Gómez Sugrañes Mª Teresa
¿Cuál es el mejor tratamiento para la endometriosis?
En la actualidad el tratamiento de la endometriosis es esencialmente quirúrgico. Debido a los últimos y recientes avances en técnicas quirúrgicas es muy probable que todavía sea el tratamiento de elección durante varios años.
¿Si me practican una histerectomía estaré menopaúsica?
No es así. La menopausia viene determinada por la disminución de la secreción hormonal de los ovarios. Si no existe ninguna patología ovárica, en la histerectomía se conservan los ovarios, y al no ser extirpados continúan produciendo hormonas.
Después de una histerectomía, desaparecen los períodos menstruales. La mujer ya no puede quedarse embarazada. Los ovarios siguen produciendo óvulos que, al no ser fecundados, se disuelven en el abdomen.
Una paciente que todavía tiene ovarios no experimentará los síntomas que acompañan frecuentemente a la menopausia como, por ejemplo, las sofocaciones o la sequedad vaginal.
- What are the indications?
The examination can be performed on any women undergoing a gynecological check-up for the first time. It can also be carried out on those women whose cervical cytology reveals any change in the cells of the uterine cervix.
It is not necessary to repeat the colposcopy every year that the patient has a gynecological check-up, although it should be performed during examinations for any untreated or suspected lesion.
- What are the possible risks and complications of colposcopy?
There is no risk associated with this examination, except in the case of allergy to the iodine solution used.
A gynecological examination can be uncomfortable while it lasts, although it rarely exceeds 5 minutes.
Slight bleeding may occur if a biopsy is taken.
- What is the purpose of colposcopy?
Colposcopy is helpful for the visual identification of epithelial areas of the uterine cervix that may present changes and that may require a biopsy.
- Does stress urinary incontinence get worse as one gets older?
Age-associated changes in the bladder and structures of the pelvic floor contribute to the worsening of stress urinary incontinence (SUI). Furthermore, the menopause and lack of esterogen, together with other medical problems associated with aging, such as diabetes and dementia, can also cause stress urinary incontinence (SUI).
- What is the cause of stress urinary incontinence?
This consists of the involuntary loss of urine due to effort, exercise, sneezing or coughing. Incontinence occurs when pressure inside the urethra is greater than that in the bladder. The underlying cause may reside in the hypermobility of the neck of the bladder and the urethra because it lacks extrinsic support (vagina and pelvic floor). Stress urinary incontinence (SUI) may also be due to an intrinsic defect of the urethral sphincter as a result of neuromuscular problems.
- Does slimming help to solve stress urinary incontinence?
Some research has shown that there is a correlation between excess weight, body mass index and stress urinary incontinence (SUI). The excess weight of an obese patient is transmitted to the structure of the pelvic floor, which becomes distended. The muscles and conjunctive tissue become weakened. As as result, the neck of the bladder or the urethra undergo hypermobility, which leads to urine loss during intrabdominal pressure increase.
- Can a special diet alleviate stress urinary incontinence?
It is very important to be careful about what one eats and drinks. An excessive intake of liquids is to be avoided, since it only aggravates the symptoms. However, a radical reduction of liquid intake is not recommended either, because the bladder is sensitive to low volumes of liquid. It is advisable to drink between 1.5 to 2 litres a day. Constipation also predisposes to stress urinary incontinence (SUI) and should therefore be avoided. A healthy, well-balanced diet and sometimes the ingestion of laxatives can assist in curing constipation.
- Should I restrict physical activity?
The prevalence of stress urinary incontinence (SUI) is greater in young female athletes than in those women who do normal physical exercise. Physical activities that raise abdominal pressure may lead to episodes of stress urinary incontinence (SUI). Nevertheless, some physical exercise is necessary for general health and therefore stress urinary incontinence should not restrict all physical activity.
- Should I stop smoking?
No direct correlation between smoking and urinary incontinence (UI) has been clearly established. Nevertheless, smoking involves a high risk of pulmonary and cardiovascular diseases, which irreversibly increase abdominal pressure, and in turn raise the risk of urinary incontinence (UI) symptoms.
- Is stress urinary incontinence a disorder that runs in the family?
Most of the causes of stress urinary incontinence (SUI) are not related to genetic predisposition, except for muscular dystrophy, which is rare. However, some predispositional or decompensating factors (such as obesity, diabetes mellitus, dementia) may tend to run in the family, and thus various members of the same family may suffer from stress urinary incontinence (SUI).
Morning | Afternoon | |
---|---|---|
Monday | 10.00 - 15.00 h | 16.00 - 19.00 h |
Tuesday | 10.00 - 13.00 h | 16.00 - 20.30 h |
Wednesday | 10.00 - 15.00 h | 16.00 - 19.00 h |
Thursday | 10.00 - 13.00 h | 16.00 - 20.30 h |
Friday | 09.00 - 14.00 h | 15.00 - 19.00 h |