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Diagnosing birth injuries is key to individualising treatment for pelvic floor issues that previously has been largely one-size-fits-all, Miller says.

Another research priority is figuring out the most effective ways to prevent pelvic floor problems before they start, and to determine exactly which women are at the highest risk. For now, the best proven risk factors for pelvic floor issues are ageing, vaginal childbirth and obesity.

Do I Need to Pee or Am I Horny? And Other Mysteries of the Female Body

They can be very burdensome but they can also be fairly minor. The good news is that as scientists continue to try to understand everything about the anatomy and function of the pelvic floor, there are treatments for women with problems. And pelvic floor issues are common. Almost a quarter of women in the United States have a pelvic floor disorder — urinary incontinence, pelvic organ prolapse or fecal incontinence — according to a study using results from a national US survey.

While pelvic floor issues do become more prevalent with age, young women have them too. Research has documented widespread incontinence among professional and college female athletes, for example. A review found that more than a third of athletes studied experienced urine leakage — sometimes caused when intense exercise puts pressure on the belly.

Stress urinary incontinence — urinating when you sneeze, cough, jump or lift something heavy — is often treated with pelvic muscle exercises, lifestyle changes like avoiding too many fluids , physical therapy and biofeedback , which uses electronic sensors to help you work the right muscles. A device called a pessary can be inserted into the vagina to support the bladder. A surgical procedure called a midurethral sling is another option. Pelvic organ prolapse can be treated with pelvic floor exercises and therapy , pessaries, or, if symptoms are disrupting your life, surgeries to support the organs and move them back into place.

Looking forward, pelvic floor research is ripe for new discoveries.


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She suggests teaching girls to squeeze their pelvic floor muscles when they cough or sneeze and after using the bathroom. This story is part of the Health Gap , a special series about how men and women experience the medical system — and their own health — in starkly different ways.

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Do I Need to Pee or Am I Horny? And Other Mysteries of the Female Body

Keyes got the ball rolling with some suggestions of books that could have been included. All were absolutely vital to my development as a psychological crime writer. Summertime by Liz Rigbey Follows a woman who loses her baby and whose father unexpectedly drowns. When her husband and sister close ranks against her, she begins to suspect they are lying to her.

2. Is it sweat or is my body leaking?

When Anna Howell discovers that a s child murderess was the previous resident of her old cottage, her marriage, sanity and life come under threat. Then a police officer starts asking about the murder of a woman 14 months earlier …. Searching for Shona by Margaret Jean Anderson The wealthy Marjorie Malcolm-Scott trades suitcases, destinations and identities with orphan Shona McInnes, as children are evacuated from Edinburgh at the start of the second world war. The Field of Blood by Denise Mina The first in the Paddy Meehan series sees the reporter looking into the disappearance of a child from his Glasgow home, with evidence pointing the police towards two young boys.

A Fatal Inversion by Barbara Vine Writing under her pen name, Ruth Rendell tells of the discovery of a woman and child in the animal cemetery at Wyvis Hall, 10 years after a group of young people spent the summer there.

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