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Do you find it unbearable to talk about sensitive health issues? Fear, shame and pride often keep us from saying things like: "I have bowel incontinence.""I have a leaky bladder." "I'm not performing sexually." There are treatments to help relieve even the most "embarrassing" health issues. However, avoiding the conversation won't cure the problem. That's why it's important to check your inhibitions at the door and talk to your doctor about your health. You're Not Alone Loss of bladder control. Although urinary incontinence becomes a problem for about 30% of older adults,* it does not have to be accepted as a normal part of the aging process. Urinary incontinence can be treated in many cases with medication, bladder training, therapy or surgery. Bowel incontinence. Also called fecal incontinence, this condition affects more than 5.5 million Americans and is marked by a loss of control over bowel movements.** In women, fecal incontinence is most often caused by anal strain during childbirth. "Patients who are seen in the Center for Restorative Pelvic Medicine (CRPM) at The Methodist Hospital for fecal incontinence will be evaluated thoroughly by a colon-rectal surgeon, who will perform an anal ultrasound to see if the rectal sphincter muscle is intact, and to determine if the nerve supply to the muscle is still functional," says Keith Reeves, M.D., director of CRPM. "Depending on the test results, our therapeutic options then include biofeedback therapy, muscle strengthening or, in some cases, surgery to restore integrity to the sphincter mechanism." Colorectal surgeons may perform laparoscopic surgery — a less invasive technique — to treat fecal incontinence. Irritable bowel syndrome (IBS). IBS is more common in women than men, and occurs in about 20% of the population.*** It is marked by cramping, pain, bloating, constipation and diarrhea. Treatment can include diet changes, stress management and/or medication. Sexual dysfunction. Erectile dysfunction, loss of sexual desire and other sexual health disorders can interfere with your personal relationships and overall well-being. Take your sexual health seriously — these are common medical issues that can be addressed and treated. A Safe, Confidential Environment
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