontinence, and this situation can pose a dilemma to providers since the treatments for stress or urge incontinence are different - which to treat first?
August 18, 2015
Urinary tract infections (UTIs) are very common and becoming harder to treat due to antibiotic resistant bacteria. Where are these resistant bacteria coming from? Overuse of oral antibiotics for any suspected infection has historically been thought to be a culprit, but now there's increasing evidence that resistant bacteria are coming from the global food chain, and in particular the poultry industry. Antibiotics are commonly used in poultry feed on chicken farms to reduce the risk of E.coli infections. Drug-resistant E.coli UTIs are increasing in women who are otherwise healthy and living in the community and have no other risk factors for developing drug-resistant infections. There is increasing evidence that drug-resistant E.coli from antibiotic-treated chicken meat, then ingested by women, may contribute to the emergence of drug-resistant community-acquired UTIs.
June 29, 2015
Doctors called urogynecologists diagnose and treat women with pelvic floor disorders which may include bothersome bowel, bladder or sexual symptoms. Although your primary care physician, gynecologist, or urologist may have knowledge about women's pelvic floor disorders (PFDs), an urogynecologist offers expertise in treating women's PFDs.
May 13, 2015
Women's bodies change with time, and as I advise my patients, it takes conscientious effort to counteract gravity, aging, and time's effects on our bodies. One of our most vulnerable places for feeling the pull of gravity over time, is our vaginal support. When the vaginal supports fail, this is called vaginal prolapse, or pelvic organ prolapse (POP).
February 11, 2015
"How much water should I be drinking?" is one of the most common questions I get and the answer I give is "enough to keep you urine flowing and generally a light yellow color".
The old advice of 8-10 glasses of water a day is with the caveat if you aren't eating food - you have to consider the fluids in your food as part of your daily water intake - so 8-10 glasses a day is too much water for most of us.
Most active women who are ...
January 14, 2015
I remember hearing a lecture about 15 years ago, learning that by the year 2020 there will be more adults in diapers than babies!
It was hard to imagine that day back in 2000, but shopping in my local drugstore I realize that day is upon us. There is a whole double aisle dedicated to "Adult Continence Products" and only a quarter of the floor space dedicated to baby diapers. There is a tsunami wave of baby boomers, and bladder control is a big deal for many of us.
Over half of American women over 50 years old have some daily bother with bladder control - we are in the midst of an epidemic and women need to know this isn't a normal part of aging. Many women ...
December 18, 2014
I recently participated in a live chat with Swedish to answer questions that women had on urine leakage, bladder control treatments, pelvic floor disorders, and other pelvic health topics.
Click here to read through the archive of the chat. I also wanted to answer a few other questions I get asked, but didn't come up in the chat: