
Featured Articles

Help for Women with Urinary Incontinence
Loss of bladder control is common among women. Learn about the options for preventing and treating this annoying problem.

Breaking the Silence About Pelvic Prolapse
Pelvic prolapse is common but rarely discussed. Don’t be embarrassed – learn more about causes and treatments for this condition.

Facts About Vaginal Infections
There are many causes of vaginal infections. A proper diagnosis is the key to effective treatment.
Ask an Expert
Ask the Expert Team
Sutter Health
I just had a vaginal hysterectomy last week. When can I start exercising again and what type would be best?
Since vaginal hysterectomy requires separation of the vagina from the cervix, a suture line is needed to close the opening at the top of the vagina. Like any healing incision, it is important to avoid activity ... continue reading about I just had a vaginal hysterectomy last week. When can I start exercising again and what type would be best?
Ryszard J. Chetkowski, M.D.
Alta Bates Summit Medical Center - Alta Bates Campus
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've heard that the sling procedure is especially helpful for pelvic prolapse. How do I know if I am a good candidate for it?
Pelvic prolapse is a loss of support for the organs in the pelvis, including the bladder, uterus or rectum. When these organs shift out of position, they can cause symptoms that affect functioning, including ur... continue reading about I've heard that the sling procedure is especially helpful for pelvic prolapse. How do I know if I am a good candidate for it?
Susan Maayah, M.D.
Palo Alto Medical Foundation
Does the clitoris disappear with age? After 70?
The clitoris never actually disappears, but it can become smaller over time after the loss of circulating female hormones with menopause. This is part of a normal condition with aging called urogenital atrophy.... continue reading about Does the clitoris disappear with age? After 70?
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
I have prolapse that is made worse when I run. Running is something I need to be able to do, so what would you recommend? I've heard about pessaries - what are they?
Prolapse of the pelvic organs should not be something that slows you down. In many cases relief can be obtained with a simple, noninvasive treatment called a pessary. A pessary is a silicon or rubber device tha... continue reading about I have prolapse that is made worse when I run. Running is something I need to be able to do, so what would you recommend? I've heard about pessaries - what are they?
Susan Maayah, M.D.
Palo Alto Medical Foundation
I had a hysterectomy in June. I still have my tubes and ovaries and a small bit of cervix. Why and how am I still having full periods every month? Where is this blood coming from?
The type of surgery you had is a supracervical hysterectomy. If your ovaries are still functioning, then you are still having monthly ovulatory cycles. The monthly cycle causes bleeding from the endometrial tis... continue reading about I had a hysterectomy in June. I still have my tubes and ovaries and a small bit of cervix. Why and how am I still having full periods every month? Where is this blood coming from?
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
I've had incontinence since giving birth. The doctor keeps telling me to do my kegels, but it's not working. Are kegels supposed to fix all incontinence problems due to childbirth, or could something else be going on?
Many studies have shown a connection between vaginal birth and bladder symptoms. In fact one in three women will have incontinence during her lifetime, and of these up to 65% will recall that it began either du... continue reading about I've had incontinence since giving birth. The doctor keeps telling me to do my kegels, but it's not working. Are kegels supposed to fix all incontinence problems due to childbirth, or could something else be going on?
Ryszard J. Chetkowski, M.D.
Alta Bates Summit Medical Center - Alta Bates Campus
What is the success rate for tubal ligation reversal? What options for getting pregnant does a woman have if she's had a tubal ligation?
If you want to have children after having your tubes "tied," there are two ways to do it. You can have in vitro fertilization (IVF) by getting the eggs from your ovaries, fertilizing them in the laboratory, and... continue reading about What is the success rate for tubal ligation reversal? What options for getting pregnant does a woman have if she's had a tubal ligation?
Rodman S. Rogers, M.D.
SPMF San Francisco HMO Network
I'm going to get an organic bladder sling made of pigs skin. Are there any more risks to getting that kind instead of the mesh kind?
Both synthetic polypropylene and acellular porcine dermis (pig skin) mesh slings are considered safe and effective for the treatment of female stress incontinence. In general, I advise patients that their main ... continue reading about I'm going to get an organic bladder sling made of pigs skin. Are there any more risks to getting that kind instead of the mesh kind?