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.
- Why did my stress urinary incontinence start after giving birth?
This is very common in pregnant women due to the growth of the uterus and the size it may reach, with the subsequent pressure on the bladder. Stress urinary incontinence (SUI) often recedes after pregnancy, but may persist after childbirth and at some times later. Childbirth involves considerable exertion of the pelvic floor and the lower urinary tract, and any damage to these structures can cause stress urinary incontinence (SUI).
- What is the result of pelvic floor muscle training (PFMT)?
It strengthens the muscles of the pelvic floor and increases support to the urethra and vesical wall, which can help to avoid stress urinary incontinence (SUI), although this still remains to be demonstrated.
- Should I continue with my pelvic floor muscle training now that my stress incontinence condition has improved?
The guidelines for pelvic floor muscle training (PFMT) should be adapted to each patient in accordance with the condition of her muscles. The main drawback is that the patient frequently starts off by doing the exercises regularly and then gradually becomes less disciplined. For this reason, pelvic floor muscle training (PFMT) should be kept up regularly for an indefinite period of time.
- Is surgery the only form of treatment for stress urinary incontinence?
Research into the causes of stress urinary incontinence (SUI) still needs to be done. In many cases we have conservative measures for treating stress urinary incontinence (SUI) before considering surgery. Conservative treatment is based on modifications to lifestyle habits. Furthermore, pharmacotherapy may be tried before recourse to surgery.
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 |