Conditions We Treat

Pelvic organ prolapse occurs when the muscles and connective tissues that support the bladder, uterus, or rectum become weakened or stretched. When this happens, one or more organs can shift downward, sometimes creating a noticeable vaginal bulge.

While the name can sound alarming, prolapse is very common — especially after vaginal childbirth, during menopause, or with normal aging.

Common symptoms may include:

• Feeling of pressure or heaviness in the pelvis

• A visible or noticeable vaginal bulge

• Discomfort with prolonged standing or activity

• Sensation that something is “falling out”

• Difficulty with bladder or bowel emptying

• Discomfort during intercourse

Some women have prolapse with very few symptoms, while others find it significantly affects daily comfort.

The good news is that prolapse is highly treatable. Many patients improve with simple supportive options, while others benefit from advanced repair. A focused evaluation helps determine what level of care is appropriate for you.

Urinary incontinence — the unintentional leakage of urine — affects millions of women but is often underreported. Many patients assume leakage is just part of aging. It is not.

In most cases, bladder leakage can be significantly improved or fully treated once the underlying type is identified.

Symptoms may include:

• Leakage with coughing, sneezing, laughing, or exercise

• Sudden, hard-to-control urges to urinate

• Frequent trips to the restroom

• Waking at night to urinate

• Waking up wet

• Feeling unable to fully empty the bladder

Because different types of incontinence have different causes, proper evaluation is the first and most important step. From there, treatment can be tailored to your specific symptoms and goals.

Overactive bladder is one of the most common — and most disruptive — bladder conditions we see.

The hallmark symptom is urgency: a sudden, intense need to urinate that is difficult to postpone. Many patients also experience frequent daytime urination and waking at night to use the bathroom.

Signs of overactive bladder may include:

• Strong, sudden urge to urinate

• Going to the bathroom very frequently

• Waking multiple times at night to urinate

• Leakage before reaching the restroom

• Constant awareness of restroom locations

If your bladder seems to be running your schedule, overactive bladder may be the cause.

The encouraging news is that OAB responds very well to treatment. Most patients experience meaningful improvement with the right step-by-step approach.

If you experience urinary tract infections repeatedly, you are not simply unlucky. Recurrent UTIs usually have an underlying cause — and in many cases, that cause is treatable.

These infections are especially common in women after menopause due to natural changes in the vaginal environment.

Common contributing factors may include:

• Changes in vaginal pH after menopause
• Incomplete bladder emptying
• Bacterial attachment to the bladder wall

If you continue to experience recurrent infections, additional targeted treatment options are available.

A focused evaluation can often identify the cause and help break the cycle of repeated UTIs.

Bowel control concerns — including leakage, urgency, or chronic constipation — are more common than most people realize. They are also among the most private symptoms patients manage on their own for far too long.

You will always be treated with complete discretion and respect in our office.

Symptoms we commonly evaluate include:

• Accidental stool leakage

• Sudden urgency to have a bowel movement

• Difficulty making it to the restroom in time

• Chronic constipation with pelvic pressure

• Feeling of incomplete bowel emptying

These symptoms can stem from pelvic floor weakness, nerve signaling problems, stool consistency issues, or structural changes.

With proper evaluation, many patients experience significant improvement — often with conservative treatment options.

Hormonal changes during perimenopause, menopause, and normal aging can affect nearly every aspect of how you feel — from energy and sleep to mood, weight, and mental clarity.

Men can also experience hormone decline over time, particularly testosterone changes that impact energy, strength, and focus.

Many patients live with symptoms for years before realizing hormone imbalance may be contributing.

Common symptoms include:

• Hot flashes and night sweats

• Ongoing fatigue or low energy

• Mood changes or increased anxiety

• Brain fog or trouble concentrating

• Low libido

• Unexplained weight gain

• Sleep disturbances

• Vaginal dryness (women)

• Loss of muscle mass (men)

Because symptoms can overlap with many conditions, proper testing and evaluation are key. When hormone imbalance is present, targeted therapy can make a meaningful difference in daily quality of life.