Answers for your specific questions.

Wondering about your health? Confused by what you’ve read? Browse our Ask the Nurse answer archive to find answers to many women's health questions and concerns. All answers are from a Cleveland Clinic women's health nurse.

Ask the Nurse Archive

Overactive Bladder and Water Soluble Pumpkin Seed Extract

March 16, 2018 at 2:31pm

What is your take on water soluble pumpkin seed extract for over active bladder symptoms? I’ve been reading about it and it appears that studies show there can be much improvement. I also have a few more questions:

  1. How many mg should one take per day for best results? A nutritionist recommended 2x the mg on the bottle dosage, approximately 1200 mg per day.
  2. How long does it take before one sees improvement? And if one does not see a marked improvement after say a month, is it best to abandon the supplement or go for say 6 months?
  3. Is it better to take soy isoflavones with the extract?

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Urinary Tract Infection and Vaginal Atrophy

December 21, 2017 at 10:25am

I am 66 years old, relatively healthy. Lately, I have problems with vaginal smell. Sometimes when I use the bathroom either I smell, or my urine smells. This changes hourly or daily. What can it be and who do I see? On occasion it hurts terribly when I do urinate, and then the next time it’s fine.

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January 10, 2017 at 10:58am

I have had two hysterectomy prolapse surgeries. However, they are both failed surgeries as the prolapse is back, stage 3.

I also just had a tibia fibia leg break 7 months ago, so I am weak in my pelvic and core muscles. Will this APEX help the prolapse? I don’t want any more surgeries and I want to be able to do things I use to.

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Urinary Incontinence

January 10, 2017 at 10:52am

I had a hemmorrhagic stroke in 2002 and have had urinary incontinence ever since. Would this be called an overactive bladder condition?

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APEX and Stress Incontinence

December 21, 2016 at 9:49am

Eight years ago, I had a prolapsed uterus, and the OB/GYN performed a laparoscopic hysterectomy and added a bladder sling.

I am now experiencing stress incontinence. Will the APEX provide any improvement to my condition under these circumstances?

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Prolapse and Urinary Incontinence

February 6, 2016 at 11:10am

I am 77 years old and had a bladder suspension previously. I have taken a number of medications for my overactive bladder, but the side effects have been prohibitive. When I get the urge, I immediately use the restroom. I still have a leaky bladder. I also have a bulging bladder and have used a pessary, but it does not always work. Is there anything I can do for the bulging bladder and leaky bladder?

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Tips for Achieving Orgasm

October 15, 2015 at 8:53am

I can’t seem to have an orgasm. I need help, please.

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Vaginal Itching

May 21, 2015 at 12:00am

I have been using Intensity for approximately two months with no problems. I have been experiencing uncomfortable vaginal itching the last couple of days. I did not use the Intensity today.

I do have e-string and was using Premarin, but I have not used those for the last couple of weeks. I would appreciate any advice you could provide me to help relieve my symptoms and how to proceed with the Intensity treatment.

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February 26, 2015 at 5:56pm

I am an 82 year old woman who has a very large rectocele that protrudes into the genital area and also interferes with defecation. The recommendation is for Leforte Colpectomy/Colpocleisis surgery. Is this appropriate and if not, what would be an alternate solution?

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Overnight Urination

October 8, 2013 at 9:46am

I get up four or five times a night to go to the bathroom. Is this normal for a 74-year-old woman?

I take a diuretic in the morning as well as a heart pill and baby asprin. I am a little overweight. Would any of this contribute to having to urinate so frequently throughout the night?

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