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Pelvic organ prolapse: You're not alone

Exchanging information with friends is one way to remove the stigma of pelvic organ prolapse.

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Few women realize how common pelvic prolapse is—and how easily treated. Here are five things you should know.

Full bladder wakes women more often than thought

Two in three women over age 40 wake up at least once each night because of a full bladder, and nearly half make two or more nighttime trips to the bathroom. But only a quarter of women who get up to urinate during the night say they are bothered by having to do so.

That's the finding from a survey of more than 2,000 northern California women ages 40 and older. Factors that increased the likelihood that a woman woke at night to urinate included older age, past hysterectomy, hot flashes, and use of vaginal estrogen. However, the late-night bathroom breaks weren't caused by an overactive bladder or stress incontinence. The results were published in the January 2015 issue of the journal Obstetrics and Gynecology.

Feeling younger may mean living longer

Claiming to feel younger than your age isn't just whistling into the wind. It can also mean you have more years ahead than some of your former classmates. According to a report in the Dec. 15, 2014, issue of JAMA Internal Medicine, older people who felt three or more years younger than their chronological age had a lower death rate compared with those who felt their age or older.

Two researchers at University College London looked at the responses of about 6,500 men and women with an average age of 65 who answered the question, "How old do you feel you are?" About 70% reported that they felt three or more years younger than their years, while 25% felt close to their age, and 5% felt more than one year older than they were.

Stay a step ahead of urinary tract infections

Drink plenty of fluids to help flush out bacteria in the urinary tract. Drink enough each day so that your urine is almost clear in color.

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Keep hydrated, and empty your bladder often to stave off these risky infections.

Ask the doctor: What works best for premature ejaculation?

Q. What are the most effective treatments for premature ejaculation? Do erectile dysfunction drugs like Viagra help with this problem?

A. Premature ejaculation, usually defined as ejaculation within one minute of starting intercourse, is initially treated with behavioral techniques to delay climax. This includes the squeeze technique, which involves applying pressure just behind the head of the penis when ejaculation approaches and maintaining pressure until the
sensation passes. However, in many men, this doesn't prevent ejaculation.

Overcoming urinary leakage

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Simple strategies can help you regain control.

As men age, the simple act of urinating can get complicated. Prostate surgery often leaves men vulnerable to leakage when they cough, sneeze, or just rise from a chair. Or the bladder may become impatient, suddenly demanding that you find a bathroom right now. "Thousands of years ago, it was not as much of an issue," observes Dr. Anurag Das, a urologist at Harvard-affiliated Beth Israel Deaconess Medical Center. "There were lots of trees, and you could just find one and go."

But tricky bladders can be whipped into shape. The first step is a careful assessment of what triggers those difficult moments. Then your doctor can suggest helpful strategies and possibly medication to improve urinary control.

Gentler exercise for mind and body is best for sleep

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Just as regular exercise has a host of health benefits for the body, staying mentally active appears to preserve memory and general sharpness. But for getting a good night's sleep, light workouts for both body and brain may be best, according to a study in the Journal of the American Geriatrics Society.

The study focused on 72 people, ages 67 to 79, who reported poor sleep as well as declining mental sharpness. They were assigned at random to do either strenuous aerobic exercise or a gentler stretching routine, paired with either watching educational DVDs (followed by short quizzes) or engaging in more demanding computer-based brain training.

Prostate cancer in second- and third-degree relatives elevates risk

Men are at greater risk for developing prostate cancer if their fathers or brothers also developed the disease. A new study shows that having second- or third-degree relatives with the disease also increases a man’s risk.

How to preserve your posture

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You don't have to develop the stoop and "dowager's hump" that were once thought to be inevitable consequences of aging.

If you're over 50, the odds that you'll experience a major fracture because of osteoporosis are one in two. Although osteoporosis increases the risk of fractures in every bone of the body, the spinal bones (vertebrae) are particularly vulnerable. For women with osteoporosis, as little as a cough or a sudden movement can cause a compression fracture, creating pain and potential deformity.

Women over 70 may be getting unneeded radiation for breast cancer treatment

Although research suggests that women over 70 with early-stage breast cancer can skip radiation treatment, nearly two-thirds of women in that age group continue to receive it, according to findings published online Dec. 2, 2014, by the journal Cancer.

Researchers from Duke University sought to determine whether evidence from a large, randomized clinical trial published in 2004 had influenced treatment for early breast cancer. That study showed that adding radiation therapy to surgery plus tamoxifen does not reduce five-year recurrence rates or prolong survival in older women with early-stage tumors.

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