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A Woman's Guide to Pelvic Health


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The compassionate, practical information packed in this book will help you start jogging down that road to a healthier, drier you. -- from the Foreword, by Jill Grimes, M.D., author of Seductive Delusions: How Everyday People Catch STDs

Table of Contents

Foreword, by Jill Grimes, M.D.Acknowledgments1. Anatomy and Pelvic Floor HealthIs This You?What's Happening with Your Pelvic Floor?What Is Your Pelvic Floor IQ?Meet Your Pelvic Floor2. Stress Urinary IncontinenceMy Story: Recovery from Stress Urinary IncontinenceStress Urinary Incontinence: No Laughing MatterWhat You Need to Know about Stress Urinary Incontinence3. Overactive Bladder and Urge Urinary IncontinenceMy Story: Recovery from Overactive Bladder and Urge Urinary IncontinenceOveractive Bladder and Urge Urinary Incontinence: The Surprising FloodWhat You Need to Know about Overactive Bladder and Urge Urinary Incontinence4. Mixed Urinary IncontinenceMy Story: Recovery from Mixed Urinary IncontinenceMixed Urinary Incontinence: The Best and Worst of Both WorldsWhat You Need to Know about Mixed Urinary Incontinence5. Pelvic Organ ProlapseMy Story: Recovery from Pelvic Organ ProlapsePelvic Organ Prolapse: The Name Says It AllWhat You Need to Know about Pelvic Organ Prolapse6. Decreased Sexual SensationMy Story: Recovery from Decreased Sexual SensationDecreased Sexual Sensation: You Can Do Something about ItWhat You Need to Know about Decreased Sexual Sensation7. At-Home Pelvic Floor Muscle Exercise ProgramWhy Pelvic Floor Muscle Exercise Programs Sometimes FailA Pelvic Floor Muscle Exercise Program That WorksPelvic Floor Muscle Exercises Really Are EffectivePelvic Floor Muscle Exercise Program RequirementsHow to Do a Correct Pelvic Floor Muscle ContractionTesting Phase: Test the Strength of Your Pelvic Floor MusclesThe Five F's of a Fit Pelvic FloorFrequently Asked Questions about the Five F's ProgramF#1. Focused and Fast Pelvic Floor Muscle ContractionsF#2. Functional Pelvic Floor Muscle ContractionsF#3. Freedom Pelvic Floor Muscle ContractionsF#4. Fun Pelvic Floor Muscle Contractions (in theBedroom)F#5. Future Pelvic Floor Muscle Contractions8. Additional Conservative TreatmentsPelvic Floor Retraining Guided by a Specialist (plusBiofeedback)MedicationBehavior and Diet Modifications Plus Weight ManagementAcupuncturePercutaneous Tibial Nerve StimulationVaginal PessariesUrethral Dilation9. Surgical SolutionsGeneral Principles and Precautions with Transvaginal SurgeryGeneral Considerations for Incontinence SurgeriesTransobturator TapeTension-Free Vaginal TapePubovaginal Sling ProceduresBurch ProcedureMarshall-Marchetti-Krantz ProcedureGeneral Considerations for Pelvic Organ Prolapse SurgeriesCystocele RepairRectocele RepairEnterocele RepairVaginal Vault Repair, or Sacral ColpopexyUterine Suspension ProceduresHysterectomySacral NeuromodulationAdditional ResourcesReferencesIndex

About the Author

Elizabeth E. Houser, M.D., is a urologist in Austin, Texas. Stephanie Riley Hahn, P.T., is a physical therapist in Austin, Texas.


Medical problems related to the pelvic floor-incontinence, organ prolapse, and decreased sexual sensation-are very common among women, but many are too embarrassed to seek treatment. Houser, a urologist, and Hahn, a physical therapist specializing in pelvic floor disorders, have an encouraging message for these women: pelvic floor conditions can be treated, sometimes without surgery. Their book begins with an introduction to pelvic floor anatomy, followed by chapters on stress incontinence, overactive bladder and urge incontinence, mixed incontinence, pelvic organ prolapse, and decreased sexual sensation. Each of these chapters begins with a short patient story followed by an introduction to the condition and how common it is, causes, symptoms, risk factors, and treatments. Remaining chapters address various types of treatments: exercises for pelvic floor muscles; other conservative treatments like medication, acupuncture, and behavior and diet modification; and surgeries. Side effects and success rates are included for each treatment. The detailed pelvic floor exercise program is especially useful. VERDICT The authors combine an upbeat, positive tone with detailed, understandable descriptions of pelvic floor disorders and treatment options. Highly recommended for any woman suffering from one of these disorders.-Janet Crum, City of Hope Lib., Duarte, CA (c) Copyright 2013. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

The authors combine an upbeat, positive tone with detailed, understandable descriptions of pelvic floor disorders and treatment options. Highly recommended for any woman suffering from one of these disorders. Library Journal

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