The Best Bladder Check Up

Urodynamics or Cystometrics are fairly straightforward tests of the ability of our bladder to function. When we are having to rush to the bathroom, but don't make it; run to the bathroom too often; have questions about the way the urine actually comes out, it may be time for more than just a simple gyno visit. It maybe time to get a test of the function of your bladder so that treatments can be fine tuned to fix exactly what is wrong. These tests, which has a variety of names including urodynamics and cystometrics are in office tests that are done at many urologists offices and some gynecologists offices. A catheter is placed in the bladder and sterile fluid is instilled. Cystometry (or cystometrogram) evaluates bladder function by measuring the pressure and volume of fluid in the bladder during the inflow of this fluid, which is equivalent to your kidney filling your bladder from above. Then after the pressure is measured during filling, the amount of urine you can hold known as your storage volume, and the pace you can urinate out the fluid given is measured to check your normal voiding pattern. The actual rate measurements are called uroflowmetry and this measures the rate the urine flows out under these conditions. The urethra needs to have a certain normal tone, that tone is checked with this uroflow system and an entire urethral pressure profile is developed to test tis tone. If the tone is poor then the bladder will leak at very low pressures, and the uroflow testing will give your gyno a measurement of this pressure called a leak point pressure. This leak point pressure determines both bladder pressure at which the leak occurs, and then measures the abdominal pressure when leakage occurs under circumstances where there is increased abdominal pressure such as you straining in a Valsalva maneuver or cough to assess how well the urethra resists the pressure and holds the urine back. It is after this test that your gyno can more accurately determine whether surgery or medicine,or behavior therapy, or a pessary, or a combination should be done.

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Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

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