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?

Both synthetic polypropylene and acellular porcine dermis (pig skin) mesh slings are considered safe and effective for the treatment of female stress incontinence. In general, I advise patients that their main ... continue reading  about  I'm going to get an organic bladder sling made of pigs skin. Are there any more risks to getting that kind instead of the mesh kind?

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?

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?

You should not expect to experience any symptoms related to the removal of your right ovary, since the remaining left ovary will continue to produce enough hormones for your well-being. Of course, your body wil... continue reading  about  I had a da Vinci hysterectomy last month. They removed my uterus, cervix, right ovary and fallopian tubes. They did not remove the left ovary. What kind of symptoms should I experience?

If you want to have children after having your tubes "tied," there are two ways to do it. You can have in vitro fertilization (IVF) by getting the eggs from your ovaries, fertilizing them in the laboratory, and... continue reading  about  What is the success rate for tubal ligation reversal? What options for getting pregnant does a woman have if she's had a tubal ligation?

Good question. The terms tubal ligation, tubes tied, tubal sterilization, and female sterilization can all be used interchangeably to describe the same process. In the U.S., up to one third of women use sterili... continue reading  about  How likely is it for a woman to get pregnant after having her tubes tied?

Douching is not recommended for several reasons.Douche cleansing fluids tend to alter the vaginal pH and this can negatively impact the vagina's normal healthy bacterial flora and mucus and make one more suscep... continue reading  about  I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.

You can get pregnant only around the time of ovulation, which for most women with regular 28-day cycles corresponds to days 12-16. So if your period comes at the expected time and is normal in terms of flow, it... continue reading  about  I've heard that you can't get pregnant during your period. Is this just an old wives tale? Should I be concerned about protection during this time?