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From a presentation by McLeod Gynecologists Dr. Marla Hardenbergh and Dr. Brad Campbell

The causes of endometriosis, the growth of uterine lining cells outside the uterus, are still unknown. Yet, there are a few treatments that seem to work.


From a presentation by McLeod Gynecologists Dr. Marla Hardenbergh and Dr. Brad Campbell

Endometriosis can be a painful, recurring problem. Even with today’s medical breakthroughs, McLeod Gynecologists Marla Hardenbergh and Brad Campbell say many elements of endometriosis remain a mystery:


From a presentation by McLeod Gynecologists  Dr. Brad Campbell and Dr. Marla Hardenbergh

Many women suffer the embarrassment and discomfort of stress incontinence, where urine leaks with a sneeze or cough. In answering questions at a recent public event, two experienced Gynecologists discuss the problem and possible solutions.


From a presentation by McLeod Physical Therapist Taylor Holmes

Women’s incontinence problems can be treated with medication and surgery. But Therapist Taylor Holmes says you may be successful by starting with simple exercises and physical therapy.

Medically Reviewed by Taylor Holmes, PT, DPT, STAR-C

More and more women are talking with their doctor about urinary leakage or incontinence. And that’s a good thing. There’s no reason to live with the embarrassment and anxiety of stress incontinence or an overactive bladder. “Many women may experience relief of symptoms with surgical intervention, medication, or conservative treatment such as physical therapy,” says McLeod Physical Therapist Taylor Holmes. “Physical therapy for urinary incontinence involves pelvic floor muscle training, bladder training, and electrical stimulation. It should be considered a first line of treatment for this condition due to its effectiveness and low risk for adverse effects."

Medically reviewed by Charles Tatum, MD

“Another morning with pain,” groaned Marla as she awoke, thinking this was the third day in a row she felt this bad. Marla was having her period, but even between periods, Marla felt discomfort in her pelvic area. A hint that it was more than her period. If you feel discomfort (at best) and real pain (at worst) along with serious bleeding during your period, you’d see your gynecologist. Right? Not necessarily, says the research. A series of studies around the world report a delay of more than 9 years from the time a woman first feels the effects of endometriosis until treatment begins. Endometriosis is the result of tissue that normally grows inside the uterus, beginning to grow outside. 

Medically reviewed by Gary Emerson, MD

What you eat. And how much. What you drink. And how much. Training for when you go to the bathroom. And how often. Special exercises for your pelvic muscles. “Call them lifestyle modification or behavioral intervention. These are the first tools we’ll use when we work with you to control your bladder control problem,” says McLeod Gynecologist Gary Emerson, MD.  “Whether it’s stress incontinence – leakage when you cough or sneeze – or urge incontinence – that feeling you “have to go” triggering a rush to the bathroom – nearly 4 out of 10 women will find some relief before moving to medications or surgery.”

Medically reviewed by Brad Campbell, MD

If you’re suffering from a pelvic health problem – incontinence, fibroidsendometriosis – you don’t need a pile of research to tell you that your whole life is affected. Physical symptoms – urine leakage, pain, bleeding – are just the start. The physical problems trigger anxiety, embarrassment, and insomnia that fall like a shroud over your entire life. Stick with us. There’s good news yet to come. But first, a look at what women – like you – said about their overall quality of life.

Medically reviewed by Brad Campbell, MD

Two out of 3 women never discuss bladder health or incontinence with their doctor. Shyness. Embarrassment. Shame. A feeling that, “it’s just part of growing old.” Or not knowing which medical professional can help. All these are reasons you may suffer in silence with stress incontinence or urge incontinence  – wearing pads, limiting your social life, or continually searching for a public restroom. Gynecologists are trained to help you with this problem – one that occurs in 40% of women after giving birth.  

What’s the Mess with Mesh for Prolapse

Posted on in Women's Health

Medically reviewed by Melissa Brooks, M.D. McLeod OB/GYN Dillon

Watch TV much? Then, you’ve probably seen those lawyers' commercials: “Was mesh used on your pelvic organ prolapse surgery? Well you should see a lawyer.…” Did those TV ads make you hesitate to have surgery for your pelvic organ prolapse? Here’s information that may help you rethink your decision.


From an interview with Gary Emerson, M.D. McLeod OB/GYN Associates

From large, very visible scars traveling across the abdomen to small scars, less pain, and faster recovery.  That describes the path that surgery for incontinence and other women’s pelvic health problems has taken in the 21st Century. McLeod Gynecologist Gary Emerson, M.D., describes the progress and outlines where minimally invasive techniques are used today:

From an interview with Gary Emerson, M.D. McLeod OB/GYN Associates

That sudden, unexpected urge to urinate – anytime, anywhere – can cripple a woman’s life. Constantly searching for restrooms. Hurrying to get there in time. “Unfortunately, there are no entirely successful surgical solutions to this problem,” says McLeod Gynecologist Gary Emerson, M.D. Yet, he notes that non-surgical solutions are improving.


From an interview with Gary Emerson, M.D. McLeod OB/GYN Associates

Like many surgical approaches, the ability to treat stress incontinence has made tremendous advances in the past several decades. McLeod Gynecologist Gary Emerson, M.D., explains the most common surgical and non-surgical treatments for women who have embarrassing bladder leakage when they cough or sneeze:


From an interview with Gary Emerson, M.D. McLeod OB/GYN Associates

The day a woman finally decides to move past the embarrassment of Stress Incontinence or Urge Incontinence and seek care, is a benchmark she’ll long remember.  It’s the start of a journey to regain control of her life. No more leakage when she sneezes or coughs. No more constant scanning for a bathroom because of her overactive bladder. Yet, a woman has some work to do before she sees the doctor. McLeod Gynecologist Gary Emerson, M.D. suggests keeping a diary is key to beginning the diagnosis, evaluation and treatment:

Medically reviewed by Marla Hardenbergh, M.D. McLeod OB/GYN Dillon

At its most basic, Pelvic Organ Prolapse is a woman’s bladder, uterus or rectum pushing down on her vagina. “The first thing you need to know is: this will not kill you,” says Dr. Marla Hardenbergh of McLeod OB/GYN Dillon.  “Prolapse may cause discomfort and embarrassment, but it is not life-threatening.”


From a presentation by Dr. Brad Campbell McLeod OB/GYN Associates

A woman knows if she has a problem with incontinence.  A short visit with her gynecologist can determine potential treatments, many times with the help of a test that determines her bladder’s ability to control leakage.


From a presentation by Dr. Brad Campbell McLeod OB/GYN Associates

A small incision during a simple outpatient procedure can mark your return to pelvic health, according to Dr. Brad Campbell of McLeod OB/GYN Associates.


From a presentation by Dr. Brad Campbell McLeod OB/GYN Associates

Working on a farm or on an assembly line are just two risks that can cause the embarrassing – but not fatal – problem of pelvic organ prolapse, says Brad Campbell, MD of McLeod OB/GYN Associates.

Medically reviewed by Dr. Brad Campbell, M.D.McLeod OB/GYN Associates

What's normal and what's not normal when considering a woman's monthly menstrual bleeding? Here are some guidelines to determine if you have "dysfunctional uterine bleeding":

Medically reviewed by Brad Campbell, M.D. McLeod OB/GYN Associates

"I'm glad you called right away," Mary's OB/GYN assured her. Mary was surprised when she started bleeding because she thought when her menopause ended 5 years ago, her bleeding was over, too. Recently, Mary started spotting or light bleeding. Then, the bleeding grew heavier and she again needed to wear pads. "The formal name for Mary's situation is Postmenopausal Bleeding," says McLeod OB/GYN Brad Campbell, M.D. "About 10% of women over age 55 will experience the problem. Most causes are benign. However, 1 out of 10 women who start to bleed more than a year after their menopause had ended, will face endometrial cancer. It's important to see your OB/GYN right away to find out the actual cause and possible treatments."

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