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