GynoFiles

There are 30 million women with overactive bladders, but they can be broken into two types of urgency. First group has overactive bladder as they have intensification of normal urge, and the type   2s are a sudden urge, have to rush, and they have different reasons and different treatment.   And urgency it's not really all or none and some have a worse case. The groups are each divided into subtypes of problems as well. Type 1 mild urge is so mild you can finish the last hour of a movie, but precipitous, type 4 no matter what male star is taking off his clothes, you are running to the bathroom! How long can you normally hold? Can you hold for a whole minute if you have to go? A minute, girls, is a long time! And now there is a new patch that is available over the counter for the treatment of over active bladders .  And if you cannot get relief from Kegel's or watching your caffeine intake, then, it’s time to get to the gyno and discuss as causes of over active bla...

Women leak urine for a variety of reasons. Your diet, your activity, your weight, your anatomy, how many kids you have had, how much lifting you do, how many Kegel's exercises you have done, the medications you are on, whether you need more estrogen: the list of reasons for leaking a bit of pee goes on and on! And it's something you and your gyno can discuss at length. A study that looked at some solutions short of surgery had some interesting conclusions:

Relative Positions of  Our Pelvic Organs The bladder begins it's life high in the pelvis. If the bladder wall weakens if the nerves get a bit warn, if you pressure your bladder with too much fluid or too many dietary irritants you can have problems with that rush to the bathroom known as Overactive Bladder . Overactive Bladder or (OAB) can be associated with stress incontinence, which is defined as leaking urine when you cough or strain. If you do have both it is defined as mixed incontinence. Defining what is too many trips to the bathroom is somewhat arbitrary, we all pee a lot, what's too much? Over 8 times per day. You really should be able to hold your urine for at least two hours, even in midday after a normal meal. And having sudden, strong desires to urinate, that you cannot control, or even after you think you just emptied your bladder. This extremely strong urge that you cannot control is not a normal state. Not everyone has incontinence with OAB, although with ...

Tsting the function of one's bladder may be as unsophisticated as a yearly check up with your gyno. But for many women bladder problems extend beyond the rare leak and need sophisticated testing. Multichannel urodynaic studies and a systematic examination of your vaginal support when there are additional problems. Reasons for more complex testing: 1.If you think you may actually have nerve damage to the area or be suffering from conditions which can affect the nerves such as diabetes 2. If you are planning invasive surgery 3. When there has been failure to correct an issue with prior surgery 4. When there is both a pelvic floor defect and incontinence If you wear pads daily, if you go to the bathroom significantly more than your friends or than you used to, and if you notice odors that might mean you are leaking urine, these are all reasons to get your bladder checked. 

How stressed are you on a daily basis? Are you the Wrong Type A Personality? Has being Type A moved you into what Dr Ozner calls Type D ? Stressed and Depressed? Time to learn more about stress. Find out how Stress Can Affect Your Heart and Your fitness? How stress exerts its effects and how it ages you, and at Women's Health Practice we will also tell you just how you can get tested. Stress in the rawest sense doesn’t need a doctor to diagnose. Have you seen a friend go literally grey over night? Have you felt that non-stop crush of a deadline? Been unable to sleep because of incessant thoughts of life’s worries that you cannot banish until morning? Lost interest in sex or your favorite hobby? But the pathways of chemicals that have made those feelings translate into physiology, for that, we need some in depth consultations. First, some of the basics: our brain sends signals from around the various centers to what is called the HPA axis: Hypothalamus-Pituitary-Adrenal . The H...

The NHANES data has now linked low Vitamin D with pelvic floor problems and urinary incontinence. This was true of all age groups! They were stimulated to look for this because Vitamin D has been associated with left-leg muscle strength (not sure what happens with the right leg, I'll have to do some checking, presumably that was the constant and not that the right leg muscle doesn't care about Vitamin D levels).

Bladder disconnect is also called overactive bladder, and it is fairly common and there can be a lot of signs of this problem. You sit on the toilet. You pee. But did you really pee all that was there? Normally when we are busy, or at work we don't want to pee frequently so we get in the habit of not going until we are quite full! On the other hand sometimes we don't want to pee until we finish the phone call or unload the groceries, so we just cannot stand it if the ability to hold the urine for more than moments after the signal that you may have to go occurs, Sometimes the physiologic adaptations that allow us to work around our busy lives can work a bit against us. WE have a bladder that holds our urine and a urethra that is the tube that funnels the urine out of our system. The bladder and the urethra are coordinated, but in a funny sort of discordant way! We are designed to hold that urine in and at the time the urethra will contract the bladder will actually, paradoxica...

Women who used estrogen in menopause were always told that their little pee problem with the hee hees and ha has would get better. Then the data from the WHI (Women's Health Initiative) said the opposite: estrogen therapy actually worsened incontinence for menopausal females. But what about young women, they can have those slip ups too! The August 2009 issue of Fertility and Sterility has published a new study showing that in women users of oral contraceptives there better bladder heath: less stress urinary incontinence, less urge incontinence, less of what is called mixed incontinence (a bit of both stress and urge in the same patient)! So looking for a solution that may be relatively simple and fit into your life style? Ask your gyno about getting on the pill! Another non-contraceptive health benefit! And be dry as these Koshi Dolls, Yeah!