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Cellulose sulfate gel appears to be “an effective vaginal contraceptive without many side effects,” Dr. Christine K. Mauck, of the Contraceptive Research and Development Program at Eastern Virginia Medical…

Acute pain due to ischemia or injury to a viscus is accompanied by autonomic reflex responses such as nausea, vomiting, restlessness, and sweating. The following is a discussion of some of the important gynecologic…

Mittelschmerz
Mittelschmerz is midcycle abdominal pain due to leakage of prostaglandin-containing follicular fluid at the time of ovulation. It is self-limited, and a theoretical concern is treatment of pain with prostaglandin synthetase inhibitors,…

Vulvovaginitis may be due to allergic reaction (eg, contact vaginitis), infection (eg, bacterial, parasitic, fungal), or hypoestrogenism (ie, atrophic). Symptoms include burning, discomfort, dyspareunia, and abdominal vaginal discharge. Localizing the pain is important in order…

Chronic pelvic pain is defined as continuous or intermittent pelvic pain of longer than 6 months duration. No symptoms uniquely identify genitourinary structures as a source of pelvic pain. Even the relationship of recurrent…

Stress can be bad: losing a job, losing a loved one, moving to a new city. Stress can also be good: taking an exciting job in a new town, getting married, graduating from…

Good social support and reliable information are essential for women who find menopause an intense and life-altering experience, especially if they live in rural areas…

OBJECTIVE: To estimate the temporal relationship between self-reported urine loss and incident, symptomatic, microbiologically confirmed urinary tract infection (UTI).

METHODS: We used daily diaries to collect information on incontinent episodes…

Female urinary incontinence is a common problem. For instance, a postal study from the USA in more than 3500 women reported a prevalence of urinary incontinence (defined as urinary leakage at least…

Regardless of surgical technique, women who have had a hysterectomy are at a much greater risk for needing stress-urinary-incontinence surgery, according to the results of a nationwide,…

Hysterectomy for benign indications has been associated with an increased risk for lower-urinary-tract sequela, but results have been inconclusive. We aimed to establish the risk for stress-urinary-incontinence surgery…

Urinary incontinence affects nearly 40% of women. Hysterectomy is also common, and studies of the procedure’s effect on urinary tract function have yielded conflicting results. Now, Swedish investigators have used…

Daniel Altman and colleagues (Oct 27, p 1494)1 found an increased risk of surgery for stress urinary incontinence after hysterectomy for benign indications, irrespective of surgical technique. However, an increased risk of…

Despite the fact that folic acid can prevent some of the most common birth defects, young women aren’t getting enough of it. Only one in three women ages 18-24 takes…

Should women be permitted to accept the risks of cesarean in order to possibly reduce their risk of developing incontinence, prolapse, and pelvic floor problems later on?  This…

A mindset of prevention before, during and after childbirth can help you to avoid pelvic floor problems, or keep existing symptoms in control.  These areas of your…

Vaginal birth after cesarean section (VBAC) has been an obstetrical topic mired in controversy.  Up until the past few decades,…

As you’re surrounded by the commotion over painting the nursery or planning the baby shower, it’s easy to overlook, as your due date approaches, one…

Injuries to the perineum and vaginal opening affect 35-75% of women during vaginal birth.  Even after careful repair, permanent weakening may create vaginal ‘looseness’.  Some…

It is rarely appreciated that labor and delivery are among the most important physical events in a woman’s lifetime.  But the fact is, whether childbirth is easy or difficult,…

Urinary Incontinence:  Urinary incontinence affects 30-50% of mothers before age 40.  Among women experiencing stress incontinence after childbearing, up to 63% report that it began during pregnancy.  And…

Hot flashes may be getting an unfair rap for disrupting women’s sleep at midlife. Studies have often reported that sleep problems increase during the transition into menopause,…

Malignant ureteral obstruction: Whether decompression really improves patient outcomes and quality of life?

Wong L et al., [1] in a recent retrospective study of 102 (45 men, 57 women) patients who presented with…

This is a retrospective study of the postoperative outcome of using tension-free vaginal tape (TVT) and trans obturator tape (TOT) procedures in women with stress urinary incontinence…

Most women have mixed incontinence even if stress incontinence is dominant. Sometimes it is useful to treat the OAB-DO first to see if a minor degree of stress incontinence is tolerable if the bladder is…