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When Should I See a Urogynecologist?

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Whenever you have a medical condition or a concerning issue, you want to see the very best medical professional you can find. You want someone who is highly trained with above-average expertise. Some might call this person a specialist or someone highly skilled in a specific field. This describes a urogynecologist.

What Is a Urogynecologist?

A urogynecologist provides the best of two worlds with in-depth knowledge of certain female health issues. This specialist has studied both urology and gynecology, with extra training and expertise in urinary incontinence, prolapse, and pelvic floor disorders.

A urogynecologist completes medical school and then a residency in obstetrics/gynecology or urology. In addition, they complete a two- or three-year fellowship in conditions concerning the pelvic floor.

In 2011, urogynecology became a sub-specialty, with the first physicians becoming board certified in 2013.

See a Urogynecologist for Incontinence

If coughing, laughing, or sneezing causes you to leak urine, see a urogynecologist like Dr. Grigoriev. Especially trained to care for stress incontinence and an overactive bladder, this specialist can help address symptoms related to pelvic floor problems.

Maybe you’ve already gone to your GYN or even a urologist with no lasting improvement. A urogynecologist is specially trained to help, even when other treatments have failed.

See a Urogynecologist for Menopause Symptoms

From perimenopause through menopause, a woman’s symptoms can become debilitating. Hot flashes, night sweats, mood changes, reduced libido, and vaginal dryness can make this time difficult for many women. A urogynecologist can help you find relief.

See a Urogynecologist for Frequent UTIs

If you have two or more urinary tract infections in six months, or three or more within a year, it’s time to see a urogynecologist. Sometimes these UTIs can be symptomatic of other complex problems. Victor Grigoriev, MD, FACS will perform non-invasive tests to determine the cause or causes before recommending treatments.

See a Urogynecologist for Pelvic Organ Prolapse

As women get older, the muscles in the pelvic area can become weakened, and some organs can fall. This can be a frightening scenario; however, you are not alone. Fifty percent of women will experience pelvic organ prolapse (POP) in their lifetime.

A urogynecologist like Dr. Grigoriev is specially trained in advanced procedures to treat POP.

Seek out the best care for chronic pelvic pain, pain during intercourse, and all pelvic floor disorders.

Contact Dr. Grigoriev, a urogynecologist in Las Vegas, at 702-233-0727 if you want a professional diagnosis and treatment plan in Las Vegas, NV.

When to See a Specialist for Recurrent Urinary Tract Infections

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Urinary tract infections (UTIs) are among the most common infections, especially for women. While a single UTI can usually be treated quickly with antibiotics, recurrent UTIs are a different story. When infections keep recurring, they can significantly impact your quality of life and signal a more serious underlying issue that requires specialized care. [web:3][web:6]

If you’ve had more than one UTI recently, it could be time to take a closer look. [web:2]

What Counts as a Recurrent UTI?

A recurrent UTI is typically defined as:

  • Two or more infections within six months, or
  • Three or more within one year

You may notice the usual symptoms: burning during urination, frequent urges to go, pelvic pain, or cloudy, strong-smelling urine. If these symptoms return repeatedly, seek medical guidance to identify what’s causing the pattern. [web:3][web:6]

Common Causes of Recurrent UTIs

Several factors can contribute to chronic or frequent UTIs:

  • Anatomy and hormonal changes: Women have shorter urethras, making it easier for bacteria to enter the bladder. Hormonal shifts during menopause can also reduce natural defenses. [web:3][web:6]
  • Sexual activity and hygiene habits: These can influence how often bacteria are introduced into the urinary tract. [web:6]
  • Underlying health conditions: Such as bladder dysfunction, kidney stones, or diabetes, which can make it harder for your body to fully clear infections. [web:6][web:7]
  • Antibiotic resistance: If bacteria become resistant to the medications used to treat UTIs, they can keep coming back, sometimes harder to treat each time. [web:1]

Recurrent UTI: When to See a Specialist

If UTIs are interfering with your daily life or don’t respond to standard treatment, it may be time to see a urologist or urogynecologist. You should seek expert care if:

  • You’ve had multiple UTIs in a short time.
  • You experience severe or unusual symptoms.
  • You have fever, chills, or pain in your back or side, which could mean the infection has spread to your kidneys.
  • You’ve noticed infections returning shortly after antibiotic treatment.
  • You have persistent urinary symptoms even between infections.

If you suspect the infection has reached your kidneys, seek medical treatment right away. Kidney infections can be very serious and require professional intervention. [web:3][web:7]

What to Expect During Your Specialist Visit

Your visit will start with a detailed medical history and a conversation about your symptoms. Although the circumstances around your infection can feel awkward or sensitive, don’t be afraid to speak openly. UTIs are extremely common, and doctors see them all the time. [web:2][web:3]

Depending on your case, your provider may recommend:

  • A pelvic exam to check for structural causes.
  • Urine cultures to identify the type of bacteria involved. [web:1]
  • Imaging like an ultrasound to evaluate your kidneys and bladder. [web:7]
  • Cystoscopy, a minor procedure to look inside the bladder. [web:4][web:7]
  • Urodynamics testing to evaluate how your bladder stores and releases urine.

These tools help your specialist pinpoint the root cause and recommend a treatment plan tailored to you. [web:2][web:7]

Recurrent UTIs are not the kind of thing you want to ignore, work around, or try to live with. A urologist can help you understand the root cause of the condition so you can stop the infection once and for all. [web:2][web:7]

Treatment Options for Recurrent UTIs

Once the cause is clear, treatment may include:

  • Targeted antibiotics based on urine cultures. [web:1]
  • Preventive measures like vaginal estrogen (post-menopause), hydration strategies, or probiotics. [web:6]
  • Behavioral changes and hygiene guidance.
  • In some cases, minor procedures to correct underlying structural issues. [web:7]

Recurrent Urinary Tract Infections: The Takeaway

If you get UTIs that keep coming back, a specialist can help you find lasting relief and protect your long-term urinary health. UTIs can be painful and cause significant interference with your daily life, but you have options to deal with them effectively. [web:2][web:3]

For more info on treating recurrent UTIs, get in touch with Dr. Grigoriev at our urology clinic in Las Vegas today. [web:2]

When Should You Consider Urogynecology Surgery

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A urogynecologist is a doctor who is specially trained to treat women with both gynecologic issues as well as problems concerning urology. This medical field of urogynecology did not exist until 2011, so it is a relatively new medical profession. Urogynecologists treat many issues so women only need to see one doctor instead of multiple ones. If you are having issues with any pelvic floor disorders or with incontinence, when should you consider urogynecology surgery?

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I Pee When I Sneeze: Is This Normal?

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For anyone who asks, I pee when I sneeze: is this normal? Let’s get right to the point, NO is the answer. This type of leakage is not normal. There may be an unknown number of people with this type of incontinence, but that doesn’t make it normal. You don’t need to go through life with embarrassing leakage. Let’s find out what your options are.

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When Should I See My Gynecologist About Pelvic Pain?

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The simple answer to the question, “when should I see my gynecologist about pelvic pain?” is if the pelvic pain is new or different, see your gynecologist. Aside from typical cramps during your period, you shouldn’t be experiencing pain in your pelvic area. Any pain indicates something is awry in your body, so don’t ignore a pain in your reproductive area. Let’s find out why.
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