Kāhi MōhalaGynecologic Health

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?

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?

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?

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.

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?

Symptoms of PMS arise as a response to hormonal fluctuations. Many women can continue to experience symptoms of PMS (and even feel like they are cycling) if the ovaries are not removed at the time of a hysterec... continue reading  about  Why do I still have PMS every month even though I've had a full hysterectomy? I thought the days of irritability, depression, and bloating would be gone since it's been four years since the surgery. I've talked to three doctors but they can't explain it.

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?

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?

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?