Are there women urologists

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Of all the medical specialties, the number of women in urology is lowest. This is not much improvement in the history of women in the profession, which began in with Elisabeth Pickett of New York, the first female urologist in the nation.

In fact, as late as the mids, there were only 22 female urologists in the U. This contrasts with specialties such as pediatrics, in which women comprise 52 to 62 percent of the field.

It would seem that part of the reason for the dearth of women in urology is that the specialty itself, although dealing with both genders, spends significant time focused on the type of disorders pertinent to male genitalia and the reproductive system. This may have traditionally served as a deterrence to encouraging women to join its ranks. In addition to being a male-dominated field, the general hurdles to women in medicine also come into play in urology. The solution: Behavioral modifications come first: cutting caffeine and alcohol and, if possible, altering the time of taking a diuretic.

Physical therapy and medications also are considered. More invasive options include Botox injections and an implantable bladder pacemaker. But Gupta says women too frequently receive antibiotics for this issue without confirming a UTI a practitioner might also miss an overlapping issue, such as overactive bladder. Worse, antibiotic resistance can develop if overprescribed. The solution: Gupta helps women determine what might be causing a relapse. Research, Gupta adds, has shown the benefit of vaginal estrogen cream for postmenopausal women to alter their pH levels and promote healthy bacteria growth.

Tension also can cause pain during intercourse, painful or frequent urination and lower back pain. Gupta typically directs a patient toward pelvic floor therapy — weekly sessions that help a woman identify and unclench the affected area.

Vaginal medications or muscle injections may help, too. Our best understanding is that injury to the pelvic floor muscles during childbirth causes the loss of support and prolapse.