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
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center - Summit Campus
What does a routine Pap smear show? Are there other routine tests should I ask for?
A routine pap test screens for abnormal cells from the cervix associated with cancer or pre-cancer of the cervix. Depending on one's age, we are also testing for the Human Papilloma Virus (HPV), which is now fe... continue reading about What does a routine Pap smear show? Are there other routine tests should I ask for?
Susan Maayah, M.D.
Mills-Peninsula Medical Center
I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
Douching is not recommended for several reasons.Douche cleansing fluids tend to alter the vaginal pH and this can negatively impact the vagina's normal healthy bacterial flora and mucus and make one more suscep... continue reading about I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
Ask the Expert Team
Sutter Health
What is the recovery time from a hysterectomy?
Recovery from hysterectomy is a highly personal and unique experience that is both physical and emotional. For many women, the absolute finality of childbearing can be very saddening. The amount of postoperativ... continue reading about What is the recovery time from a hysterectomy?
Wesley S. Hilger, M.D., FACOG
Sutter Independent Physicians
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.
Mills-Peninsula Medical Center
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?
Rodman S. Rogers, M.D.
California Pacific Medical Center
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?
Heidi Wittenberg, M.D., M.S., FPMRS
California Pacific Medical Center
I had a partial hysterectomy 18 years ago (my ovaries were not removed). Lately I've been having pain and cramping, so recently had x-rays and an ultrasound. The doctor could not find my ovaries. Can ovaries just disappear on their own?
If ovaries are not removed surgically, they are still present. After menopause, our ovaries do shrink. Pre-menopause ovaries are 3-4cm, but after menopause they can be 0.5cm-1.0cm. The older we get, the smaller... continue reading about I had a partial hysterectomy 18 years ago (my ovaries were not removed). Lately I've been having pain and cramping, so recently had x-rays and an ultrasound. The doctor could not find my ovaries. Can ovaries just disappear on their own?
Ask the Expert Team
Sutter Health
What are the risks of getting your tubes tied? Are your early 20s too soon to get this procedure done?
In general, tubal ligation is a very safe procedure associated with the small risks of laparoscopy and anesthesia in a healthy woman, regardless of her age. However, other permanent methods of tubal steril... continue reading about What are the risks of getting your tubes tied? Are your early 20s too soon to get this procedure done?
Ask the Expert Team
Sutter Health
I'm female (36) with a Mirena IUD. I have lower abdominal pains that feel like my uterus is being squeezed. It's worse after my period or intense orgasms. My IUD was checked and it's in the correct place.
Although the Mirena IUD is an excellent method for contraception, control of menstrual bleeding, and cramping with periods, in some women it is not well tolerated. Since you have quite clearly identified your p... continue reading about I'm female (36) with a Mirena IUD. I have lower abdominal pains that feel like my uterus is being squeezed. It's worse after my period or intense orgasms. My IUD was checked and it's in the correct place.
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