Archive for Women’s Health

Urinary Incontinence – Let’s Talk About It

Don’t Mind Me, I’m Working on My Pelvic Floor

Of all the women’s health issues, urinary incontinence might be the one that is least talked about outside of pregnancy. Pregnancy books, websites, and literature prepare us for the possibility of urine leakage. The incontinence gets chalked up to a temporary annoyance that will end when our baby is delivered. So, we do (or don’t and say we do) our Kegels and wait to quit peeing with every sneeze.
What those books don’t mention is that urinary incontinence is greatly under-diagnosed and under-reported in non-pregnant women. Embarrassment prevents women from mentioning it to their doctor. Yet a study from the University of Washington of 3,000 women found:

Urinary incontinence affects 28 percent of women ages 30 to 39, 41 percent of those 40 to 49 and almost half of all women 50 and older, according to a University of Washington survey of more than 3,000 women. And about 80 percent of these women can get complete or significant relief.

That is a lot of women suffering through the same problem silently. This is where Kegel exercises come in; you can do them any time, anywhere, silently and help end your suffering. Kegel exercises will not work for every type of incontinence but they have been found to be helpful for:
Stress Incontinence: urine leakage from coughing, sneezing, laughing, and other movements that put pressure on the bladder.
Urge Incontinence: losing urine for no reason or having the sudden urge to go.
Overactive Bladder: frequent, urgent, waking in the night.

Kegel exercises strengthen the pelvic floor muscles, which support the uterus, bladder, small intestine, and rectum. The key is to properly identify your pelvic floor muscles (the ones used to stop your urine midstream) and to do them regularly. Here is a brief description provided by the Mayo Clinic:

Perfect your technique. Once you’ve identified your pelvic floor muscles, empty your bladder and lie on your back. Tighten your pelvic floor muscles, hold the contraction for five seconds, and then relax for five seconds. Try it four or five times in a row. Work up to keeping the muscles contracted for 10 seconds at a time, relaxing for 10 seconds between contractions.
Maintain your focus. For best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.
It may be tricky, at first, but once you get the technique you can do Kegel exercises and make them part of your regular routine.

Here is the link for the 3,000 women study quote:

Here is the Mayo Clinic link:

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Birth Control Essure

Permanence Without Surgery

For generations of women, the only permanent birth control solutions were procedures that required surgery, hospitalizations, and often disruption or loss of the menstrual cycle. Today women have a better option, Essure.

About Essure:

Essure Permanent Birth Control Essure requires no surgery, cutting, burning, or general anesthesia. It is a non-hormonal, permanent birth control procedure that can be performed in your doctor’s office.
Since the Essure inserts contain no hormones your menstrual cycle should continue normally.
About the Procedure:
The procedure typically takes under ten minutes and requires no down time for recovery. An Essure trained doctor will insert the soft, flexible inserts into the fallopian tubes. The very tip of the device remains outside the tubes giving the doctor an immediate visual confirmation that the placement is correct.
After the Procedure:
For three months following the procedure your body and the inserts work together to form a natural barrier. When complete, this barrier prohibits sperm from reaching the egg creating the most effective form of permanent birth control available. It is very important to remember that you must use another form of birth control (other than an IUD) during this period.
At the end of three months your doctor will administer the Essure Confirmation Test. This test uses contrast dye and a special type of x-ray to confirm that the barrier has formed. Once you receive confirmation, you can begin relying solely on Essure for birth control.
Is it Right for You?
Essure is NOT reversible. Once the fallopian tubes are completely closed it has an effective rate of 99.74%. If you are certain that you do not want any more children, if you no longer want to fool the upkeep or hormones of other birth control methods, then Essure might be the right choice for you.
If you think Essure may be right for you, contact the office of Dr. David B. Schwartz for an appointment or more information.

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Gynecologic Cancers – Jaymie Jamison Foundation

Jaymie Jamison lost her life to cervical cancer. She left behind a loving family and an amazing group of friends. Through their hard work and in her honor the Jaymie Jamison Foundation for Hope was created. Their goal is to spread awareness about cervical and other gynecological cancers. Several weeks ago the foundation reached out via Twitter asking for help with an upcoming event. The 4th annual Panties Across the Bridge was taking place and the foundation wanted to connect with a physician. Dr. Schwartz and his office were happy to be a part of this extraordinary event.
Dr Schwartz Cervical Cancer Awareness
We are all inundated with media bites, ribbons, bracelets, etc. for breast cancer awareness but rarely will the media touch on the very personal and private area of a woman’s body – you know, down there! – our reproductive organs. Gynecologic cancers are typically classified by the five major types which describe the location of the cancer: cervical, ovarian, uterine, vaginal, and vulvar. A sixth but very rare form of is fallopian tube cancer. How many of you have heard of vulvar cancer? Did you know there were six types of cancers involving your reproductive organs? The signs and symptoms for each gynecologic cancer differ and cervical cancer is the only one that has a screening test – the PAP smear. Of course, each woman’s body is different and may show different symptoms so it is important to always call your physician/gynecologist with any concerns.
The Center for Disease Control (CDC) has launched a national campaign to help raise awareness – click here to learn about Gynecologic Cancer and their Symptoms.
You can find Dr. David Schwartz, M.D. on Twitter @cincinnatiobgyn

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Certified Nurse Practitioner -Susan Wilcox

Meet Your Healthcare Team

Susan Wilcox Certified Nurse Practitioner
The medical practice of Dr. David Schwartz strives to provide gynecologic care in a sensitive and compassionate manner. To that end, Dr. Schwartz understands that not every woman is comfortable being seen by a male physician. To ensure that all women are able to receive personalized care that meets their needs, Susan is available.

What is a CNP?
CNP stands for Certified Nurse Practitioner. A CNP holds a master’s degree in nursing and is a licensed Registered Nurse (RN). In the state of Ohio, each CNP is certified by the state and is granted a Certificate of Authority by the Ohio Board of Nursing.
Working closely with a licensed physician, a CNP is qualified to provide a wide variety of health services. They are able to diagnose illnesses and prescribe medications.

What OB/GYN services does a Certified Nurse Practitioner provide?
• Annual gynecologic Pap tests and other physical exams
• Contraceptive care
• Care before and after menopause
• Screening and referral for health problems
• Health and wellness counseling
• Sexually transmitted disease (STD) screening, treatment, and follow-up
• Pregnancy testing and referral to physicians for prenatal care
• Evaluation and treatment of common infections

Susan can provide you with these services and address any concerns you may have. Any surgical procedures or serious health problems will be referred to Dr. Schwartz.
Susan graduated from the University of Cincinnati with her Master of Nursing and performed her clinical rotation in OB-GYN at the office of Dr. David B. Schwartz, M.D. She is pleased to be a part of Dr. Schwartz’s practice and is devoted to the care of women.

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