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Treating Pelvic Health Problems

Urogynecologists Drs Litrel Gandhi Haley
Dr. Litrel, Dr. Gandhi and Dr. Haley are double board-certified in Female Pelvic Medicine

Cherokee Women’s Health is the only Southeast OB/GYN practice with three urogynecologists who are double board-certified in female pelvic medicine. Women have traveled from 44 states to seek treatment at Cherokee Women’s Health. Cherokee Women’s is the resource in the Southeast for women with pelvic health issues – before, during, and long past the child-bearing years.

Pelvic health problems affect almost one-quarter of women, and the incidence increases with age. Most women leave pelvic health issues to their general OB/GYN. But in fact, complete diagnosis of these issues is complex, and sometimes can only be fully addressed by a specialist known as a urogynecologist: an OB/GYN who is certified in Obstetrics and Gynecology as well as Female Pelvic Medicine and Reproductive Medicine (FPMRS).


What is Pelvic Health?

Pelvic health includes the functioning of every organ and structure in the pelvis, and encompasses four broad categories:

  1. Normal functioning of the bladder, and the portion of the digestive system that includes the bowel and rectum.
  2. Well-supported reproductive organs. A woman with good pelvic health will have no uncomfortable feeling of sagging, “falling,” or pressure.
  3. No significant pain or dysfunction in the pelvic area, whether from aging, childbirth or past injuries due to surgeries or accidents.
  4. Good sexual function and sensation.

The key foundation for pelvic health is the “pelvic floor” — a versatile set of muscles that works 24/7, supporting the uterus, cervix, vagina, bladder and rectum.

Almost one-quarter of women face pelvic floor disorders. Certain risk factors indicate that a woman should be on the lookout for needing further diagnosis and treatment.

Pelvic Health Risk Factors

  • Pregnancy/childbirth
    Childbirth puts excessive strain on the pelvic area during delivery.
  • Heredity
    Having a mother or sister with PFD (Pelvic Floor Disorder) puts a woman at higher risk for developing pelvic health problems. Caucasian women are more likely to develop prolapse and to have bladder leakage. African American women are more likely to have leakage related to urgency.
  • Obesity
    Overweight or obese women have increased pressure on the bladder and frequently lack strength in their bladder muscles

Other risk factors include:

  • Constipation or chronic straining
  • Diet
  • Smoking
  • Heavy lifting or exertion
  • Lung conditions or chronic coughing
  • Nerve injuries
  • Other health conditions.


Treatments can include medications, lifestyle changes, physical therapy, noninvasive procedures or pelvic reconstructive surgery.

If you experience problems with bladder or fecal leakage, pelvic pain, the sensation of your insides ”falling down,” or impaired sexual function, seek treatment from one of our board-certified urogynecologists. Call us today at 770.720.7733 or Request an Appointment online.