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Women's Health Topics
Ask an Expert
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
An ultrasound showed that I have eight fibroids, one the size of an orange. I've had fibroids in the past and had a myomectomy. I'm 45, have no symptoms other than frequent urination and bloating. Will they continue to grow and will they multiply?
Uterine fibroids (leiomyoma) are common condition found in up to 80 percent of women by age 50. The reason that the fibroids develop is unknown but it is generally considered a benign growth with less than one ... continue reading about An ultrasound showed that I have eight fibroids, one the size of an orange. I've had fibroids in the past and had a myomectomy. I'm 45, have no symptoms other than frequent urination and bloating. Will they continue to grow and will they multiply?
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
I had a partial hysterectomy at 29. Now, at 43, I have bladder control problems with coughing or sneezing, and not making it to the restroom. This is not a small amount, even if I have recently gone. Is this related to the hysterectomy?
Urinary incontinence can be very troubling and have a negative impact on quality of life. It should never be accepted as "just part of getting older". Developing urinary incontinence is not necessarily associat... continue reading about I had a partial hysterectomy at 29. Now, at 43, I have bladder control problems with coughing or sneezing, and not making it to the restroom. This is not a small amount, even if I have recently gone. Is this related to the hysterectomy?
Jane Varner, M.D.
Palo Alto Medical Foundation
I'm a woman (60) who had not had sex for 10 years. I recently decided to start again, but intercourse was very painful. I have tried several times, but with the same results. What causes this pain and what can I do that will help?
First of all, you are not alone. Millions of women experience pain during intercourse, but most are too shy or embarrassed to bring it up. I congratulate you for raising the question! Intercourse is a wonderful... continue reading about I'm a woman (60) who had not had sex for 10 years. I recently decided to start again, but intercourse was very painful. I have tried several times, but with the same results. What causes this pain and what can I do that will help?
Ask the Expert Team
Sutter Health
My mom died of breast cancer at the age of 55, so I've been getting mammograms since the age of 30. Is there a risk of radiation exposure from having regular mammograms? Should I be getting digital mammograms instead?
Digital mammograms do seem to improve the cancer detection rate in younger women with dense breasts. The radiation dose is not necessarily lower, but images can be manipulated to overcome some of the problem re... continue reading about My mom died of breast cancer at the age of 55, so I've been getting mammograms since the age of 30. Is there a risk of radiation exposure from having regular mammograms? Should I be getting digital mammograms instead?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Could the hormonal changes I'm experiencing during perimenopause be affecting my memory? I've heard a lot of references to "meno-fog."
Almost 2/3 of women complain of memory impairment during menopause and after childbirth when hormones are in flux. This "brain fog" is common and likely is influenced by estrogen. We do have estrogen receptors ... continue reading about Could the hormonal changes I'm experiencing during perimenopause be affecting my memory? I've heard a lot of references to "meno-fog."
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center - Alta Bates Campus
I am 37 years old and experiencing longer periods - two to three weeks long. I also have some bleeding after orgasm. What could be causing this? Do I need to see a doctor?
Yes, you should definitely consult with your gynecologist and have an exam and pelvic ultrasound. There may be a structural problem in your uterus, such as a polyp or fibroid (benign muscle mass) that can cause... continue reading about I am 37 years old and experiencing longer periods - two to three weeks long. I also have some bleeding after orgasm. What could be causing this? Do I need to see a doctor?
Ask the Expert Team
Sutter Health
My daughter (16) has very painful periods, to the point of lying on the floor and crying. A friend told me that birth control pills will help. Needless to say, I'm not thrilled at the prospect but I hate to see her go through so much pain each month.
Birth control pills often result in lighter periods with less blood flow and cramping. Prostaglandin inhibitors, such as ibuprofen and naprosyn, are also quite effective in reducing menstrual cramps, especially... continue reading about My daughter (16) has very painful periods, to the point of lying on the floor and crying. A friend told me that birth control pills will help. Needless to say, I'm not thrilled at the prospect but I hate to see her go through so much pain each month.
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
I'm 67, in menopause and on bio-identical hormones. During orgasms I have involuntary bladder releases. I urinate before bed and it still happens. My doctor said its bladder spasms that can occur with age. Is this normal? Is there anything I can do?
Fluid expulsion during female sexual arousal is not an uncommon event, as it is reported in 10-54 percent of women. The cause of this loss of fluid can occur due to female ejaculation (FE) or coital incontinenc... continue reading about I'm 67, in menopause and on bio-identical hormones. During orgasms I have involuntary bladder releases. I urinate before bed and it still happens. My doctor said its bladder spasms that can occur with age. Is this normal? Is there anything I can do?
Susan Maayah, M.D.
Palo Alto Medical Foundation
If HPV high risk is detected during my PAP smear result, should I get vaccinated? Or is it too late for any benefit of a vaccine? I have been monogamous for the last 10 years. Also, what's the likelihood of getting cancer once HPV is detected?
High-risk HPV detection on a pap smear indicates you are at risk for developing cervical cancer at any point in the future. With a healthy immune system, many women clear this, but sometimes severe cases requir... continue reading about If HPV high risk is detected during my PAP smear result, should I get vaccinated? Or is it too late for any benefit of a vaccine? I have been monogamous for the last 10 years. Also, what's the likelihood of getting cancer once HPV is detected?
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