Sutter Medical FoundationGynecologic Health

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?

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?

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?

It is not normal to have bleeding after sex at any age, but particularly for post menopausal women. Bleeding after sex can be an indication of damage to vaginal tissues, which are more fragile after menopause, ... continue reading  about  Is it normal for a 60-year-old woman to have bleeding after sex?

Before you make any decisions, make sure that other possible causes of pelvic pain have been adequately evaluated by your doctor, including your bladder, gastrointestinal system, and pelvic floor muscles. Fibro... continue reading  about  I have several small fibroids that sometimes cause me pain. How severe does it need to be to consider doing something about it?

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?

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?

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?

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?