Blood In Urine Is Deemed Under Investigated

Preventative tests can help identify bladder pre-cancer and early bladder cancers when they are treatable. Women are less likely than men to be appropriately checked for bladder cancers when they test positive for blood in their urine according to a new study. Blood in your urine is called hematuria. If you can see it it is macroscopic, if you are told at the gyno office you have it, it's considered microscopic. The most common cause is bladder infection, but typically symptoms, positive bacterial cultures and other urine findings confirm the report. Many women will have appropriate testing for hematuria that is completely negative: nothing specific is ever found but random tests will show hematuria over weeks, months or years. Not everyone with hematuria will have a treatable disease. However there are a whole score of conditions that can lead to hematuria that should be investigated should you have this on testing. However at the American Urologic Society 2014 Annual Scientific Meeting a study was presented that showed women (and they actually studied men as well) often don't have enough testing to prove that hematuria is not cancer. Bladder cancer picked up early is very treatable, and as with other cancers not as treatable. The tests that the experts recommended for women with hematuria are CT scans and cystoscopy (looking into the bladder). Appropriate testing for hematuria that is persistent needs to be be worked up according to Moben Mirza, MD, assistant professor urology at the University of Kansas Medical Center in Kansas City, who was not involved in the study, but quoted in reviews of the study. We advocate continuing your annual care, whether a pap smear is due or not, because checking for hematuria is another important test women should have on a regular basis. At the time of the gyno visit, you can review all your risk factors for bladder and kidney disease and what you can do to prevent these conditions. Go on line at www.womenshealthpractice.com to sign up for an appointment or newsletters.

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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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