Gynecology
Conditions We Treat
Abdominal Pain and Pelvic Floor Disorders
These disorders can be complex, as they may involve the gastrointestinal tract, genitourinary tract and/or the pelvic musculoskeletal system. Therefore, an evaluation by a team of different kinds of doctors is important. At BMC, colorectal and gastrointestinal surgeons, gastroenterologists, gynecologists, urologists, therapists, psychologists, and primary care physicians all work together to determine the best course of treatment for individual patients.
Go to Detail PageAmenorrhea
Amenorrhea is the absence of a girl or woman's menstrual cycle (period); for women, diagnosis is after 3 months without a period, and girls are diagnosed if they have not had a period by age 15. Causes range from pregnancy, breastfeeding and menopause (natural amenorrhea) to medications and lifestyle conditions, like low body fat and excessive training or exercise for girls.
Go to Detail PageDysfunctional Uterine Bleeding
Abnormal vaginal bleeding is any bleeding that is outside a normal menstruation (period). This may occur as spotting (light bleeding) or involve heavier bleeding. Any abnormal bleeding should be investigated, as causes can range from polyps and cysts to uterine, cervical and endometrial cancer (reproductive system canders) and celiac disease (wheat protein intolerance).
Go to Detail PageEndometriosis
Endometriosis is a condition in which tissue similar to the tissue that lines the uterus grows outside the uterus. This tissue can grow on any part of the reproductive system or nearby organs.
Go to Detail PageFecal And Urinary Incontinence
Both fecal and urinary incontinence issues range in severity from an occasional leak of urine or stool from a cough or sneeze to complete loss of control. Commonly nerve or muscle damage from childbirth, aging or physical disability is the cause, but things like constipation, surgery or illness can also be factors. Medical treatment and lifestyle changes can ease symptoms.
Go to Detail PageFemale Sexual Dysfunction
Many women experience sexual function issues at some point during their lives, but persistent or recurring problems with sexual desire or response can be female sexual dysfunction. There are generally four types, including low sexual desire, sexual arousal disorder, difficulty achieving orgasm and sexual pain disorder.
Go to Detail PageFibroids
Fibroids are common, non-cancerous growths that can appear in the uterus and most often do so in a woman's childbearing years. Fibroids come in all sizes and can grow quickly or remain small, and though there are not always symptoms, sometimes heavy bleeding or a very long menstrual cycle are a sign fibroids are present. Though there is not a known cause other than being a woman of childbearing age, fibroids are known to be hereditary (run in families).
Go to Detail PageGynecologic Cancers
The gynecologic oncologists have expertise in treating many types of female pelvic cancers including cancers of the ovary, uterus, cervix, vulva, and trophoblast (placenta).
Go to Detail PageIncontinence
Urinary incontinence is the loss of bladder control. There are several types of urinary incontinence including stress incontinence, where urine leaks during activities that strain the abdomen; urge incontinence, resulting from an overactive bladder that contracts unexpectedly; overflow incontinence, which occurs when the bladder weakens or a blocked urethra prevents normal emptying; retention problems that occur when urine cannot be released from the bladder; and problems with urgency and frequency, when there's an uncontrollable urge to urinate resulting in emptying the bladder more often than normal.
Go to Detail PageInfertility
Infertility means the inability to get pregnant (conceive and carry a baby). There can be many reasons and conditions that prevent pregnancy, affecting both the female and male body, including age, conditions in the reproductive system, cancer and more. While approximately 90% of couples achieve pregnancy within a year of unprotected sex, there are many treatments to help couples with infertility if they are having issues conceiving.
Go to Detail PageInterstitial Cystitis (IC)
This is also known as painful bladder syndrome. IC is a chronic condition that can cause increased frequency of urination, urgency, and pain/pressure in bladder. Chronic pain can cause spasms of pelvic floor muscles. PT can help control pain, teach relaxation techniques, educate patient on timing voids during the day, and teach healthy bladder habits.
Go to Detail PageOveractive Bladder Disorder (OAB)
Overactive bladder can cause the sudden urge to urinate which can be difficult to control. It often causes frequent urination (more than 8 times in 24 hours), nighttime urination, and sometimes urinary leakage. PT can help change voiding (urinating patterns) by timing voids during the day, making changes to drinking/eating habits, and learning to hold the bladder using pelvic floor muscles.
Go to Detail PagePelvic Floor Weakness
The pelvic floor muscles are a group of muscles located in the bottom of your pelvis and inside your pelvis. They control urination, bowel function, and sexual function. If these muscles become weak, you could have problems with urinary leakage, urinating frequently, difficulty with bowel movements, or pain with intercourse. PT can teach you exercises to help strengthen these muscles to help manage your symptoms.
Go to Detail PagePelvic Organ Prolapse
Pelvic organ prolapse is when the uterus, bladder, or rectum "drops" down onto the vaginal canal. This can cause pain, heaviness, or sense of something bulging in pelvis. PT can help educate patient on posture and body mechanics to avoid worsening of symptoms. Exercises can also help strengthen the pelvis and abdomen to help manage this condition.
Go to Detail PagePolycystic Ovary Syndrome
Polycystic ovary syndrome (PCOS) is a common endocrine system disorder in women where the ovaries become enlarged and retain fluid. PCOS symptoms include irregular or missed periods, excessive body hair, high levels of the hormone insulin, and weight gain. Exact causes are unknown, but excess insulin, general inflammation and heredity (in the family) are thought to play a role.
Go to Detail PageReproductive Endocrinology
Reproductive endocrinology is a specialty of gynecology, focusing on complex fertility and infertility issues, including fertility preservation like freezing fertilized and unfertilized eggs, and gynecological surgeries performed to improve fertility.
Go to Detail PageUrinary Tract Infection
A urinary tract infection is a type of infection that can happen in any part of the urinary system.
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Urogynecology
Urogynecology is the treatment of pelvic floor conditions, like urinary and fecal incontinence, pelvic prolapse, and more. A urogynecologist has special training in treatment and surgeries specific to the female pelvic region.
Go to Detail PageUrothelial Cancer
Urothelial cells are cells that line your urethra, bladder, kidneys, and other organs in your urinary system. Urothelial cancer is any cancer that starts in these cells. It's also called transitional cell cancer.
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