Doctors in the House - Female Topics
I am 30 years old, and since the birth of my third child 6 months ago, I find I urinate a little whenever I cough or sneeze, and especially when I jump in aerobic class. I am too embarrassed to mention this to my doctor. Please help me. – April
· Such symptoms of stress urinary incontinence are very common in postpartum women, that is, women who have given birth.
· Due to stretching and laxness of the pelvic floor muscles caused by childbirth, the urinary sphincter helping keep the opening of the bladder closed, may be a bit weak. See a urologist to assess its severity.
· Most cases are improved completely by pelvic floor exercises.
· In cases that fail to improve, definitive surgery in the form of inserting a sling or a tape around the bladder neck will usually solve the problem. It is performed routine as a day surgery procedure.
For the past twelve months I have been plagued by a bacteria causing a urinary tract infection. I feel better on antibiotics, but two or three weeks after stopping, it is back again. Can you suggest a solution? – Embarrassed
· Your symptoms sound like that of recurrent urinary tract infections, which is a common problem in women, especially after menopause.
· Many possible reasons - incomplete emptying of the bladder, presence of stones in the urinary tract, or unhealthy vaginal mucosa from post-menopausal changes.
· Good to see a urologist for evaluation, as several significant medical issues may be discovered during their routine evaluation.
3. I have heard that genital herpes can be caused by the same herpes virus that causes cold sores. If my partner has a cold sore on his lips, but no genital herpes, can I get genital herpes by kissing him? Is oral sex safe in this situation? – Safe partner
· Genital herpes is more commonly caused by the herpes simplex virus type 2 (HSV-2), whilst cold sores are most commonly caused by herpes simplex virus type 1 (HSV-1). However,
· The virus that causes cold sores (HSV-1) can also cause genital herpes.
· Kissing someone with cold sores should not lead to genital herpes, but it can lead to transmission of HSV-1 and oral infection.
· If there is oral-genital contact whereby the oral secretions/sores of someone with cold sores is in contact with the genital region of his partner, there can be viral transmission leading to the possibility of genital herpes in that partner.
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