GynoFiles

In the theme song of Orange is the New Black they say 'standing still is hard,' and it is, on your pelvis . Too much sitting, standing or lying in one place can have medical consequences on the pelvis which will affect your sex life, your bladder and your bowel habits. Pelvic floor weakness is not just from too much lying around and not strengthening your abdominal and back muscles, but it's from the damage we do with every day straining we don't even think about. For instance, the habit of reading on the toilet? That's too much sitting, and can contribute to too much straining and pelvic floor weakness. You are to get up and walk around a bit, and when you get the urge to finish, return at your leisure! Too much standing, especially locking your knees, that can contribute to fainting. So if moving around will not solve the problems of the pelvic floor, other solutions are possible. We begin with a pelvic floor evaluation and then some suggestions.

Sex is still a fascinating, expressed very much individually, and the subject of lots of discussion. Sexual arousal and orgasm disorders have been given new names, and the never ending G spot discussion had a new 8 women study to prove it exists (although it's off to the side more than we thought in some of us). We've had more sexual discussion in the past weeks about our clitoris than in the many generations before us. The Huffington post editors have admonished us as a society, and us as the medical practitioners as being in need of some serious clitoris education , specifically they are saying we need more clitoracy. Although I graduated medical school, well, lets just say a very long time before this date, it has been said that whatever I thought I dissected in all the anatomy and cadaver classes prior to 1998, was wrong, because it wasn't before 1998 that the true anatomy of the clitoris was accurately revealed. With this newer description all types of new terms an...

Sex is definitely healthy and now and then it needs to be spiced up. So after you watch the 50 shades premier, and are thinking new sex moves, maybe you want to know your gyno's opinion on the medical considerations before you pick your passion. Sex toys are definitely one way to spice up your sex life, and sex toy stories.seem to be abounding. No need to wonder where to get them, as you can buy them at tea parties, in your spa catalogs, at your gyno's office or local pharmacy, women are enjoying options for sexuality that they never had before! Sex toys are often recommended by gynos. They can be very successful dilators, they can bridge gaps between partners or when your partner is on a trip, they can help with Kegel's exercise, just to name a few obvious benefits. Vaginal dilators are prescribed by gynecologists for chronic infections and vaginal pain with intercourse, for women with bladder pain conditions, for women with lichen sclerosus and for women with ...

Painful sex is a seldom talked about, but frequent problem in women. Generally speaking painful sex, also called dysparunia ,  as women age is due to VVA , the most prominent symptom of what is now more accurately called genitourinary syndrome (GUS) of menopause. It is due to lower levels of estrogen, and decreasing male hormones, even those of the adrenal gland. Making use of the fact that adrenal hormones themselves can affect the vaginal tissue, and the fact that some of the male hormones are converted to estrogen there is now a new treatment, DHEA that has been shown to be effective according to a new study published in Menopause . The pH of the vagina and the lining of the vagina are the first things to change, and in fact there can be secondary frequent infections that can be causing the actual quick onset of significant pain with sex. To some extent the routine treatments for infection will offer some help won't work as well unless the underlying hormonal problem of VV...

For women unable to have intercourse because of pin, Botox is a new and effective treatment. For most women they can safely have one treatment and they are cured. For others repeat treatments have to be undertaken every 3-6 months. For most women gynecologists expect the treatment course to be self limiting and not need to go on for years. The Botox relaxes abnormally tightened muscles and makes both intercourse and using tampons possible for women who suffer from Vaginismus. Vaginismus is a painful condition that involves such tight muscle contractions that women are unable to have comfortable intercourse. Vaginismus has many origins: fear of painful intercourse, prior surgery, prior infections with painful intercourse, painful intercourse from endometriosis as well as psychological. It is not known if some women have naturally abnormally tight musculature or abnormal nerve firing that causes it, and in some cases it is a condition that occurs prior to a woman ever having sex, a...