GynoFiles

Pelvic pressure is a common complaint, with many common causes. It can be a premenstrual cramp, a bit of bloating, a big meal or just what most pregnant moms feel. Pelvic pressure can be due to enlarging pelvic organs for reasons other than pregnancy: fibroids, or an ovarian cyst. Bladder infections, constipation, and hemorrhoids can also cause symptoms of pressure.  But there is something called a hernia due to a weakness in the very back upper portion of the vagina, called the pouch of Douglas, that can cause pelvic pressure. Some women have other pelvic problems at that same time as this internal vaginal hernia: they may have dropping of the bladder, the back wall of the vagina, or an actual dropping of the uterus itself. These problems, having the, cystocele, dropping of bladder, or a rectocele, dropping of the rectum into the vagina are actually both hernias as well, and an anatomic problem you may be able to have some sense of just by self examination. Internal hernias ...

Runners when questioned are no different than other women who create pelvic pressure during exercise, thus some runners during their running events is a time that they complain of extra strain on their bladders. Longer races, in spite of some dehydration will create extra strain not only because of pounding through those half marathons, but perhaps just plain holding their pee a bit too long. Maybe it's just a matter of it being wedding season, you want to rock out until that bouquet is flung! Doing the Watusi in the highest heals may  be a bit strenuous on an already challenged bladder. Although your gyno has cautioned that latte breaks from shopping, and just getting too much caffeine, sugars, citrus and salt can affect the causes of incontinence, even with being good on your diet you may be struggling with your bladder. Pelvic examinations and cystometric testing as well as other tests can help make a diagnosis of any medical concerns.  Pessaries can be of help as wel...

Moderate Cystocele, Atrophic Vaginal Tissue  The base of the bladder is located in the upper vaginal wall. When that wall protrudes into the vagina or through the vaginal opening, the medical term is cystocele. Some will just call it vaginal wall prolapse. Factors that cause the wall to weaken: age, straining, birthing, or even overly full bladders on a chronic basis. In the case when the cystocele is more than just a fullness when your bladder has filled the condition becomes a bulge and the condition is called a cystocele. For most women, it's something you are first told about at a gyno exam. Some women hear an actual pop and then notice the bulging. Others just notice that there is tissue plopping into their vagina. Other women just report discomfort with intercourse. Kegals exercises for your pubococcygeous muscles or strengthening balls (yes, you've been reading about these in your 50 Shades book!) help to make the muscles strong, but will nev...

Untreated asymptomatic bacteria in the urine will turn into kidney infections about a third of the time. The definition of a bladder infection was set by Kass in a famous article reported in 1962 in the Annals of http://www.cdc.gov/nchs/fastats/deaths.htm Interal medicine . The definition was quite rigid. Dr. Kass stated for an accurate diagnosis a woman must have 100,000 bacteria grown in a culture to show positive in two separate but consecutive clean catch midstream urine cultures. 80% of the patients still had the bacteria on their second test, but about 20% didn't. So when he studied the fate of these infections he was studying a fairly high risk group, one that was not likely to clear up on their own.. None of us spend the money on two cultures for our patients any longer. When it comes to pregnant patients about 5% of patients will show this asymptomatic bacteria. Risk factors for the urinary tract infection in women include either recent or frequent sex, the...