A woman's sexuality is a complex mix of mental, emotional, and physical signals. A problem in one area can grow to involve others. For example, a physical problem can lead to fear of pain, and the fear can lead to guilt about its effect on your partner. So the causes of sexual problems in women are often interrelated. Psychological causes may be related to past or current physical or emotional problems.

Most orthopaedic problems are treated without surgery. Physical therapy, injections or simple home instructions are often all that is necessary. Surgery is only used when non-surgical solutions by themselves are unable to resolve the problem.

No, infertility is not always a woman's problem. In only about one-third of cases is infertility due to the woman (female factors). In another one third of cases, infertility is due to the man (male factors). The remaining cases are caused by a mixture of male and female factors or by unknown factors.

a board-certified chiropractic orthopedist, Dr. Borgstrand has had advanced training is managing osteoporosis and failed joint surgery syndromes. Often gentle techniques such as tuina, gua sha and craniosacral therapy are used instead of chiropractic adjustment.

Nasal surgery may be performed for cosmetic purposes, or a combination procedure to improve both form and function. It may alleviate or cure nasal breathing problems, correct deformities from birth or injury, or support an aging, drooping nose. Some patients suffer from chronic nasal stuffiness that may be due to chronic breathing problems that don't respond well to standard medical treatment.

Many patients require postoperative care, such as physiotherapy, orthotic devices ( foot supports), and special footwear. This care helps ensure that the results of the operation are long lasting

Even though bunions are a common foot deformity, there are misconceptions about them. Many people may unnecessarily suffer the pain of bunions for years before seeking treatment.

Fortunately, it is extremely rare for children suffering from gastroesophageal reflux to require surgery. Commonly they respond to dietary correction and physiological correction of habits. In children who do require surgery, the most commonly performed operation is called Nissen fundoplication.

Not usually. It will not change the course of the disease. Banding may help with the varcises and shunts may help with the blood flow.

quot;Mild gas bloating may occur after Nissen fundoplication. This is a feeling of fullness particularly after meals, which will be less of a problem as the patient learns to eat more slowly and smaller meals. Avoiding carbonated beverages and greasy or heavy foods, and taking a Reglan tablet a little while before meals will also help. Usually this symptom tapers off after several days or a few weeks. Certain aspects of my operative technique have helped to minimize this problem for my patients.

The answer to this question may depend on whom you ask. A mental health professional may believe that your problem comes from a psychological issue and a medical doctor may feel that there are physical concerns. The reality is that most sexual difficulties have both psychological and physical components that can contribute to the problem. Today, because of recent medical advances, physical causes are often discovered in the majority of cases.

Some people may need or elect to have surgery because their reflux disease is severe or it isn't responding to medications and lifestyle changes. Surgical treatments for this disorder have been very successful in treating it. Today surgery can often be done using a less invasive method with quicker recovery and less pain. This surgery is done utilizing an instrument called a laparoscope and does not involve making a large incision into the stomach through muscles and tissue.

Yes, in some patients inguinal hernias return. However, it is very infrequent. Recurrency rates for Dr. McKernan's patients are less than 3%; national rates are 10% or greater.

The removal of ovarian cysts is not an effective way to treat PCOS. Cysts on the ovaries are the result of hormone imbalances that begin with the production of too much insulin. This over-abundance of insulin causes an increase in male hormones called androgens or testosterone, which eventually create the cysts. As a result, removing the cysts does not remove the problem, just a symptom.

If rest or exercise were the only answer there would be no reason to go to a physical therapist. Every doctor on the planet would have a cookbook of rest times to cure every different muscle group. Unfortunately, no such book exists because it doesn't work. Once a muscle is injured it needs to be treated with a "hands-on" approach that "talks" directly to the injured muscles.

Pregnant woman can be treated up to delivery date. Each patient is treated on an individual basis after consultation.

Some patients are not cured by conservative therapy, and it may be determined that surgery is needed, especially in patients who have significant pain or recurrent dislocation. By looking into the knee with an arthroscope, the surgeon can assess the mechanics of the knee joint to ascertain if there is an anatomic malalignment that could be corrected.

Yes, but we always try everything short of surgery first. The indications for surgery are persistent pain, interfering with your activities of daily living, work, or sports, that has not responded to the nonoperative program described above.

Ideally all household/sexual contacts should be tested and vaccinated and counseled as needed. Women of child-bearing age need to be informed that any other children should receive the three dose series as well a post-vaccine serology to determine the development of antibody response or disease (unless it can be documented that the woman was negative for HBsAg with the prior pregnancies).

It is impossible to answer this question with confidence, but most knee problems are handled at the time of your arthroscopic surgery. If you have arthritis, the surgery will be more complicated and perhaps not as successful

Just because you have a cataract does not mean that you have to have it removed. Cataract surgery only becomes necessary if you are not happy with your vision and want to see better. Talk to your doctor if you have any questions or concerns about your vision. Thanks to numbing drops and medications to help you relax, this procedure involves minimal discomfort.

Sometimes severe IBD does not get better with medicine. In these cases, doctors may suggest surgery to fix or remove damaged parts of the intestine. There are different types of surgery used to treat IBD. About 75 percent of people with CD need surgery at some point in their life. Surgery can relieve symptoms and correct problems like blockages, fistulae or bleeding in the intestine. After surgery, some people are able to stop taking daily medicines for CD.

Gastroesophageal reflux disease (GERD) develops when stomach acid and juices back up, or reflux, into the esophagus, the muscular tube that connects the throat to the stomach. This happens when the valve between the lower end of the esophagus and the stomach (the lower esophageal sphincter) does not close tightly enough. GERD most commonly occurs when the lower esophageal sphincter relaxes at the wrong time (that is, when you are not swallowing) and remains open too long.

Effective lice killing starts with a maximum strength shampoo treatment that kills lice and eggs. First, cover the child's face with a washcloth or towel. Then apply a shampoo treatment to dry hair, and make sure that you thoroughly cover the entire scalp. It's recommended to wear gloves while applying so that nits do not attach themselves to your fingernails and become a source of reinfestation. Reapplication and egg removal are required to ensure complete effectiveness.