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Click Here to learn more about Interstitial Cystitis
The symptoms of urinary urgency, frequency and incontinence are sometimes caused by declining estrogen levels in the pelvic-floor tissues. Low-dose vaginal estrogens are an often times an effective treatment option. Low-dose vaginal estrogens are available in creams (Estrace®, Premarin®), Ring (Estring®) and suppository (Vagifem). Click Here to learn more about Hormone Replacement.
Click Here to learn more about Urinary Tract Infections
- The bladder can bulge through the front wall of the vagina. This is known as a Cystocele.
- The rectum can bulge through the back wall of the vagina. This is known as a Rectocele.
- The uterus can fall down into or out of the entrance to the vagina. This is known as Uterine Prolapse.
- The bowels or intestines can prolapse into the vagina. This is known as an Enterocele.
Click Here to learn more about Pelvic Organ Prolapse
Click Here to learn more about Overactive Bladder
Click Here to learn more about Stress Urinary Incontinence
Dysuria is a painful feeling that accompanies urination is most often but not always due to a urinary tract infection (UTI). Other causes include infection of the urethra (called urethritis), and painful bladder syndromes such as interstitial cystitis (IC) not due to infection. A Herpes outbreak is occasionally a cause of severe pain with urination.
- Irritable Bowel Syndrome (IBS)
- Damage to the pelvic floor at the time of childbirth
- Pelvic surgeries and scarring
- Nervous system diseases like Multiple Sclerosis (MS) or Parkinson’s Disease
Fecal incontinence in women is a more wide spread problem than previously thought. As many as 10% of women over age 65 who are not living in nursing homes report troublesome loss of bowel control. Many younger women are also troubled by fecal incontinence. It is important to know that while not everyone can be cured, most women with fecal incontinence can be helped substantially—often without surgery.
A condition where the support to the top of the vagina is weakened, allowing bulging of the small intestine. This type of prolapse is most often seen in women who have undergone a hysterectomy.
Dyspareunia is the medical term that refers to painful intercourse. It is a general term used to describe all types of sexual pain. Sexual pain may occur upon penetration, during intercourse, and/or following intercourse. Perineal injuries can increase the risk of sexual pain after childbirth. In other cases, tenderness or “spasm” of the levator muscles may lead to pain during penetration. Other causes also include endometriosis or a retroverted uterus. There are a variety of treatment options for dyspareunia.
A posterior prolapse occurs when the thin wall of fibrous tissue (fascia) that separates the rectum from the vagina weakens, allowing the vaginal wall to bulge. Posterior prolapse is also called a rectocele because in many cases, it’s the front wall of the rectum that bulges into the vagina.
Childbirth, aging, weight gain and other bodily processes that put pressure on the fascia can contribute to posterior prolapse. A small prolapse may cause no signs or symptoms. If a posterior prolapse is large, it may create a noticeable bulge of tissue through the vaginal opening.
Symptoms of anterior wall prolapsed are variable. Often as the anterior vaginal wall prolapsed worsens it progresses outside the opening of the vagina. Sometimes the bladder may not empty well which can lead to urinary frequency, nighttime voiding, loss of bladder control and recurrent bladder infections. Anterior vaginal prolapse also affects support to the urethra, which can lead to urinary incontinence with activity such as laughing, coughing, sneezing, or exercise. Anterior prolapse often occurs with prolapse of the uterus or top of the vagina where the uterus used to be in women who have had a hysterectomy.