Prolapse Treatment Houston




Prolapse is when a female’s organs, including the bladder, uterus, & rectum, slips over time. This can create a lump in the vagina when the muscles and tissues that support those organs become weak, usually in older age.

Causes may include:

  • Child birth
  • Menopause
  • Hysterectomy
  • Heavy lifting
  • Chronic coughing
  • Constipation
  • Obesity
  • Previous pelvic surgery



Prolapse, sometimes referred to as a hernia, has a different name, depending on the organ affected:
Vaginal vault prolapse – the upper area of the vagina deteriorates in shape and drops into the vaginal canal.

  • Enterocele – when the small intestine bunches up in between the uterus and rectum or lump together on the top of the vagina
  • Rectocele – the rectum bunches together into the posterior vaginal wall
  • Cystocele – also known as bladder prolapse, is a very common type of pelvic organ prolapse.
  • Rectal prolapse– the rectum protrudes through the anus
  • Urethrocele – when the woman’s urethra drops in the vagina
  • Uterine prolapse–when the uterus slips in the vagina
  • Vaginal prolapse– the walls of the vagina drop and cause it to turn inside out



  • – Sexual intercourse that causes pain or discomfort A bulge outside the vagina
  • – Difficulty urinating
  • – Constipation
  • – Random sensations of something dropping out of the vagina
  • Stress incontinence
  • – Frequent urinary infections
  • – Pain in the groin, vagina, pelvis, lower abdomen or lower back
  • – Feeling of Vaginal heaviness
  • – Sensitive or vaginal tissue that protrudes and/or bleeds



Schedule an appointment with Dr. Peter Lotze, one of the best Urogynecologists in Texas, to figure out your treatment plan for prolapse.

Overactive Bladder 101: Everything You Need To Know About OAB

Learn Everything You Need To Know About Over Active Bladder (OAB)

Overactive bladder: a common problem

Do you find yourself going to the bathroom much more than others? Does the urge to urinate seem to sneak up out of nowhere? If so, you could be suffering from an overactive bladder.

A fairly common condition, overactive bladder affects some 33 millions Americans. This figure includes 30% of American men and 40% of American women.

Looking to learn more about this condition? Here is everything you need to know.

Causes of Overactive Bladder

OAB can be caused by a number of factors. The most common of these factors include the following.

Overconsumption of Fluids

One of the most common causes of OAB is the overconsumption of fluids. Those who drink an excess of water, milk, juice, or any other type of liquid are likely to urinate more than what is standard.


In obese individuals, the body can weigh down on the bladder, putting stress on it and making it feel as if it is filled with urine. This stress often leads to OAB.

Certain Medications

In some cases, urinary incontinence will be caused by medications. Some medications produce effects which cause their users to feel as though they have to urinate more often than they otherwise would.

Medications that have this effect include, but are not limited to, muscle relaxants, narcotics, antihistamines, and diuretics.


Do you drink a great deal of coffee, tea, or soda? If so, caffeine could be the reason for your overactive bladder.

Because it holds the power to manipulate the bladder, caffeine drastically exacerbates the symptoms of OAB. It will increase both the severity of urination and the overall need to urinate.


Another common cause of OAB is urinary tract infections or UTIs. These infections occur when bacteria makes its way to the bladder through the urethra. More common in women than in men, UTIs almost always result in frequent urination.

Abnormalities of the Bladder

In less common, but more severe cases, OAB will be caused by abnormalities of the bladder. Everything from a small bladder, to bladder stones, and more can cause frequent urination to occur.

Overactive Bladder Symptoms

Overactive bladder doesn’t only present itself in the form of frequent urination. It comes with a whole host of symptoms. Some of the most common symptoms of overactive bladder are as follows.

Pain in the Abdominal Region

Another symptom of OAB is a pain in the abdominal region. This comes as a result of the bladder filling and applying pressure against the abdominal muscles.

While this happens in all people, it happens more frequently in those suffering from OAB. Therefore, pain is more pronounced.

Involuntary Loss of Urine

Apart from frequent urination, the most common symptom of overactive bladder is an involuntary loss of urine. This symptom presents itself in response either to the bladder becoming irritated or to the bladder becoming filled to capacity.

If you’re expelling urine at inopportune times, you would be wise to take a trip to your local urologist.

Frequent Urination

The biggest symptom of OAB is, of course, frequent urination. The question is: what is frequent urination? Generally, frequent urination is considered to be urinating 8 or more times throughout a single day.

Most human beings urinate between 6 and 8 times daily. While urinating more than 8 times a day might not necessarily be indicative of a problem, it very well could be. That’s why, if you’re doing so on a regular basis, you need to see your urologist.

Frequently Using the Bathroom During Sleep Hours

One last symptom that you suffer from OAB is if you wake up frequently to urinate in the middle of the night. “Frequently” in this context generally means any more than 1 trip to the bathroom.

Note, however, that this is only a cause for concern if it’s happening on a regular basis. If it’s only happening once or twice a month, it’s not something that you have to worry about.

Treatment for OAB

There are quite a few treatment options available for OAB. The most common of these treatment options include the following.

Dietary Changes

The first step in combatting an overactive bladder is to make some changes to your diet. Your food and beverage choices alone could be the reason for your OAB and will need to be regulated.

If you visit a physician, he or she will help you to put together an appropriate diet plan. This diet plan will help you establish a number of different eating habits, all of which are designed to keep stress off of your bladder.

Some changes you’ll be expected to make include a decrease in fluid consumption, a decrease in caffeinated beverages, a decrease in artificially sweetened foods, and an increase in natural vitamins such as Vitamin C and Vitamin D.

Pelvic Exercises

Another treatment for overactive bladder is pelvic exercises. These exercises will help to strengthen the bladder, allowing it to hold in more urine than it would otherwise.

You might also try bladder training, a method of exercise in which you gradually lengthen the duration of time between restroom trips.


If dietary changes and pelvic exercises fail to provide results, medications may be administered. Medications such as Sanctura and Detrol can be used to relieve the symptoms of OAB. In doing so, they prevent irritation and reduce the number of trips a person must take to the bathroom.


In cases where dietary changes, medications, and pelvic exercises don’t work, surgery might be needed. Surgery to increase the size of the bladder can be performed in order to increase its storage capacity. The larger the bladder is, the less it will need to expel urine.

See a UROGYN Specialist for Your OAB

Do you display any of the OAB symptoms discussed above? If so, it’s highly recommended that you see a UROGYN specialist. These specialists focus on pelvic health and are well-versed in the treatment of overactive bladder.

Looking for a UROGYN specialist in Houston, Texas? If so, the office of Peter M. Lotze, MD is the office to call.

Give us a call today!

Everything You Need to Know About Interstitial Cystitis Syptoms, Causes, and Treatment

Interstitial Cystitis Symptoms, Causes, and Treatment

Interstitial cystitis, also known as bladder pain, can impact your daily life and your sex life. Learn more about interstitial symptoms, causes, and treatment.

Approximately 3-6 percent of the female population in the U.S. (that’s between three and eight million women) currently suffer from interstitial cystitis.

Interstitial cystitis (IC), which is also known as bladder pain syndrome, is a chronic bladder problem. Do you think you could be experiencing it, too?

IC is a common condition, especially among women. Luckily, though, there are quite a few different treatment options available to help with symptom management.

Before you decide to seek out IC treatment, it’s important to understand exactly what the condition is and what it looks like.

Read on to learn everything you need to know about interstitial cystitis symptoms, causes, and treatment options.

What Is Interstitial Cystitis?

Interstitial cystitis is characterized by bladder pressure and pain, as well as pelvic pain in some cases. The pain can range from mild to severe.

IC can affect both men and women, but it’s much more common in women.

IC occurs when signals get crossed between the brain and the bladder. Normally, the bladder expands as it fills and then sends a signal to the brain via the pelvic nerves that urination is necessary. This results in an urge to urinate.

Individuals who suffer from IC may feel a need to urinate more often than the average person. The signal that urination is necessary may be sent even when there are very small amounts of urine in the bladder.

Interstitial Cystitis Symptoms

A frequent need to urinate is one of the most common symptoms of IC. There are several other symptoms you ought to be on the lookout for, though, including the following:


Pain, often accompanied by a feeling of pressure, affects nearly everyone who suffers from IC. You may experience pain in the bladder that worsens as the bladder fills.

You may feel pain in other areas, too, including the following:

  • Urethra
  • Lower back
  • Perineal area (behind the vagina)
  • Lower abdomen
  • Vulva
  • Vagina

For some, this pain is consistent. For others, it comes and goes throughout the day and gets worse during certain activities, such as during sexual intercourse.

Increased Urinary Frequency

The need to pass urinary increases with IC, too.

On average, an individual only urinates six or seven times per day. They shouldn’t have to get up more than once to urinate in the night, either.

If you’re urinating more than this, or if you’re constantly getting up in the night to urinate, you could be suffering from IC.

Increased Urgency to Urinate

With IC, you’ll also feel an increased urgency to urinate, too. For some people, the urge never goes away, even immediately after they’ve urinated.

IC Causes

Researchers don’t know for certain what causes IC. There are a few different theories, though, including the following:

  • Bladder tissue defects that allow irritants to penetrate the bladder
  • Inflammatory mast cells that release histamine and chemicals associated with IC symptoms
  • The presence of a damaging substance in the urine, perhaps after an injury or infection to the bladder
  • An autoimmune condition that causes the immune system to attack the bladder
  • Changes in pelvic nerve functions

An increased risk of developing IC doesn’t appear related to any behaviors like smoking. Having a family history of IC may slightly increase one’s chance of experiencing it themselves.

IC has been linked to other chronic health conditions like fibromyalgia and irritable bowel syndrome. It also appears to affect more people who are in their 30s or older.

Factors that Make IC Worse

Many people find that certain triggers make their IC symptoms worse. For example, their IC may get worse after they consume certain foods or beverages.

Some folks have reported more severe symptoms when they consume drinks like alcohol, coffee, or soda. Their symptoms may also be triggered by hot or spicy foods or by foods that contain a lot of artificial sweeteners or additives.

Stress may also make IC symptoms worse, and women may experience more severe symptoms during menstruation.

IC Diagnosis

There are a few different tests that your doctor may use to diagnose IC. Some common tests include:

  • A bladder diary to determine how often you’re urinating
  • A pelvic exam to determine the health of the external genitals, internal pelvic organs, cervix, and vagina
  • A urine test to check for signs of a urinary tract infection
  • A cystoscopy to examine the lining of the bladder and measure bladder capacity
  • A biopsy to check for other causes of bladder pain like bladder cancer

Doctors may also perform a potassium sensitivity test. This test involves the placement of two solutions into the bladder. One is just water, and the other contains potassium chloride.

After the solutions are placed into the bladder, you’ll be asked to rate your pain and urgency. If your pain or urgency increases with the potassium solution, IC is likely the cause.

IC Treatment Options

There is no cure for IC. There are, however, many different treatment options that can help you manage your symptoms and enjoy a higher quality of life.

Listed below are some of the most common treatments options:

Physical Therapy

Sometimes, working with a physical therapist can be very helpful. A physical therapist can teach you exercises that will help to relieve pelvic pain and bladder muscle tenderness.

Oral Medications

Oral medications for pain management are common.

Your doctor might also prescribe tricyclic antidepressants to block pain and relax the bladder or antihistamines to minimize urinary frequency.

There is also a drug known as pentosan polysulfate sodium that has been approved by the FDA specifically to treat IC.

Nerve Stimulation

If you work with a urogynecologist, someone who specializes in treating specific pelvic and women’s health conditions, you might try nerve stimulation, too.

Nerve stimulation helps to strengthen the muscles of the bladder and improves symptoms related to urinary frequency and urgency.


Sometimes, surgery is also required to treat severe IC symptoms. There are a few different surgical techniques that can help.

Fulguration and resection are minimally invasive procedures that involve the insertion of an instrument through the urethra to get rid of ulcers that may occur along with IC.

Bladder augmentation can help, too. This procedure involves attaching a patch of intestinal tissue to the bladder to increase its capacity.

Get Treatment for IC Today

Do you think you’re experiencing interstitial cystitis symptoms? If so, you ought to visit a doctor right away.

If you live in or around the Houston, Texas area, contact us today to schedule an appointment with Dr. Peter M. Lotze.

Dr. Lotze is the first fellowship-trained Urogynecologist to open a practice in Houston. He’s also among the first Urogynecologists to also become board certified in female pelvic medicine and reconstructive surgery.

You’ll be in good hands working with Dr. Lotze and his team.

A Guide to Kegels: Simple Exercises to Strengthen Your Pelvic Floor

A Simple Kegels Routine to Try at Home

Strengthen your pelvic floor muscles with a simple kegels routine that you can do right at home. These easy exercises strengthen the uterus, bladder, and bowel.

What do you think of when you think of muscles? You probably think of upper body muscles, such as biceps and pectorals, and lower body muscles, such as gluteus maximus and hamstrings.

But there’s one muscle people forget about — the pelvic floor.

The pelvic floor is a muscle that extends from the tailbone to the pubic bone. A strong pelvic floor results in improved bowel control, improved bladder control, and faster recovery from severe events including birth and surgery.

How do you strengthen your pelvic floor? Easy — do kegels.

The movement famous for strengthening the vagina offers full pelvic benefits, helping you physically and sexually. Here’s how to build a powerful kegels routine you can do daily.

Your Kegels Routine: How to Do Kegels

Whether you struggle to achieve an orgasm or are looking to strengthen your vagina after giving birth, creating a kegels routine is important for women. Here’s how to do kegels the correct way.

Find the Muscle

As mentioned previously, the pelvic floor is a large muscle that extends from the front and back side of your pelvis. Finding the exact muscle can be tricky. You also can’t touch the muscle the same way you can your triceps or hamstrings.

The best way to find your pelvic floor muscle is by peeing. Do you know how you instinctually know how to start and stop peeing? That’s all thanks to your pelvic floor muscle.

Next time you pee, stop your flow mid-stream. That squeeze is your pelvic floor muscle working its magic.

Keep in mind, don’t do kegels while peeing. Holding back your pee can cause bladder issues. Instead, find a different time to do kegels. We’ll go over that later.


Now that you know the general kegel movement, you can get started doing kegels. Fortunately, kegels are discreet and you can do them whenever. You just have to squeeze!

It’s best to do your first kegel at home while you’re alone. Place your finger in your vagina. Start squeezing. You should feel your vaginal walls contracting and your finger lifting upwards. Don’t be afraid to ask your gynecologist to teach you.


Here’s the biggest mistake women make — after they squeeze, they immediately let go. They do a pulsing movement instead of a holding movement. This holding movement is what really helps strengthen the pelvic floor.

Start by squeezing upward and holding the squeeze for three seconds. Relax. Start with three until you get used to your kegels and increase your holding time. Women with strong pelvis floors can hold their squeeze for ten seconds!

Create a Routine

As with every other exercise, you now know the basics of a kegel routine. You just have to create a routine that’s right for you and stick with it.

Start with one set of ten reps. Squeeze, hold for three seconds, let go, and squeeze and hold again. To make this easier, do two sets of five reps. Start one rep early in the day and the second set later in the day.

Once you become used to kegels, you can start doing them more intensely. For a strong pelvic floor, aim to do three sets of 10 kegels, resulting in 30 daily kegels.

Do This Routine Daily

Now that you have a routine, make it a point to do kegels every day. This is how you get the best results. You should start noticing a stronger pelvic floor in six months.

Track Your Progress

Like with all other exercises, tracking your progress helps keep you motivated to continue your daily kegel regimen. Once you get the hang of kegels, try increasing your reps.

Instead of doing two reps of three kegels, try doing two reps of four kegels. If you can do this comfortably, write it down.

Do you want to take your kegel routine to the next level? There are products that help you with your kegel gains. First off, try a kegel trainer.

These are devices you insert in the vagina and you hold them in your vagina while doing kegels. But be sure you clean them to prevent infection!

There are also kegel apps that track your kegel progress.

When Is the Best Time to Do Kegels?

Remember how we suggested putting your finger in your vagina to feel the squeeze? Once you become accustomed to kegels, you don’t need to do this step (though you can).

You can do kegels anywhere. They’re discreet and no one can tell you’re doing them. But with our busy lives, it can be difficult to remember your kegel gains. Here are some suggestions for a kegel routine time and place.

While You’re Waiting

Are you on hold? Is your significant other taking forever doing whatever it is they’re doing? Are you waiting to pick the kids up from school? Instead of getting frustrated, take this time to get some kegel gains in.

Stopped at a Red Light

We all get antsy when at a red light. Instead of grabbing your phone, do some kegels. It’s a fun way to pass the time, you get extra kegels in, and you won’t look like that jerk on the phone while driving.

While Running Errands

Running errands can get so mundane. Spice up your errand run by doing kegels. You can squeeze in a few quick kegels while at the dry cleaners, at the ATM, and grocery shopping.

While Cleaning and Doing Chores

Like errands, doing chores is also mundane. If you hate cleaning, kegels help spice up domestic duties. Get some kegel action in while doing laundry, dusting, washing dishes, or your extensive spring cleaning list.

The best part? Since you’re home, you can use one of those fun kegel gadgets to amp up your kegel gains!

See a Gynecologist If Kegels Aren’t Helping

A kegel routine helps everything from urinary accidents to a stronger vagina. But are kegels not helping any of the issues you’re facing?

If you’re in Houston, Texas, contact us. We specialize in conditions such as prolapse, stress incontinence, and vaginal dryness.

The Need to Pee: What Causes Stress Urinary Incontinence?

Why Women Are More Likely to Suffer from Stress Urinary Incontinence

Stress urinary incontinence is the most common form of incontinence in women under 60. Here’s what it is and what causes your need to pee.

Stress urinary incontinence

Stress urinary incontinence (SUI) affects between 4% – 45% of women in the United States.

This condition affects both genders–but women are more likely to have it.

SUI is the most common type of incontinence in women under 60. Want to learn more about SUI, what causes it, and treatment options? Keep reading to learn about this condition.

What Is Stress Urinary Incontinence?

SUI is the accidental loss of urine. It happens from physical stress on the body such as sneezing, coughing, or working out.

To understand why it happens, it helps to learn about the way our body works. Our bladder stores urine. The muscles in our bladder contact when its ready to empty.

The urine goes out through the urethra which is a tube. Our sphincter muscles keep that tube closed until we’re ready to empty the bladder.

When we’re ready to go to the bathroom, the sphincter muscle relaxes and allows the urine to exit. With SUI, the stress on the body forces the sphincter muscles to relax and open–resulting in unintentional urination.

Symptoms of Stress Urinary Incontinence

Do you think you have SUI? If you have this condition, you may involuntarily leak from the following actions:

  • Sneezing
  • Coughing
  • Laughing
  • Running
  • Lifting objects
  • Sex
  • Standing up

However, you may not leak every time you perform one of these actions. It depends on whether or not your bladder is full.

For mild cases of SUI, you may leak just a couple of drops of urine. In severe cases, you might end up urinating all over your clothes.

SUI can have embarrassing side effects that may force you to avoid social interactions. You might avoid working out, especially in public. You might also avoid major social events.


Here are some of the factors that can contribute to SUI.

Pregnancy and Birth

Women are more likely to experience SUI because it can be caused by pregnancy and childbirth. Your pelvic floor muscles can be weakened or damaged during childbirth. Women who give birth vaginally are more likely to experience SUI than those who have c-sections.

Pelvic Surgery

SUI can occur from any damage to the pelvic floor. This includes pelvic surgery, nerve damage, or chronic coughing.

Women who have had a hysterectomy may be at risk for SUI.

For men, the most common cause is from prostate surgery. The sphincter is located below the prostate gland. When the prostate gland is removed, the damage can weaken the sphincter muscles.

Additional Risk Factors

There are additional risk factors for SUI. You can have weakened muscle tone over time due to aging.

You may also be at risk if you participate in high impact sports or repeated heavy lifting.

Other risk factors include:

  • Obesity
  • Smoking
  • Menopause
  • Diseases that result in chronic coughing


Fortunately, there are treatment options for stress incontinence.

Lifestyle Changes

Your doctor may recommend lifestyle and behavioral changes that can decrease the severity of your SUI.


By strengthening your pelvic floor muscles, you can treat SUI. Kegel exercises can strengthen the muscles around your bladder. They are easy to do and can be done at any time.

To do a Kegel exercise, hold the muscles that start the flow of urine. When you’re using the bathroom, these are the muscles that start and stop urination. Tighten these muscles for about 3 seconds, then relax them for another 3 seconds.

Do these exercises 10 times in a row, and repeat the set three times a day. When you do Kegels, make sure to only tighten your pelvic floor muscles, not your stomach or thighs.

If you maintain these exercises, you may see results in a few weeks or months.

Maintain a Healthy Weight

Being overweight can put you at a higher risk for stress incontinence. This is because the extra weight puts more pressure on your bladder and pelvic floor muscles.

Losing weight can help with your SUI issues. You can start small and switch out sugary drinks with water and processed snacks with fresh fruit and veggies. You can also incorporate a walk into your daily routine.

Try Yoga

Yoga can help you strengthen your pelvic floor muscles. It’s also great for treating symptoms of anxiety and depression.

Quit Smoking

Yet another reason to quit. Quitting smoking can help improve your overall health and decrease your incontinence problems.

Products and Devices

There are also products and devices designed to help treat SUI.

There are absorbent inserts, pads, and undergarments that you can wear to keep you dry. This can be helpful and even life-changing for people who have severe SUI. You can use these products as you seek different treatment options.

Absorbent products can make it so that you regain the confidence to join social events without having to worry about accidents.

There are external urinary devices that you can use such as urethral inserts or pessaries.

You can discuss with your doctor and see which treatment options are right for you.


As a last resort, there is the option of surgery. The common procedure for incontinence is called sling surgery. This is when the surgeon creates a sling to support the urethra and bladder.

There are also noninvasive options you can consider such as injectable bulking agents. This is when your doctor injects synthetic gels around the urethra.

Dealing with Stress Urinary Incontinence

Stress urinary incontinence can be a stressful condition–but it doesn’t have to be.

There are a variety of treatment and noninvasive options you can do to strengthen your pelvic floor muscles and combat the problem.

Want to learn more about treatment options for SUI and other pelvic health issues? Contact us to schedule an initial consultation.


Take Back Your Bladder Control: How to Stop Frequent Urination


The constant need to urinate is enough to disrupt your whole life. Find out what causes it and how to stop frequent urination and take back your life.

An average person will urinate about 6 to 8 times in a full day.

But if you’re urinating enough for it to be annoying, you may start to feel frustrated.

Maybe you can’t take that long road trip because you don’t want to stop for a restroom every few minutes. Maybe you’re getting sick of walking from your desk to the bathroom.

The constant need to urinate is enough to disrupt your whole life. Find out what causes it and how to stop frequent urination and take back your life.

How To Stop Frequent Urination

Frequent urination can start to consume your life and take up a lot of your time. All the time spent going to the bathroom adds up and not being able to sleep through the night can take a toll on your life. You can also start to avoid going places for the fear of having to urinate all the time.

Make Changes in Your Lifestyle

Fixing frequent urination issues could be as easy as making simple changes in your habits and diet.

There are certain foods that can make you feel the urge to urinate even more frequently. These foods and drinks include:

  • Sodas/Carbonated Drinks
  • Caffeine
  • Chocolate
  • Spicy Food
  • Artificial Sweeteners
  • Alcohol

Avoiding or limiting these foods and drinks may relieve some of your symptoms.

You may also want to consider what you wear. Wearing tight, high waisted jeans or pants will put more pressure on your bladder and make you feel the need to pee more often.

Instead, wear something that’s light and comfortable, like a dress or a skirt.

Stick to a Urinating Schedule

One other way you can train your bladder is to create a urinating schedule and stick to it.

Most women should be able to avoid going to the bathroom for about three to six hours at a time.

Set certain times each day that you will urinate, and as the weeks go on, make the intervals farther and farther apart. Think of it like training for a marathon — you have to start small. By doing this, you should be able to train your brain and your bladder to not feel the urge as much.

If you feel like you can’t make it to the next scheduled bathroom trip, try using relaxation techniques to hold it.

Lose Weight

One research discovered that women who were overweight who also lost 10% of their weight saw their bladder control improve by 50%.

Unfortunately, obesity can put extra pressure on your bladder as well.

The extra weight will push on your bladder and can cause stress incontinence. This is when urine leaks out after adding doing something like laughing, coughing, or sneezing.

Figuring out how to stop frequent urination could be as simple as trying to lose weight. To do that, eating healthier and regularly exercising is a good place to start.

Kegel Exercises and Muscle Training

Your bladder is lined with muscle tissues, so like any other workout, you can strengthen it.

Kegel exercises (pelvic exercises) are a good place to start in addition to regularly exercising. These pelvic exercises are supposed to help train and strengthen your muscles so that it doesn’t keep contracting.

Kegel exercises can be pretty easy to do. Here are some to start with that you can try to help control your frequent urination:

  • When you’re urinating, trying stopping in the middle of it. The muscles that you will use to do these are your pelvic floor muscles which can help control frequent urination.
  • When you don’t feel the need to pee and when you know your bladder is empty, try tightening those muscles. Hold the muscles for five seconds and then relax for another five seconds. Repeat this five times a day. When you feel like you have that under control, then do it 10 times a day for 10 seconds and so on.


Being Pregnant

If you are pregnant, this may be one of the main causes for your frequent urination.

Stress incontinence is common among pregnant women because the baby expanding the uterus puts pressure on the bladder.

To help limit your bathroom trips while pregnant, there are a few things you can try.

  • Avoid constipation so that more of your organs aren’t pushing on your bladder
  • Wear pads to protect from random leaks
  • Avoid soda and carbonation, citrus, tomatoes, and coffee because these can increase that urge
  • Stay hydrated so that you don’t end up with a Urinary Tract Infection (UTI)


Even after the child is born, these problems may continue. Having a child can weaken your pelvic floor muscles which leads to frequent urination.

Try Medication

If none of these solutions work, there are medications that can help control your frequent urination.

These are some medicines that are prescribed for this issue:

  • Mirabegron (Mybetriq)
    • This medication is used to help with urinary incontinence. It works by relaxing the bladder muscles, which enables the bladder to feel like it can hold more urine before signaling to you that you need to pee. It could also help you completely empty your bladder when you do go to the bathroom so that you aren’t making frequent trips.


  • Imipramine (Tofranil)
    • This medicine is actually a tricyclic antidepressant. This medication will help relax your bladder muscles. This is prescribed for stress incontinence and the urge to go.


  • Botulinum Toxin (BOTOX)
    • In some cases, your doctor may prescribe BOTOX to help reduce spasms in your bladder which can cause the need to urinate all the time. In addition to reducing the spasms, it can also relax your muscles so that you don’t feel the need to go as often.


Talk To Your Doctor

Figuring out how to stop frequent urination can be difficult if you’re not sure exactly what is causing it.

If you don’t think it’s a simple solution, talk to your doctor to make sure you don’t have a bigger, underlying issue like a Urinary Tract Infection (UTI).

You shouldn’t feel embarrassed about talking to your doctor about this because it can happen to anyone, and they’ve heard it all before. They are there to help you.

If you’re sick of letting frequent trips to the bathroom dictate your life, schedule an appointment now.

5 Stress Incontinence Treatments to Help Regain Your Confidence

Urinary incontinence is very common but that doesn’t make it less embarrassing. Here are some stress incontinence treatments to help you regain your confidence.

Did you know over half of senior citizens struggle with urinary incontinence? Even though it is incredibly common, many people remain quiet about the condition due to embarrassment.

And guess what? People of all ages can deal with various forms of incontinence.

Worrying day to day about a leaky bladder can cause you to avoid social interactions. What if you can’t find a bathroom while out? What if you need a change of clothes?

So many painful questions, but trust us, there is hope. Ready to take back your life? Looking for the top stress incontinence treatments available? Keep reading below to find out what you can do to make a big change.

What Even is Stress Incontinence?

It’s important to know details of what you are dealing with so you can educate yourself about different treatment options.

Stress urinary incontinence refers to the involuntary loss of urine that occurs when physical activity strains the bladder. This is why many people go to great lengths to avoid sneezing, coughing, running, and others.

This is the most common type of incontinence and occurs due to weak pelvic floor muscles and/or a damaged or weakened urethra. These things can happen from chronic constipation, childbirth, surgery, or menopause.

Obesity is also a risk factor for incontinence.

1. Kegel Exercises: One of the Best Stress Incontinence Treatments

As noted above, weak pelvic floor muscles typically lead to incontinence. Both men and women can experience issues with their pelvic floor from gynecologic or prostate surgery, getting older, or gaining weight.

Childbirth is also a top contributor for women.

Kegel exercises can help reverse some of the muscle weakening. These exercises can target muscles under and around the uterus, bowel, and bladder. This course of action is often the first thing doctors will recommend.

The best part? Kegel exercises can be done at any time of the day while sitting or lying down. This means you can strengthen your pelvic floor while driving, watching television, or even sitting at the office!

To find the muscles to target, focus on tightening and relaxing the muscles that control your urine. You can pretend you have to urinate and then hold it.

Any time you actually do need to use the restroom, start to go and then stop. The muscles you feel tense and move up are the key pelvic floor muscles. Start a routine of tightening and relaxing these muscles a few times a day.

Within one to two months, you should begin to notice fewer bladder leaks.

2. Balance Fluid Levels

Because those suffering from stress incontinence fear accidents, they think about and do tend to drink less water. While excess water can increase your odds of a leak, not drinking enough water can cause a host of other health issues.

Not drinking enough water leads to concentrated urine which can be very irritating to your bladder. This will actually create a higher sense of urgency when needing to go.

It is also helpful to stick to a regular bathroom schedule or routine. If you are experiencing multiple leaks, consider visiting the restroom every two or three hours.

While most people only go to the bathroom when their bladder is full, anyone with incontinence can’t do this. Going frequently throughout the day is one of the best tips for managing bladder issues.

Always empty your bladder before leaving a location. This includes your home, work, restaurants, shops, etc.

Check here for even more tips to managing bladder issues!

3. Maintain a Healthy BMI

Carrying around a few extra pounds puts you at higher risk for bladder incontinence issues, no matter your age. This is because the extra weight puts additional pressure on your bladder and pelvic floor.

The key to tackling bladder issues is to find a safe and healthy way to reduce your BMI and find a healthy weight.

You don’t have to become a marathoner or a meal prepping fanatic to lose a little extra weight. Before drastically changing any part of your routine, be sure to consult a doctor.

But once you have the green light, consider starting with a daily walk outdoors. Walking is a low impact way to get your body moving. Choose one food or drink item to swap for a healthier alternative.

Do you love sugary soda? If you are looking for an easy way to cut calories, try swapping it for flavored water or fruit-infused water.

Small steps over time will lead to more success than trying to implement large changes all at once.

4. Namaste

Yoga isn’t just for granola eating hippies. As a practice, it can help you get in touch with your body and strengthen all the muscles in your body.

If you’ve never done yoga before, start slow. Get familiar with these awesome poses that are perfect for beginners.

Yoga is also suggested as a treatment modality for incontinence because it can help decrease depression and anxiety.

5. Surgical Intervention

One final (and most involved) treatment option is surgery. One common procedure is called a sling surgery.

This involves creating a sling out of human tissue or mesh to support the urethra. This sling helps prevent leaks because it also supports the neck portion of your bladder.

It sounds scary, but the surgery will actually be fairly quick and you usually can go home the same day.

Don’t Let Incontinence Run Your Life

As you can see there are many stress incontinence treatments available out there. No matter the root cause of your bladder issues, there is hope.

Whether through yoga, Kegels, or electrical stimulation, exploring diverse treatment options will put you on a path to success. It’s important to remember that many people deal with incontinence, so don’t be embarrassed!

Do you still have some questions or a situation you’d like to discuss with a professional? Please contact us, we would love to help you!

Stress Urinary Incontinence: Do you leak and does it bother you?

Maybe it happens when you sneeze. Laugh too hard. Engage in certain types of exercise like jumping or riding a bike. If you have bladder leakage during any of these activities, you may have stress urinary incontinence. The good news is you don’t have to live like this! We now know more about treating stress urinary incontinence than we’ve ever known, and you might find a treatment option that is right for you. Join us for a free informational seminar.
Continue reading Stress Urinary Incontinence: Do you leak and does it bother you?

6 Common Symptoms of a Weakened Pelvic Floor

Are you concerned that you might have a weakened pelvic floor? Here are 6 of the most common symptoms you need to watch out for, and some options for treatment.

Weakened pelvic floor?

It’s a case of “don’t know what you got ’til it’s gone.”

What is it, you ask? The pelvic floor, or, more specifically, the control of the pelvic floor.

The pelvic floor is a group of muscles, tissue, and ligaments at the base of your pelvis. They act as a sling or a hammock, supporting organs like the bladder, bowel, and uterus. In other words, the pelvic floor has an important job to do.

Many people — in fact, up to a quarter of women — will experience pelvic floor dysfunction at some point in their lives. The prevalence of these disorders increases with age.

Many causes contribute to this common condition, including complications from childbirth, an injury to the pelvis, obesity, previous pelvic surgeries, or simply getting older. Many times, the exact cause is unknown.

If you’re concerned you might have a weakened pelvic floor, here are six common symptoms to look for.

Leaking Urine or Incontinence

When you feel a sneeze coming on, do you get nervous that you may leak? This is a common symptom of a pelvic floor issue, and the severity can vary greatly from person to person. This symptom is more common in women in men and tends to get worse with age.

Leaking urine when coughing, laughing, sneezing, or exercise can be an indicator that something is wrong with the muscles controlling the bladder. The leaking can be a minor spotting, or it can be embarrassing uncontrollable wetting.

Make an appointment with your doctor if this is an ongoing issue for you.

Chronic, Radiating Pelvic Pain

Pain in the pelvis isn’t normal. A problem with your pelvic floor can manifest as chronic pain, diminishing your quality of life.

This pain may radiate throughout the entire pelvic region, and you may feel it in your lower back, genitals, abdomen, or rectum. If you’re frequently dealing with this type of pain, it’s best to see a doctor and determine the exact cause.

Pain During Vaginal Intercourse

The muscles that make up the pelvic floor are crucial to making vaginal intercourse enjoyable.

If these muscles are damaged, weakened, too tight, or otherwise dysfunctional, they can cause intercourse to become painful. In women, this is a common symptom of pelvic floor disorder or organ prolapse.

No matter your age, there’s no need to suffer from this. If you are experiencing pain during vaginal intercourse, a visit to a doctor is in order. There are many options that can help alleviate the problem.

Constantly Feeling the Need to Urinate (Or Not Making it There On Time)

Do you feel as though you always need to urinate, but are unable to go once you get to the toilet? Or, perhaps you occasionally have trouble getting to the bathroom in time. This is known as bladder incontinence, and, as you may know, it can be a frustrating and embarrassing problem to have.

Because of the pelvic floor’s role in supporting the bladder, these are both very common symptoms that warrant further investigation and care.

Bowel Issues, Leakage, or Constipation

Just like the bladder, the rectum is also supported by the pelvic floor.

Muscle or nerve damage in the pelvic floor can cause issues with bowel movements. You might experience a more frequent urge to go. You might also find yourself becoming constipated, needing to strain when defecating, or experience leakage when passing gas.

Women experience this symptom more often than men.

In some cases, patients might even experience fecal incontinence, a loss of control of the bowel. This is a symptom that can cause frustration, depression, and a loss of quality of life in many patients.

Pelvic Organ Prolapse

If pelvic floor weakening or dysfunction exists, both women and men can experience pelvic organ prolapse.

Prolapse occurs when a pelvic organ (like the bladder or, in women, the vagina) “falls” downwards due to weakened muscles that are unable to support its weight. Prolapse can happen to both men and women.

This isn’t necessarily as medically serious as it might sound; however, prolapses can range in severity and can cause major discomfort and ongoing problems.

In women, the symptoms of a prolapse might be a feeling of pressure, dropping, or pulling in the vagina. Prolapse can also cause pain during sex and frequent bladder infections.

In men, a prolapse might cause a “bulge” in the rectum that creates a constant feeling of needing to have a bowel movement.

Options for Treating a Weakened Pelvic Floor

Living with a pelvic floor disorder can be frustrating, painful — even embarrassing. It can affect the overall quality of your life. The good news is that there are many treatment options available for this common issue.

Some patients can achieve great results using muscle strengthening techniques (Kegels). When done routinely and correctly, Kegels can provide improvement for many of the common symptoms.

There are also medications that can help with bowel issues or incontinence.

Surgery is generally the last resort. Luckily, new technology means there are many more options for surgeries now, including minimally invasive, robotic, or laparoscopic procedures that can greatly reduce recovery times.

Contact Us for Help

If you are one of the many women in the Houston, Texas or surrounding area suffering from any of the above-listed symptoms, we encourage you to reach out to our urogynecology, or UroGYN, practice today.

There are many ways to treat the symptoms of a weakened pelvic floor, and you might be surprised to learn of the treatments available that don’t require surgery.

Pelvic floor issues not only cause pain, but they can also cause embarrassment, frustration, and a loss of quality of life. There’s no reason to continue living with these problems. Contact us today, and we’ll work together to treat the issue so you can live without the worry.

12 Amazing Foods to Boost Your Vagina Health

Did you know you can improve your vagina health by eating the right foods? You can! Read on to learn about twelve amazing foods to boost your vagina health.

Vagina health

Did you know that your vagina has favorite foods? Okay so it doesn’t have favorite foods personally, but certain foods can keep it happy and healthy. Thousands of women go through vaginal issues without knowing they can prevent it by changing their diet up a bit.

If you have common issues with vagina health like vaginal dryness, cramps, urinary tract infections, or access discharge then listen up, because these foods we’re about to talk about can help you out.

Here are 12 common foods that not only fill you up but promote good vaginal health and make you feel more comfortable with your body.

1. Cranberry Juice

Cranberry juice is full of acid compounds that fight off nasty bacteria. It can help relieve urinary tract infections so if you get those regularly Cranberries is the cure.

Make sure you get either get fresh cranberries or 100 percent pure cranberry juice. That sweetened stuff just won’t do the trick.

2. Yogurt

If you’re suffering from an uncomfortable yeast infection, down some yogurt to get relief. Plain Greek yogurt is loaded with probiotics that do wonders for regulating vagina health.

Greek yogurt does more for your body than just this, it also regulates your PH balance. You should be incorporating yogurt into your diet every day. It’s a great breakfast and alternative snack item.

3. Whole Grains

Whole grain foods are rich in fiber which means it puts good bacteria in your body.

Make sure to keep whole grains in your diet to reap the rewards of this good bacteria and help your body happy. You can get this with tasty choices like popcorn, barley, and whole wheat.

4. Sweet Potatoes

If you’re trying to become pregnant eating sweet potatoes is a good way to start. They are rich in beta-carotene and vitamin A. They’ve also been known to strengthen the uterine walls.

Beta-carotene and vitamin A have been directly linked to having positive effects on fertility and reproduction for both men and women. It also helps for healthy fetal development.

Sweet potatoes can even promote the production of sex hormones. It’s a super veggie!

5. Lemon

Due to the fact that lemons are acidic, they are great for vaginal health. They can help your PH balanced and their antioxidant capabilities protect your cells from free radical damage.

They support good immunity to prevent all kinds of different infections. Don’t worry, you don’t have to eat a lemon straight out to get these benefits. You can add them to water and have lemon water once or twice daily. If the taste is a little bitter to you, use honey to sweeten it instead of sugar.

6. Avocado

Avocados are a really popular food and it provides the body with many nourishing benefits including vaginal health.

The many healthy fats in avocados support the good condition of the vaginal walls and keep it naturally lubricated. If you often feel like you’re experiencing uncomfortable itching, burning, or dryness, incorporate avocados in your daily diet.

In the case of avocados, less is more. Having 1/4 of an avocado a day is more than enough for you to reap its benefits.

7. Pumpkin Seeds

Pumpkin spice isn’t the only version of pumpkin you should go crazy for. Every woman should add pumpkin seeds to her daily diet.

This is because they are a great source of zinc and kick vaginal dryness and itching to the curb. They’re also good if your menstrual flow isn’t as regular as you want it to be.

They can also up your immunity and keep your bladder in good health.

8. Kale

Kale and other leafy greens can give you a nice boost of magnesium and calcium. A cup of cooked kale can do great things for your vaginal health.

If you prefer your fruits and veggies in a liquid form then feel free to also add it to a smoothy or get it in vegetable juice.

Incorporate these and other green veggies like celery, collard greens, and cabbage into your diet to get these benefits.

9. Edamame

The phytoestrogens in this delicious soy-based food takes care of uncomfortable dryness and itching. The protein, omega-3 fatty acids, and several other minerals can actually fight premenstrual and menopausal symptoms.

Consume 1/2 cup of unprocessed, organic edamame as a snack on a daily basis. You can get these same benefits from other soy-based products too like soymilk and tofu.

10. Garlic

Garlic, while it smells bad to some is known for its antifungal and antimicrobial properties. This means that it’s a natural remedy for excessive vaginal discharge, odor, burning, and even urinary tract infections.

If you can stomach the smell, eating 2-3 raw garlic cloves can give you stronger immunity and a healthy vagina. If the idea of this makes you gag, you can also take garlic supplements.

11. Strawberries

Were you aware that there is more vitamin C in strawberries than in oranges? Vitamin C plays a key role in collagen synthesis which is important for tissue and muscle elasticity.

This means that a regular intake of vitamin C can protect your vagina from dryness and itching.

12. Kimchi

Fermented foods like kimchi are loaded with healthy bacteria. This particular Korean dish has a ton of nutritional benefits.

It can help you maintain a good population of gut flora in your body. That includes your vagina. It’s a delicious way to ensure vaginal health!

Your Body’s Favorite Foods for Vagina Health

It’s strange to think that something as small as the foods you eat can do so much, isn’t it? Incorporate these things into your diet to help with menstrual flow, cramps, vaginal discharge, odor, dryness, and itching. Your vagina and other parts of your body will thank you for it.

Do you feel like something is off with your vagina? Don’t worry, we’re here to help. Visit our my first visit page to get a basic idea of what your appointment will be like.