Tuesday, September 13, 2016

BELOW THE BELT - more about some parts that aren't working perfectly

I once had a need to pee too often.  It wasn't a doctor or nurse who saved me - maybe a book or magazine or friend said a magic word Kegel exercises.  Recently I'm having those urges again.

Why aren't my nurses and my Gyno handing out Kegel info as a sort of preventive move?  You can print it out on Mayo clinic - they tell if Kegels will probably help you and when they might not.

Maybe your complaint is not frequent urination, but something is irritating your perineum, and you don't want to hear about exercises until this is fixed.

In fact, I have both problems. I've learned several things can make our perineum very unhappy.  Mine has been unhappy before. A male doctor (and his nurse) listened to the perineum problem and clued me into what might work.?  They agreed that Clotrimazole OTC might help.  It did.  More recently, a Texas NP wrote me a scrip for a combination cream containing it. She said I could use it anywhere, but I DON"T use it inside the vagina and don't get it near my eyes.  Ever.

Also, isn't it possible that a hard-to-ignore irritation may start if we're taking tamoxifen or meds that completely stop estrogen production -- we've been gifted with our own Second Menopause, and our perineum is getting nothing. Hmm.  Ask your oncologist on that one.  Other patients may have noticed the same thing.

Furthermore - It seems when my perineum is irritated, I feel a need to urinate more often, and my pee-ometer (early warning system) in my head gets confused.

By the way, when more and more women started working, I read some reminders that we should empty our bladders completely instead of rushing back to work too soon.

Finally, As we get older, they say our senses get weaker - doesn't this include the sense that notices we may need to pee soon?  Should be maybe looking for the bathroom locations when we enter the building?

Infuriating hour-long phone conversations with the internet service taught me that I can retain a very full bladder longer than I think I can, if I must.  But I don't risk it for fun.

Ask your doctor.  Then ask her nurse.  Then ask your other doctor.  But ask before you exercise and before you use any medicine.

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