Urogynecologists are trained urologists and/or gynecologists that are specialized in the treatment of female patients who have pelvic floor dysfunction, pelvic organ prolapse, urinary incontinence, fecal incontinence or other types of gynecologic or urologic problems. Often times, patients with pelvic organ prolapse (in which the bladder is prolapsing into the vagina or the rectum is prolapsing into the vagina or the uterus is prolapsing into the vagina) can have a significant amount of pain in their pelvis and groin area. Sometimes their pain can radiate to their hip. The most common cause of groin and hip pain is usually musculoskeletal and/or low back problems. If this has been ruled out and your physician is at a loss for the etiology of your groin and hip pain, it would be a good idea to seek a urogynecologist's help especially if you are having other symptoms such as problems with bowel movements or problems with emptying your bladder or urinary/fecal incontinence.
Inger Friberg, MD
Specialty: Obstetrics & Gynecology
Location and Office HoursFriberg Medical Associates
385 Park Ave
Glencoe, IL 60022
Could a urogynecologist help with my groin and hip pain?
Kevin Windom, MD, Obstetrics & Gynecology, answered
Why are women often misdiagnosed?
Mehmet Oz, MD, Cardiology, answered
Once upon a time, women were routinely given a diagnosis of hysteria to explain many of their medical ills. This was particularly true if the symptoms were vague, infrequent or were accompanied by psychological distress. Although diagnosis of disease in women has come a long way since then, there are still some instances that hark back to those days. Symptoms in women are still falsely attributed to the rigors of everyday life - work, overscheduled calendars, and caring for family and home.
But sometimes a diagnosis is flat-out wrong.
What can I expect during a gynecologist visit when I'm over 65?
When you are over age 65 and visit your gynecologist, you can expect the doctor to do an overview of your sexual health. This is important. A lot of times, sexual health is not discussed with women in this age group. It continues to be an important part of someone's life, and if there are any issues, the doctor should try to address and fix them.
Any ongoing menopausal symptoms will also be discussed. Particularly for the elderly, a screening will be done for neglect and abuse because the elderly are at increased risk for abuse.
A breast exam and a pelvic exam will also be conducted. If your Pap smear history has been normal, then a Pap smear is unlikely. Until age 75, screening mammography will continue. This is not a definitive guideline, however. This is something that your doctor will discuss with you, and based on your history and your wishes, mammography screening will be tailored for you.
Referral for bone density studies is recommended at age 65 to determine if you are at increased risk for bone fractures. If necessary, your doctor may suggest medication to help prevent that. If you have risk factors, such as a family history of severe fractures or if you are a smoker or heavy drinker, you might be referred earlier for a bone density study. Your doctor also may consider this if you have already suffered a fracture before age 65.
See all Gynecology questions