- Women's HealthGeneral Page Tier 3BlogAfter having children, women experience a lot of changes (hello new sleep schedule and goodbye personal space). We also feel and see changes with our bodies. Things can start to feel different and work differently “down there.” Many of us hear, “Oh, that’s just part of having kids,” or “That’s what happens when you get older,” but in many cases, what seems common is really a pelvic health issue that needs care. According to the American Urogynecologic Society, one in four women over 20 suffer from a pelvic floor disorder (PFD). So what’s not OK and when should you call a doctor? Dr. Kay Hoskey, urogynecologist, walks us through some of the signs that your “mom bod” might actually be a PFD that can be treated. Sneezing and Coughing Comes With an Outfit Change The most common symptom of a PFD is stress incontinence, which is when you leak urine while you exercise, laugh, sneeze, cough or during any other movement that puts pressure on your bladder. This is also one of the most easily ignored symptoms because of just how universal it seems among women. As the pelvic floor weakens due to any number of factors, the bladder can shift and its function is compromised. READ MORE: Tips for treating urinary incontinence You Can’t Go — or Oops, You Just Went Number two on our list is actually well, just that. The pelvic floor supports your rectal organs the same way it supports your bladder, and the same problems can occur with leakage, flatulence and even constipation. Your exact symptoms all depend on exactly how the structure of your pelvic floor has changed. Because this can be a hugely embarrassing symptom, many women suffer in silence. You’re Running to The Bathroom — Literally Urge incontinence is when the need to urinate comes on very quickly giving you only a few seconds of warning, whether the bladder is full or not. This can also come with pelvic pressure or pain while urinating. Urge incontinence can be a challenge to your daily routine, family and social life with the feeling that you always have to be near a bathroom. Exercises, medication and surgery are all options for solving this issue. You Feel Bulging or Heaviness One of the more serious and painful symptoms of a PFD is pelvic organ prolapse in which pelvic organs —such as the uterus, bladder and rectum — drop or fall out of position. Many women actually feel a falling out sensation, which can be frightening and debilitating. Prolapse can also be felt in the lower back and abdomen so keep an eye out for recurring pain in those areas as well. READ MORE: It’s 3 am. Do you know where your pelvic floor is? Sex is Painful Do you cringe when you insert a tampon, get a gynecological exam or have sex? This is a sign of any number of pelvic floor disorders and you should discuss this with your health care provider. If you think of the pelvic area as a house, depending on if the floor, roof or walls fall and weaken; you could have varying issues and pain points. PFDs are NOT a normal part of aging that you just have to live with. They’re medical conditions and they’re treatable. Treatments include bladder control training, lifestyle changes, pelvic muscle strengthening, medication, support devices or surgery. Your doctor will work with you on a personalized treatment plan to meet your needs, which often includes a combination of things. Having children and getting older comes with a lot of change. Some of these changes are a proud reflection of the life you’ve lived. But when it comes to your pelvic health, no amount of pain, pressure, inconvenience and embarrassment is normal. Don’t let the unnecessary stigma of PFD symptoms prevent you from seeking effective treatment. You can hit reset on your pelvic health and find your way back to yourself. Contact AAMC’s Women’s Center for Pelvic Health at 443-481-1199 and speak to a specialist who will help guide you to the right solutions and a provider to best fit your current needs. Author Kay Hoskey, MD, a urogynecologist with AAMC’s Women’s Center for Pelvic Health. Originally published April 27, 2018. Last updated May 14, 2019.0
- Stroke CareGeneral Page Tier 3BlogStroke is the third leading cause of death in the United States. Nearly 87 percent of all strokes are ischemic. That means a clot within a blood vessel blocks the flow of oxygen-rich blood to the brain. Most ischemic strokes are caused by atherosclerosis, or hardening of the arteries. Some chronic health conditions, if not managed well, can speed up atherosclerosis. Keeping on top of these conditions can help reduce risk for ischemic stroke and other arterial diseases, says Mark Peeler, MD, a vascular surgeon at Anne Arundel Medical Center. Coronary heart disease, triggered by hardening of the arteries, more than doubles your risk of stroke. “When artery disease blocks blood flow to the heart muscle, there’s likely artery disease elsewhere in the body. It’s the artery disease that increases stroke risk, not the heart attack itself,” explains Dr. Peeler. “So we offer free ultrasound screenings for artery disease and then take proper steps, whether that means medical intervention or helping people start to make lifestyle changes.” The screenings are offered through a program called Dare to C.A.R.E. High blood pressure, or hypertension, affects nearly one in three adults in the U.S. When uncontrolled, it increases your risk for having a stroke by four to six times. But with medication and lifestyle changes, hypertension is highly controllable. Cholesterol is a waxy, fat-like substance produced by your liver and found in many foods. Although certain amounts of cholesterol are normal, high levels of some lipids in the blood can contribute to plaque in arteries and lead to a stroke. Depending on your levels, your primary care doctor may prescribe a medication such as a statin while guiding you toward healthy lifestyle changes. Statins are a class of drug that reduce fat levels in the blood (for example, Lipitor). Obesity is a major health problem in America. The severity of obesity is measured by the body mass index, a calculation relating your weight to height. As your BMI increases, so does your risk for rising blood pressure, cholesterol levels, triglycerides and blood sugar. Losing 5 to 10 percent of your weight can reduce these stroke risk factors. Diabetes, when not properly managed, causes sugar to build up in the blood, which increases your risk for stroke. Many people with diabetes also have high blood pressure, high blood cholesterol and are overweight — conditions that further increase your risk for stroke. The Best Way to Reduce Stroke Risk Whether or not you have a chronic condition, Dr. Peeler stresses that not smoking is the single best way to reduce your risk of artery disease. “Cigarette smoking causes more deaths from cardiovascular disease and stroke than from lung cancer,” he says. A simple screening using ultrasound can find a blockage in your arteries. If you are 60 or older, or in your 50s and at risk for vascular disease, you may be eligible for a free screening. Call 410-573-9483 to learn more. Author Mark Peeler, MD, is a vascular surgeon at Anne Arundel Medical Center. Originally published Nov. 28, 2016. Last updated Aug 25, 2025.0
- Men's Health, Senior Care, Weight Loss, Women's Health, WellnessGeneral Page Tier 3BlogAging comes with certain advantages. As we reach retirement, life slows down a little. We have more time to spend with our spouses, our children and our grandchildren. We have the time and funds to take that vacation we never got around to, finish our “to do” lists or pick up that new hobby we always wanted to try. But aging also comes with certain disadvantages, most notably when it comes to our health. Our joints ache a little more than they used to. Our diabetes requires more and more insulin shots to control. Our hearts start to warn us about those years when we didn’t eat exactly as we should or exercise as much as we might have. Obesity can make these problems significantly worse for seniors. Obesity is a growing epidemic in the United States in all age groups, and seniors are no different. In fact, the struggle to control weight can be harder for seniors as their metabolism slows down and their activity is limited by the inevitable effects of aging. Before many seniors realize it, they find themselves on handfuls of pills a day to control their blood pressure, cholesterol, diabetes, heartburn and general discomfort. Many overweight seniors experience frustration and hopelessness with their weight and associated medical conditions. They feel there is no way to stop this slippery slope of health issues. But there are options available to help patients over 65 control their weight, and one of the best tools is bariatric surgery. Bariatric, or weight loss, surgery decreases the size of the stomach and changes the body’s hormonal balance to curb appetite, teach appropriate portion control and help patients manage their weight. Studies show that obese seniors who undergo weight loss surgery can experience just as much weight loss as younger patients. Also, seniors do not suffer from any significant increases in complications from the surgery, meaning that it is safe even in an older population. Although many older patients have been told that they cannot qualify for this life saving operation because of their age, the truth is there is no age limit for weight loss surgery. Any patient who is healthy enough to undergo the operation is a candidate. Weight loss surgery can help patients lose more than half of their excess weight. This generally leads to a cure or remission of many medical conditions, or a significant reduction in medications. Because of the obvious health benefits, many insurance companies, including Medicare, pay for the operation. Maintaining a healthy weight and curing weight-related health conditions could help you live years longer than you might otherwise. You can take that vacation. You can try that new hobby. You can run after your grandchildren with more energy and less pain. You can have a new lease on life after retirement. AAMC Weight Loss and Metabolic Surgery offers free weight loss surgery seminars in Easton and Annapolis. To learn more about what you can gain with weight loss surgery, visit askAAMC.org/ReadyToGain. Author Courtney Doyle, MD Courtney Jean Doyle,MD, is a bariatric surgeon with AAMC Weight Loss and Metabolic Surgery. Originally published March 7, 2017. Last updated Sept. 4, 2018.0
- Women's Health, Heart CareGeneral Page Tier 3BlogYears ago, doctors recommended rest and limited activity to expecting moms as they progressed through each stage of pregnancy. While you should always check with your health care provider on what would be best for you and your baby, staying active during your pregnancy has shown to ease back pain, improve your mood, and prevent the risk of gestational diabetes and pregnancy-induced high blood pressure. Exercise will also help you maintain a healthy weight during pregnancy and may reduce your risk for a Cesarean section. Physical activity will not increase your risk of miscarriage, low birth weight or early delivery. But there are some safety tips you should keep in mind: If you’re new to exercise, your heart rate should stay below 150 bpm. Stay well hydrated before, during and after exercise. Eat a snack or drink juice 15-30 minutes before you exercise. Stop if you become dizzy, short of breath or experience any bleeding. Do not exercise outside when it is very hot or humid. As your body makes room for your growing baby, you may wonder which exercises are safe during each trimester. Learn your risk for heart disease with our free online heart health profiler and take the first step toward having a healthy heart for life. First Trimester I wouldn’t start training for a marathon just yet, but if you are able to work through the first-trimester morning sickness and fatigue, going for a brisk walk is a great exercise during this stage. But if you’re just getting started, walk 10-15 minutes a day and gradually increase to a 30-minute walk 3-5 times a week. For women without pre-existing health conditions, moderate activity does not have heart rate limitations. This is especially true for women who were exercising prior to pregnancy. If you were highly active before getting pregnant and remain healthy, you can continue. Second Trimester Has your morning sickness and fatigue decreased? You may find you have more energy in your second trimester. However, as your joints begin to loosen, you are at a greater risk for injury (like sprains and strains). At 14 weeks, we recommend avoiding activities like skiing, contact sports, karate and other activities that increase your risk of falling. You may continue with walking, swimming and pre-pregnancy exercise as long as it isn’t high-impact or lifting weight over 25 pounds. Prenatal yoga and stretching can also be very beneficial and help increase your strength and flexibility as you prepare for childbirth. Third Trimester The best workouts for your third trimester are swimming, walking and biking in a reclined exercise bike. Prenatal yoga is still a good option for this stage as you get ready to deliver your baby. If you’re continuing with weight resistance exercises, it’s okay to lighten the load. Modifying bicep curls to about 3-5 pounds will still help keep your arms toned. Some women work out through the end of their pregnancy, but some may stop. Either way, it’s important to listen to your body and talk with your doctor. Patients with the following conditions should especially ask their provider before starting exercise: heart and lung conditions, cervical problems, low-lying placenta, high blood pressure later in pregnancy, and vaginal bleeding and cramping. As always, it is best to discuss any questions or concerns with your obstetric provider. Need a reminder? Download your Safe Exercise During Pregnancy infographic now. Author Frederick Guckes, MD, is an OB-GYN at Luminis Health Ob-Gyn Annapolis. You can schedule an appointment with him by calling 410-573-9530. Originally published Jan. 28, 2019. Last updated Oct 21, 2024.0
- Cancer Care, Women's HealthGeneral Page Tier 3BlogRecently, a friend told me about his mother’s experience with breast cancer. She was treated several years ago and underwent a mastectomy (removal of the entire breast). She considered having reconstruction to rebuild the breast, but decided not to when she learned that it would remove one of the muscles from her abdomen. Removing the muscle to rebuild her breast would lead to some weakness and a risk of hernia. The good news for a woman facing breast cancer today is that many new reconstruction methods are available. The results from rebuilding the breast are usually very good or excellent, and often muscle does not need to be removed. For women with breast cancer who do not need a mastectomy, reconstruction is also an option to make the breast look better after lumpectomy (surgery to remove the cancer but leave healthy breast tissue in place). Here are a few of the newest approaches to breast surgery that have improved lives for women after breast cancer: Free flaps – A free flap is a breast reconstruction technique that uses a woman’s own body tissue (not an implant), and often does not remove any muscle. One common approach is to perform a “tummy tuck,” taking extra skin and fat from a woman’s belly, and then transplanting that belly tissue up to the chest to recreate her breast. Nipple-sparing mastectomy – A nipple-sparing mastectomy is an operation in which a woman’s breast tissue is removed, but none of the skin on top of the breast (including the nipple) is removed. Breast reconstruction is done at the same time. Keeping a woman’s own skin gives a natural-appearing result and means that an additional surgery to reconstruct the nipple is not needed. Lumpectomy with breast reduction – For a woman with a large tumor, mastectomy used to be the only option. Today, lumpectomy is sometimes possible if a breast reduction operation is done at the same time. A breast reduction operation is also performed on the other breast so the two sides match. Sometimes a woman with breast cancer chooses this operation even if her tumor is small, if she was already interested in having a breast reduction. Survival after breast cancer has improved dramatically in recent decades. Because of this, specialists have placed greater emphasis on making sure women with breast cancer have the opportunity not only to survive, but to thrive after treatment. Newer reconstruction methods in breast surgery help women to thrive after breast cancer treatment by: Contributing to a positive self-image. Decreasing psychological stress from “re-living” the cancer experience when a woman looks at her scars. Promoting a healthy sex life. Preventing hernias and muscle weakness that can be caused by some types of reconstruction. Remember, a woman who survives breast cancer today should not have to deal with self-consciousness about her body. If someone close to you is diagnosed with breast cancer, you can help her by making sure she is treated at a breast center that offers all of the modern approaches to breast reconstruction. Author Rubie Sue Jackson, MD, is a breast surgeon at the Fortney Breast Center.0
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