Pelvic floor disorders frequently affect sexual function, yet this remains one of the most under-discussed aspects of women's health. Many patients experience significant distress related to the impact of prolapse, incontinence, or pelvic pain on their intimate relationships, but hesitate to raise the topic with their physician. In my practice, I consider sexual health an integral part of the assessment and treatment of pelvic floor conditions. How Pelvic Floor Disorders Affe

This guide is intended for family physicians and other referring providers to help identify patients who would benefit from urogynecology or minimally invasive gynecologic surgery consultation. Conditions We Manage Urogynecology and Pelvic Floor Disorders Referral is appropriate for patients with pelvic organ prolapse (symptomatic cystocele, rectocele, uterine or vault prolapse), urinary incontinence that has not responded to first-line management (behavioural therapy, pelvic

Undergoing surgery can be an anxiety-provoking experience. Understanding the process — from preoperative preparation through recovery — helps reduce uncertainty and allows you to focus on healing. This guide covers what to expect when undergoing gynecologic surgery in my practice. Before Surgery The Consultation Before any surgical procedure, we discuss the indication for surgery, the specific procedure being recommended, the expected benefits and potential risks, and availab

Endometriosis is a condition in which tissue similar to the uterine lining grows outside the uterus, most commonly on the pelvic peritoneum, ovaries, and surrounding structures. It affects approximately one in ten women of reproductive age and is one of the leading causes of chronic pelvic pain and painful periods. Despite its prevalence, the average time from symptom onset to diagnosis remains unacceptably long — often seven to ten years. Symptoms Endometriosis presents diff

Hysterectomy — the surgical removal of the uterus — is one of the most commonly performed gynecologic procedures. When indicated, a laparoscopic (keyhole) approach offers significant advantages over traditional open surgery, including smaller incisions, less postoperative pain, a shorter hospital stay, and a faster return to normal activities. In my practice, the majority of hysterectomies are performed laparoscopically. When Is Hysterectomy Recommended? Hysterectomy is consi

Urinary incontinence — the involuntary leakage of urine — is one of the most common conditions affecting women, yet many delay seeking help due to embarrassment or the mistaken belief that leakage is a normal and inevitable part of aging. It is neither normal nor untreatable. As a urogynecologist, this is one of the conditions I manage most frequently, and the majority of patients experience significant improvement with appropriate treatment. Types of Urinary Incontinence Und

Pelvic organ prolapse is one of the most common conditions I manage in my urogynecology practice. Despite affecting a significant proportion of women over their lifetime, it remains widely misunderstood. This article provides a clinician's perspective on what prolapse is, why it happens, and how it can be managed. What is Pelvic Organ Prolapse? Pelvic organ prolapse occurs when the pelvic floor muscles and connective tissues that support the pelvic organs (bladder, uterus, an