S2 Ep72: Stress Incontinence- You Go Girl- But Only When You Want to with Dr. Rachel Rubin

Currently, 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 down and longevity continues to lengthen but 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.

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


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 North American 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. 

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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