While you wait...

In this episode, I get into the details of hormone replacement therapy for vaginal and bladder symptoms.    I start with talking about how we only have a finite number of eggs and when they are gone, we stop making estrogen.  This leads to menopause.  In the period before they are gone, we make estrogen in an irregular fashion- this is the perimenopause.    I discuss who should use estrogen (women...

In this episode I will be talking about 4 things that you can do to get started while you are waiting for an appointment. #1.  Pick the right incontinence products                 If you are not sure what to get, consider an incontinence product finder like: https://nafc.org/find-your-perfect-incontinence-product/                 Consider incontinence underwear like:                 ONDR https://o...

In this episode, I interview Dr. Mandy Pulliam, a board-certified urogynecologist who is currently the CMO of Axena Health.  This company offers the Leva Pelvic health System which is a prescription digital therapeutic device to improve pelvic floor strength.  (find out more here:  https://www.levatherapy.com ). This system is unique because it measures the movement of the muscle and can tell if y...

Bladder leaking is a huge quality of life issue that is usually a benign condition.  But there are lots of medical issues that can cause leaking that need to be evaluated.  In this episode, I discuss the medical conditions that can cause symptoms of bladder leaking.  These medical conditions are rare but always need to be considered.  Most of them can be evaluated with a simple history and physica...

Lots of women are nervous before their first office visit.  In this episode, I talk about what you can expect.  This includes: The important of filling out the paperwork (even if it seems redundant and is a pain). Why we ask the questions we do. The details of the office visit including the exam How you can customize your visit to suit you. The benefits of a virtual visit (or telemedicine) I encou...

There are some behavioral changes that help all leaking.  They are: ~quitting smoking ~losing weight ~avoiding constipation ~moderating fluid intake

In this episode, Dr. Wada and I discuss how to get the most out of your doctor’s appointment.  It is her mission to: “empower us to thrive in systems that at times feel like they were built to overwhelm.” We discuss topics like: Preparing your questions for your visit (and being confident enough to ask them!) Owning your story and knowing your past medical history Matching expectations of the appo...

In this episode, I’ll discuss the first line treatment for urgency urinary incontinence or overactive bladder.   For more information about pelvic floor muscle strengthening without a PT, check out this 2018 Cochrane Review by Dumoulin at:  https://doi.org/10.1002/14651858.CD005654.pub4 If you need instructions on how to kegel (or contract your pelvic floor): look here: https://www.yourpelvicfloor...

 In this episode, I’ll discuss what things you can try to improve stress urinary incontinence.  I’ll talk about pelvic floor strengthening as well as different devices.   For more information about pelvic floor muscle strengthening without a PT, check out this 2018 Cochrane Review by Dumoulin at:  https://doi.org/10.1002/14651858.CD005654.pub4 If you need instructions on how to kegel (or contract...

The first step is to determine why you are leaking.  There are different reasons that women leak.  They are: ~stress urinary incontinence ~urgency urinary incontinence ~mixed urinary incontinence ~overflow urinary incontinence Different types of leaking are treated in different ways.  Usually we make the diagnosis based on your story.  You can use a bladder diary to get to know your symptoms bette...

This episode is an introduction to me and what you can expect from this podcast.  My goal is to help women get started on their bladder issues while they are waiting for an appointment with a Urogynecologist.  I talk about what led me to do a podcast and why I am so excited to get started! If you are interested in seeing more from me, check out: www.thewomensbladderdoctor.com or you can find me on...