Urogynecologist Recommendations

[Anonymous]

Here is the description from website above:

“About This Service

Urogynecology is a subspecialty of urology and gynecology that focuses on diagnosing and treating pelvic floor disorders that affect a woman’s urinary tract. The pelvic floor includes the muscles and tissues that support a woman’s genitourinary organs (uterus, bladder, urethra). When these muscles weaken or become injured due to childbirth or other trauma, problems can occur including urinary incontinence, voiding dysfunction, and pelvic organ prolapse.

Our urogynecologists focus on treating female pelvic floor disorders with minimally invasive and reconstructive surgical procedures. Our highly specialized team consists of fellowship-trained physicians in Urogynecology and Reconstructive Pelvic Surgery, pelvic health physical therapists, and a support team that specializes in women’s health issues.”

[Anonymous]

Anonymous wrote:Here is the description from website above:

“About This Service

Urogynecology is a subspecialty of urology and gynecology that focuses on diagnosing and treating pelvic floor disorders that affect a woman’s urinary tract. The pelvic floor includes the muscles and tissues that support a woman’s genitourinary organs (uterus, bladder, urethra). When these muscles weaken or become injured due to childbirth or other trauma, problems can occur including urinary incontinence, voiding dysfunction, and pelvic organ prolapse.

Our urogynecologists focus on treating female pelvic floor disorders with minimally invasive and reconstructive surgical procedures. Our highly specialized team consists of fellowship-trained physicians in Urogynecology and Reconstructive Pelvic Surgery, pelvic health physical therapists, and a support team that specializes in women’s health issues.”

This sounds great! Thank you.

[Anonymous]

Charelle Carter-Brooks at GW.
Grace Chen or Vicky Handa at Hopkins

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’ve seen the uro/gyn PA at GW in the urology department and she’s great. Her name is Shirley Yancy. If you’re at all near perimenopause, she’s likely to start you on vaginal estrogen and pelvic floor therapy.

Yikes. She just puts everyone on estrogen?

No, but if you have frequency/urgency due to low estrogen (i.e., genitourinary syndrome of menopause), vaginal estrogen is indicated.

In your medical opinion?

[Anonymous]

Robert Gutman-medstar in leisure world.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’ve seen the uro/gyn PA at GW in the urology department and she’s great. Her name is Shirley Yancy. If you’re at all near perimenopause, she’s likely to start you on vaginal estrogen and pelvic floor therapy.

Yikes. She just puts everyone on estrogen?

No, but if you have frequency/urgency due to low estrogen (i.e., genitourinary syndrome of menopause), vaginal estrogen is indicated.

In your medical opinion?

Declining estrogen levels can cause or exacerbate bladder issues like urinary frequency, UTIs, and leaking/incontinence. Low-dose topical estrogen applied to the vulva and vaginal canal can improve and even eliminate these issues. It also is a big help for painful intercourse due to vaginal dryness. Vaginal estrogen is considered by experts to be safe for most women, even for many for whom systemic estrogen is contradicted.

[Anonymous]

In the meantime can you see a pelvic floor PT? Caroline Namey is a great one.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’ve seen the uro/gyn PA at GW in the urology department and she’s great. Her name is Shirley Yancy. If you’re at all near perimenopause, she’s likely to start you on vaginal estrogen and pelvic floor therapy.

Yikes. She just puts everyone on estrogen?

No, but if you have frequency/urgency due to low estrogen (i.e., genitourinary syndrome of menopause), vaginal estrogen is indicated.

In your medical opinion?

Declining estrogen levels can cause or exacerbate bladder issues like urinary frequency, UTIs, and leaking/incontinence. Low-dose topical estrogen applied to the vulva and vaginal canal can improve and even eliminate these issues. It also is a big help for painful intercourse due to vaginal dryness. Vaginal estrogen is considered by experts to be safe for most women, even for many for whom systemic estrogen is contradicted.

Yeah, vaginal estrogen is incredibly safe. According to my gyn, even women with a history of breast cancer can use it. It's different from the patch, and is often used for pelvic floor issues.

[Anonymous]

OP here, thanks all. I saw Dr Agrawal at GW and she was great.

[Anonymous]

Anonymous wrote:I’ve seen the uro/gyn PA at GW in the urology department and she’s great. Her name is Shirley Yancy. If you’re at all near perimenopause, she’s likely to start you on vaginal estrogen and pelvic floor therapy.

Anonymous wrote:Yikes. She just puts everyone on estrogen?

DP. I'm not clear on why you equate "likely" to "everyone," but that would be wrong.

Anonymous wrote:No, but if you have frequency/urgency due to low estrogen (i.e., genitourinary syndrome of menopause), vaginal estrogen is indicated.

Anonymous wrote:In your medical opinion?

That would be the opinion of the American College of Obstetricians and Gynecologists as per their practice guidelines, but, you know.

[Anonymous]

Anonymous wrote:OP here, thanks all. I saw Dr Agrawal at GW and she was great.

That’s great OP. Thanks for the update.

[Anonymous]

Anonymous wrote:Can anyone recommend a urogynecologist that they like and trust, preferably in DC?
Dealing with urinary frequency/urgency and my gynecologist referred me to a urogynecologist. Feeling very anxious about all of this so any advice appreciated.

https://www.rachelrubinmd.com/

[Anonymous]

Anonymous wrote:OP here, thanks all. I saw Dr Agrawal at GW and she was great.

So strange. I am the OP and have not seen anyone yet. Is it bots that make replies like this?
Anyway, I appreciate all of the suggestions. I have not seen a pelvic floor PT yet because I am currently in PT for another issue and cannot see two concurrently per my insurance. Maybe I should pay out of pocket but couldn’t do many sessions.

[Anonymous]

https://www.medstarhealth.org/doctors/andrew-ian-sokol-md

I saw Dr Sokol for GSM issues, after not getting much help from my regular GYN. I was extremely lucky to get in on a cancellation because I think he has a waitlist - but mentioning this because the office will try to get all of his slots booked. He was also able to diagnose lichen sclerosis (I was asymptomatic) and get me on immediate treatment - which my regular GYN had also missed. I was very grateful to have access to a specialist - OP Km glad you saw someone good too.

[Anonymous]

Dr. Daniel Gruber at Sibley is also very good! Although I think he is more of a surgeon.