Dr. Dean Elterman, a urologist with the University Health Network in Toronto, says that, although multiple pregnancies may increase the risk of incontinence, vigorous activities such as horseback riding or Zumba can cause an “accident” whether you’re a mom or not. Treatments include pads, surgery and pelvic physiotherapy like Kegel exercises. You can also help prevent leaks by losing weight (which reduced pressure on your bladder) and quitting smoking (which means less chronic coughing). Elterman also recomments Poise Impressa, which is inserted like a tampon but has soft silicone prongs to support the urethra and reduce leaks.
Details in the Huffington Post piece on low testosterone and prostate cancer link from Dr. Elterman:
A 65-year-old man notices he’s feeling more tired lately. He’s gaining weight and losing muscle. He can’t get as many erections, and generally feels foggy and unwell.
His family doctor takes some blood tests and rules out thyroid problems, high cholesterol and blood sugar issues, among other conditions. The only finding is low testosterone — but that’s a normal part of aging, right?
While declining testosterone may be a normal part of aging, it should still be treated in men with symptoms. To me, that would be like saying cancer or vision loss are normal parts of aging and therefore they should not be treated.
As a urologist with an interest in men’s health issues, I think we need to take “manopause” — more properly know as Testosterone Deficiency Syndrome (TDS) — much more seriously.
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