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Ask an Expert
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
I've had incontinence since giving birth. The doctor keeps telling me to do my kegels, but it's not working. Are kegels supposed to fix all incontinence problems due to childbirth, or could something else be going on?
Many studies have shown a connection between vaginal birth and bladder symptoms. In fact one in three women will have incontinence during her lifetime, and of these up to 65% will recall that it began either du... continue reading about I've had incontinence since giving birth. The doctor keeps telling me to do my kegels, but it's not working. Are kegels supposed to fix all incontinence problems due to childbirth, or could something else be going on?
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
I'm 67, in menopause and on bio-identical hormones. During orgasms I have involuntary bladder releases. I urinate before bed and it still happens. My doctor said its bladder spasms that can occur with age. Is this normal? Is there anything I can do?
Fluid expulsion during female sexual arousal is not an uncommon event, as it is reported in 10-54 percent of women. The cause of this loss of fluid can occur due to female ejaculation (FE) or coital incontinenc... continue reading about I'm 67, in menopause and on bio-identical hormones. During orgasms I have involuntary bladder releases. I urinate before bed and it still happens. My doctor said its bladder spasms that can occur with age. Is this normal? Is there anything I can do?
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
I underwent a total hysterectomy in February of last year. Is it normal that my stomach still feels swollen? I'm using topical Evamist (two sprays each day) that my doctor recommended.
After undergoing a hysterectomy where the ovaries are removed, a premenopausal woman may experience menopausal symptoms. These menopausal symptoms may include hot flashes which can have a detrimental effect on ... continue reading about I underwent a total hysterectomy in February of last year. Is it normal that my stomach still feels swollen? I'm using topical Evamist (two sprays each day) that my doctor recommended.
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
I have prolapse that is made worse when I run. Running is something I need to be able to do, so what would you recommend? I've heard about pessaries - what are they?
Prolapse of the pelvic organs should not be something that slows you down. In many cases relief can be obtained with a simple, noninvasive treatment called a pessary. A pessary is a silicon or rubber device tha... continue reading about I have prolapse that is made worse when I run. Running is something I need to be able to do, so what would you recommend? I've heard about pessaries - what are they?
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
I've heard that the sling procedure is especially helpful for pelvic prolapse. How do I know if I am a good candidate for it?
Pelvic prolapse is a loss of support for the organs in the pelvis, including the bladder, uterus or rectum. When these organs shift out of position, they can cause symptoms that affect functioning, including ur... continue reading about I've heard that the sling procedure is especially helpful for pelvic prolapse. How do I know if I am a good candidate for it?
Sue Hazeghazam, R.D.
Sutter Medical Center, Sacramento
Experts say not to skip meals because it slows metabolism down. We are also advised to exercise to burn fat. Now they say you can't just do aerobics, you need resistance training. I'm training with weights and all I'm doing is getting bigger.
You should try to do both types of exercise. Both have benefits. Aerobic exercise is helpful to improve circulation and to burn calories and, if done long enough, to also help burn fat stores. When you do resis... continue reading about Experts say not to skip meals because it slows metabolism down. We are also advised to exercise to burn fat. Now they say you can't just do aerobics, you need resistance training. I'm training with weights and all I'm doing is getting bigger.
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
Does menopause cause increased urinary tract infections? It seems like I'm getting more of them now that I'm older.
Women are most at risk for urinary tract infections after menopause because of the changes in hormones that occur after menopause. The tissues of the vagina and outer urethra are affected by the lack of estroge... continue reading about Does menopause cause increased urinary tract infections? It seems like I'm getting more of them now that I'm older.
Wesley S. Hilger, M.D., FACOG
Sutter Medical Center, Sacramento
I had a partial hysterectomy at 29. Now, at 43, I have bladder control problems with coughing or sneezing, and not making it to the restroom. This is not a small amount, even if I have recently gone. Is this related to the hysterectomy?
Urinary incontinence can be very troubling and have a negative impact on quality of life. It should never be accepted as "just part of getting older". Developing urinary incontinence is not necessarily associat... continue reading about I had a partial hysterectomy at 29. Now, at 43, I have bladder control problems with coughing or sneezing, and not making it to the restroom. This is not a small amount, even if I have recently gone. Is this related to the hysterectomy?
Powell O. Jose, M.D., FACC
Sutter Medical Center, Sacramento
My 86-year-old mom just passed away from aortic valve stenosis. Should I contact my doctor and have my heart checked out? I've heard that most heart exams are geared for men more so than women. What should I do?
I am so sorry to hear about your mother. Aortic valve stenosis is a narrowing of one of your heart's valves that prevents it from opening fully. This can obstruct blood flow in your heart from going onward to t... continue reading about My 86-year-old mom just passed away from aortic valve stenosis. Should I contact my doctor and have my heart checked out? I've heard that most heart exams are geared for men more so than women. What should I do?
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