In general, tubal ligation is a very safe procedure associated with the small risks of laparoscopy and anesthesia in a healthy woman, regardless of her age. However, other permanent methods of tubal steril... continue reading  about  What are the risks of getting your tubes tied? Are your early 20s too soon to get this procedure done?

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?

If your major goal, in addition to reliable contraception, is to reduce the menstrual flow and frequency of periods, then a Mirena IUD, which secretes progesterone-like hormone locally in the uterine cavity wit... continue reading  about  I'm 38 and have been in a relationship for three years. I've been on the pill for 20 years and don't want more kids, but I don't like the melasma side effect of birth control pills. I've considered an IUD but know someone whose device migrated. Options?

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?

A routine pap test screens for abnormal cells from the cervix associated with cancer or pre-cancer of the cervix. Depending on one's age, we are also testing for the Human Papilloma Virus (HPV), which is now fe... continue reading  about  What does a routine Pap smear show? Are there other routine tests should I ask for?

Vaginal yeast infections are caused by overgrowth of fungal organisms, usually the Candida Albicans species. Symptoms are usually itching, burning, and white, cottage-cheese appearing discharge. They are caused... continue reading  about  What's the difference between a yeast infection and bacterial vaginosis?

Uterine fibroids (leiomyoma) are common condition found in up to 80 percent of women by age 50. The reason that the fibroids develop is unknown but it is generally considered a benign growth with less than one ... continue reading  about  An ultrasound showed that I have eight fibroids, one the size of an orange. I've had fibroids in the past and had a myomectomy. I'm 45, have no symptoms other than frequent urination and bloating. Will they continue to grow and will they multiply?

Uterine fibroids are extremely common, affecting at least 70 percent of women. Fibroids are benign tumors of the uterus which never transform into cancer. Symptoms usually arise from enlargement of the fibroids... continue reading  about  How do I decide on a treatment plan for my uterine fibroids?

Urinary incontinence is a common condition affecting 30-50 percent of women. The number of women affected by urinary incontinence increases with age but it should not be considered acceptable at any age. It is ... continue reading  about  How can a woman know when it's time to consider surgery for urinary incontinence?