S3 Ep140: Stress Incontinence- You Go Girl- But Only When You Want To ( A Hot Flash-Back Episode) with Dr. Rachel Rubin

The market for adult diapers in the US is almost as large as the market for baby diapers. Part of this trend is because birth rates have slowed and longevity continues to lengthen. Still, the other reason why almost 50% of adults experience some form of urinary incontinence is due to an increase in risk factors. Today, with my guest, urologist Dr. Rachel Rubin, I am taking on the taboo topic of urinary incontinence- why it happens and how to make it go away.
This episode originally aired during Season 1

We discuss:

• The difference between urge, stress, and mixed incontinence
• Risk factors for developing stress incontinence
• Ways to manage incontinence.
  • Diapers and pads 
  • Urine absorbent underwear 
  • Pessaries and other vaginal support devices
• The impact of local vaginal estrogen on incontinence
• The impact of systemic estrogen on stress incontinence
• Why it is important to have an exam when treated for incontinence
• Strategies to treat a dysfunctional pelvic floor
  • Pelvic floor physical therapy 
  • Kegel exercises- and why they rarely work
  • Over-the-counter devices
• Why medications for overactive bladder do not work to treat stress incontinence
• Urethral bulking agents as an option
• When surgery is appropriate
• If a hysterectomy increases the risk of incontinence
• If Botox in the bladder will help
• How to find an expert in incontinence

RachelrubinMD.com
Twitter: @DrRachelRubin
Insta: @DrRachelRubin

                                            Other Episodes of Interest
Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things 
Episode 6: Your Post Menopause Urethra and Why You Should  Care- with Dr. Kelly   Casperson
Episode 15 Need to Know Info About the Penis in Your Bed with Dr. Rachel Rubin
Episode 38 Pelvic Organs Dropping? How to STOP the POP!
Episode 39 A Personal Trainer for Your Pelvic Floor with Dr. Janelle Howell 

                                  To find a pelvic floor physical therapist
https://pelvicrehab.com/
https://specialization.apta.org/find-a-specialist

                                 To find a specialist in urogynecology
American Urogynecologic Society (AUGS.org)
Society of Urodynamics, female pelvic surgery and urogenital reconstruction -sufuorg.com

Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of The Menopause Society. 
 

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Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.


 Menopause Masterplan Sessions.
Dr. Streicher offers one one-on-one and group informational and educational Menopause Masterplan sessions. For more information: https://www.drstreicher.com/menopause-master-plan


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·      Instagram @DrStreich
·      Facebook  @DrStreicher
·      YouTube  DrStreicherTV
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Books by Lauren Streicher, MD
 
·       Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

·      Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

·      Sex Rx- Hormones, Health, and Your Best Sex Ever

·      The Essential Guide to Hysterectomy

Come Again! A Guide to Midlife Libido and Orgasm  (available for pre-order) 


                                     To Find a Menopause Clinician
 Episode 46 Finding a Menopause Clinician Who Will Listen

Midi Health  joinmidi.com
Midi Health is a telehealth company that provides high-level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi’s Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country. 
 
The Menopause Society- Certified Menopause Practitioner List Menopause.org
 To find a menopause practitioner: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx
Put in your zip code and designate NCMP or CMSP to get a certified menopause practitioner. While all people on this list have passed a competency examination, Dr. Streicher does not vouch for every one of these clinicians. Most are excellent. 
 
 
Major Medical Centers
It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors that have an interest and expertise in menopause. 
If you are in the Chicago area, the center founded by Dr. Streicher: 
The Northwestern Medicine Center for Sexual Medicine and Menopause Sexmedmenopause.nm.org
 
 

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