Our Gyno Health

Not Sure If Your Bladder is Overactive, Here’s a Primer

Learning the basic signs, causes and cures of an overactive bladder can make a disastrous health problem easier for you to get help for. The newest technology we have is Emsella pelvic floor therapy. It is non-invasive, it works with more traditional therapies, and can be used by most women and men.

Top Signs of overactive bladder (OAB) are:

  • Urinating during the night
  • Urgently having to urinate when you first feel the sensation that you need to go to the bathroom
  • Having a bit of incontinence before you make it to the bathroom, or when you think you already finished urinating

The top causes of overactive bladder (OAB) are:

  • Nervous system disorder: either a neurologic disease or a disease of the bladder nerves firing out of normal sequence so that the bladder contracts on its own without rhyme or reason
  • Pelvic Floor Disorder
  • Genital or Urinary tract disorder
  • Obesity
  • Hormone imbalance or deficiency
  • Pelvic Floor Surgery
  • Unclear as to the exact cause
  • Imbalance in the numbers of healthy or ‘good’ bacteria in your bladder
  • Fewer numbers of different species of bacteria
  • Are you a Diabetic?
  • Have you had pelvic surgery, including a hysterectomy or bladder repir?
  • Small bladder capacity


  • Should be tackled with several strategies
  • Pelvic Floor therapy is the first strategy, we have been excited about all of our non-invasive therapies, including Emsella, ThermiVa, and MonaLisa. Emsella can be used by men and women.
  • Medications
  • Botox treatment of the bladder
  • Neuromodulation such as PTNS
  • Only 50% of women prescribed medication will notice effectiveness
  • About 50-80% of women on these medicines will notice some negative effects on how they think


Suzanne Trupin, MD, Board Certified Obstetrician and Gynecologist and owner of Women's Health Practice, Hada Cosmetic Medicine, and Hatha Yoga and Fitness

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