Question: “Cystocele and Rectocele – what do these words mean?” Answer from Dr. Daniel Gruber, urogynecologist from Sibley Memorial Hospital in Washington D.C., part of John Hopkins medicine. A cystocele is where the front wall of the vagina bulges down and sometimes it can bulge down and out. Right behind …
Question: “Do we really need eight glasses of water a day?” Answer from Dr. Daniel Gruber, urogynecologist from Sibley Memorial Hospital in Washington D.C., part of John Hopkins medicine. This is an excellent question, with a lot of controversy surrounding it. You’ll hear lots of different things about how you …
Question: “Does pelvic organ prolapse cause leakage?” Answer from Dr. Daniel Gruber, urogynecologist from Sibley Memorial Hospital in Washington D.C., part of John Hopkins medicine. In short, it definitely can. So, as the front of the vagina bulges, like in a cystocele, the urethra follows behind it. The urethra needs …
Question: “Why and how is lifting a risk factor for pelvic floor disorders?” Answer from Dr. Daniel Gruber, urogynecologist from Sibley Memorial Hospital in Washington D.C., part of John Hopkins medicine. When you lift, it puts abdominal strain and pressure on the pelvic floor and all the abdominal contents. The …
Question: “I had a partial hysterectomy in 2012 where my uterus and tubes were removed. I find I am still having the extreme highs and lows of having a period. Would removing my ovaries help with this to gain stability?” Answer from Dr. Daniel Gruber, urogynecologist from Sibley Memorial Hospital …
Question: “What are the risk factors for pelvic floor disorders, or nerve damage, and which nerves are affected?” Answer from Dr. Daniel Gruber, urogynecologist from Sibley Memorial Hospital in Washington D.C., part of John Hopkins medicine. There are many different risk factors, but the biggest one is pregnancy and delivery. …
Question: What can be done for levator ani syndrome? Answer from Dr. Daniel Gruber, urogynecologist from Sibley Memorial Hospital in Washington D.C., part of John Hopkins medicine. Think about levator ani syndrome as more of a pelvic floor spasm. If you look at the pelvic floor muscles, of which there …
Question: If you had a hysterectomy, wouldn’t that get rid of the issues, if all affected areas were removed? Answer from Dr. Daniel Gruber, urogynecologist from Sibley Memorial Hospital in Washington D.C., part of John Hopkins medicine. Well, it can, but it depends on a lot of things. The pelvic …
Question: I had a total hysterectomy. What hormones should I take? Answer from Dr. Daniel Gruber, urogynecologist from Sibley Memorial Hospital in Washington D.C., part of John Hopkins medicine. The hormones you should take depends on various factors. First of all, age is important. Are you post-menopausal or premenopausal? What …
Question: I wear a pessary, which gave me my life back. Are there options for dryness, as I find I am experiencing soreness when removing? Answer from Dr. Daniel Gruber, urogynecologist from Sibley Memorial Hospital in Washington D.C., part of John Hopkins medicine. A pessary is a silicone device typically …
