{"id":930,"date":"2020-01-10T16:46:03","date_gmt":"2020-01-10T16:46:03","guid":{"rendered":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/?page_id=930"},"modified":"2020-01-10T17:57:33","modified_gmt":"2020-01-10T17:57:33","slug":"education","status":"publish","type":"page","link":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/education\/","title":{"rendered":"Education"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:2%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first fusion-animated\" style=\"--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );margin-right: 4%;\" data-animationType=\"slideInLeft\" data-animationDuration=\"0.7\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><h3 style=\"text-align: center;\">Pelvic Organ Prolapse (POP)<\/h3>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:18px;--awb-content-font-size:18px;--awb-icon-alignment:left;--awb-hover-color:#f9f9f9;--awb-border-color:#cccccc;--awb-background-color:#ffffff;--awb-divider-color:#e0dede;--awb-divider-hover-color:#e0dede;--awb-icon-color:#05b3d5;--awb-title-color:#2b2b2b;--awb-content-color:#474e5d;--awb-icon-box-color:#333333;--awb-toggle-hover-accent-color:#05b3d5;--awb-title-font-family:&quot;Roboto&quot;;--awb-title-font-weight:regular;--awb-title-font-style:normal;--awb-title-font-size:18px;--awb-content-font-family:&quot;Roboto&quot;;--awb-content-font-style:normal;--awb-content-font-weight:300;\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-930-1\"><div class=\"fusion-panel panel-default panel-4a0cd24bff9369779 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_4a0cd24bff9369779\"><a class=\"active\" aria-expanded=\"true\" aria-controls=\"4a0cd24bff9369779\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-1\" data-target=\"#4a0cd24bff9369779\" href=\"#4a0cd24bff9369779\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What does it mean to have pelvic organ prolapse ?<\/span><\/a><\/h4><\/div><div id=\"4a0cd24bff9369779\" class=\"panel-collapse collapse in\" aria-labelledby=\"toggle_4a0cd24bff9369779\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Pelvic organ prolapse, often referred to as \u201cfallen bladder\u201d, is a problem of the connective tissue and support ligaments of the vagina and uterus. It may affect up to 40% of women and nearly 18% of women will have surgery for this problem at some time in their lives. While it is a benign (i.e. non-cancerous) condition, pelvic organ prolapse can be very uncomfortable and may also affect urinary and bowel habits. One of the most common complaints related to pelvic organ prolapse is noticing pressure or feeling a bulge in the vagina and some women will push this \u201cbulge\u201d back into the vagina to help urinate or have a bowel movement (this is called stenting). Not all women who have pelvic organ prolapse are symptomatic.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-acfc1ac699a967a2b fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_acfc1ac699a967a2b\"><a aria-expanded=\"false\" aria-controls=\"acfc1ac699a967a2b\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-1\" data-target=\"#acfc1ac699a967a2b\" href=\"#acfc1ac699a967a2b\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How is pelvic organ prolapse diagnosed ?<\/span><\/a><\/h4><\/div><div id=\"acfc1ac699a967a2b\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_acfc1ac699a967a2b\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Pelvic organ prolapse is diagnosed and \u201cstaged\u201d for severity based on a pelvic examination. Often women will bring this problem to the attention of their physician when they feel or see the vaginal wall bulging to or past the vaginal opening. Pelvic organ prolapse can also be diagnosed at the time of routine pelvic examination with a primary care physician (general physician or ob\/gyn). While this condition may be seen on some radiologic studies, these generally are not necessary to accurately evaluate the problem. Your urogynecologist may ask to examine you both while laying down and standing if they have any questions regarding the severity of the problem. Your urgynecologist may ask to have some studies performed to see if pelvic organ prolapse affects other organs like the bladder or bowel.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-dc17d8a49b382c2d0 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_dc17d8a49b382c2d0\"><a aria-expanded=\"false\" aria-controls=\"dc17d8a49b382c2d0\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-1\" data-target=\"#dc17d8a49b382c2d0\" href=\"#dc17d8a49b382c2d0\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Are there different types of pelvic organ prolapse ?<\/span><\/a><\/h4><\/div><div id=\"dc17d8a49b382c2d0\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_dc17d8a49b382c2d0\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Yes, there are several different types and some of the most common are listed below:<\/p>\n<p><span style=\"color: #05b3d5;\"><strong>Cystocele:<\/strong><\/span> Also called a \u201cfallen bladder\u201d, this is a bulge or hernia from the top wall of the vagina and also called anterior wall prolapse. This is one of the most common types of prolapse.<\/p>\n<p><span style=\"color: #05b3d5;\"><strong>Rectocele:<\/strong><\/span> This is a break in connective tissue on the bottom wall of the vagina that faces the rectum. This is also called posterior wall prolapse and associated with a bulge from the bottom of the vagina.<\/p>\n<p><span style=\"color: #05b3d5;\"><strong>Vault prolapse or uterine prolapse:<\/strong><\/span> This is when the uterus (or vaginal vault \u2013 where the uterus used to be) is able to move down toward the vaginal opening to a significant degree. This usually suggests that support for the uterus or vaginal vault has broken down.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last fusion-animated\" style=\"--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );\" data-animationType=\"slideInRight\" data-animationDuration=\"0.8\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-2\"><h3 style=\"text-align: center;\">Urinary Incontinence\/Overactive Bladder<\/h3>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:15px;--awb-content-font-size:18px;--awb-icon-alignment:left;--awb-hover-color:#f9f9f9;--awb-border-color:#cccccc;--awb-background-color:#ffffff;--awb-divider-color:#e0dede;--awb-divider-hover-color:#e0dede;--awb-icon-color:#05b3d5;--awb-title-color:#2b2b2b;--awb-content-color:#474e5d;--awb-icon-box-color:#333333;--awb-toggle-hover-accent-color:#05b3d5;--awb-title-font-family:&quot;Roboto&quot;;--awb-title-font-weight:regular;--awb-title-font-style:normal;--awb-title-font-size:18px;--awb-content-font-family:&quot;Roboto&quot;;--awb-content-font-style:normal;--awb-content-font-weight:300;\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-930-2\"><div class=\"fusion-panel panel-default panel-4b2826986bdb09811 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_4b2826986bdb09811\"><a aria-expanded=\"false\" aria-controls=\"4b2826986bdb09811\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-2\" data-target=\"#4b2826986bdb09811\" href=\"#4b2826986bdb09811\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What does it mean to have urinary incontinence ?<\/span><\/a><\/h4><\/div><div id=\"4b2826986bdb09811\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_4b2826986bdb09811\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Urinary incontinence is any loss of urine that occurs outside of urinating in the toilet. Women frequently describe this as embarrassing or bothersome to them. Leakage amount can vary from a few drops of urine noticed in undergarments to large amounts of urine that can overflow even the heaviest of absorbency pads. There is no amount of leakage that is considered \u201cnormal\u201d and urine leakage is not considered a normal part of aging. Evaluation and treatment for urinary incontinence is generally based on patient desire for help with the problem.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-ce13ee38f21f74896 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_ce13ee38f21f74896\"><a aria-expanded=\"false\" aria-controls=\"ce13ee38f21f74896\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-2\" data-target=\"#ce13ee38f21f74896\" href=\"#ce13ee38f21f74896\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How is urinary incontinence diagnosed ?<\/span><\/a><\/h4><\/div><div id=\"ce13ee38f21f74896\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_ce13ee38f21f74896\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>There are several different types of urine leakage and your doctor may ask for some additional testing to help clarify the specific type and extent of urinary incontinence to help guide management. This evaluation may involve the following: pelvic examination, urine culture, bladder diary, cystoscopy, urodynamic testing, and possible imaging studies.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-48ae84c5eb31446d3 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_48ae84c5eb31446d3\"><a aria-expanded=\"false\" aria-controls=\"48ae84c5eb31446d3\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-2\" data-target=\"#48ae84c5eb31446d3\" href=\"#48ae84c5eb31446d3\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Are there different types of urinary incontinence ?<\/span><\/a><\/h4><\/div><div id=\"48ae84c5eb31446d3\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_48ae84c5eb31446d3\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>There are several different types of urinary incontinence and description of all types is beyond the scope of this educational handout. The predominant types of leakage are:<\/p>\n<p><span style=\"color: #05b3d5;\"><strong>Stress incontinence:<\/strong><\/span> The most common reason for women to have urinary leakage. Generally described as leakage with coughing, exercise, sneezing, or changing position. This is generally an anatomical issue related to bladder neck or urethral support.<\/p>\n<p><span style=\"color: #05b3d5;\"><strong>Urge incontinence:<\/strong><\/span> Leakage with an urge to urinate. This occurs because of an uncontrolled bladder contraction. Although less common than stress incontinence, urge incontinence is often described as more bothersome to the individual patient.<\/p>\n<p><span style=\"color: #05b3d5;\"><strong>Mixed incontinence:<\/strong><\/span> A combination of both stress and urge incontinence.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-fea53341d30b5eac8 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_fea53341d30b5eac8\"><a aria-expanded=\"false\" aria-controls=\"fea53341d30b5eac8\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-2\" data-target=\"#fea53341d30b5eac8\" href=\"#fea53341d30b5eac8\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What is overactive bladder ?<\/span><\/a><\/h4><\/div><div id=\"fea53341d30b5eac8\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_fea53341d30b5eac8\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Overactive Bladder, or OAB, refers to the feeling of an increased urgency to urinate or increased frequency of urination (over 8 times\/day or over 2 times\/night). These symptoms are commonly from excessive\/uncontrolled detrusor contractions (bladder muscle). Smaller contractions may lead to urgency\/frequency symptoms and larger contractions may lead to leakage (urge incontinence). Overactive bladder symptoms can be very bothersome to women as the urges to urinate often come when least expected\/desired.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-be336ef95c07cd355 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_be336ef95c07cd355\"><a aria-expanded=\"false\" aria-controls=\"be336ef95c07cd355\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-2\" data-target=\"#be336ef95c07cd355\" href=\"#be336ef95c07cd355\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What causes overactive bladder ?<\/span><\/a><\/h4><\/div><div id=\"be336ef95c07cd355\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_be336ef95c07cd355\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>There are many potential sources of overactive bladder symptoms:<\/p>\n<ul>\n<li>uncontrolled detrusor muscle activity\/idiopathic<\/li>\n<li>bladder cancer<\/li>\n<li>urinary tract infections<\/li>\n<li>IC or bladder pain syndrome<\/li>\n<li>neurologic disease (Multiple Sclerosis or similar)<\/li>\n<li>sleep apnea<\/li>\n<li>levator muscle dysfunction<\/li>\n<li>cystocele\/prolapse<\/li>\n<li>foreign body in bladder<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-a1b6520feafce9857 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_a1b6520feafce9857\"><a aria-expanded=\"false\" aria-controls=\"a1b6520feafce9857\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-2\" data-target=\"#a1b6520feafce9857\" href=\"#a1b6520feafce9857\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How is overactive bladder diagnosed ?<\/span><\/a><\/h4><\/div><div id=\"a1b6520feafce9857\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_a1b6520feafce9857\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Since there are several different potential sources for overactive bladder symptoms your doctor may require additional testing to help evaluate this issue and guide management. At a minimum this evaluation will include pelvic examination, urine culture, and bladder diaries but your physician may also recommend cystoscopy, urodynamic testing, medication trials, or neurologic studies to help understand and treat this problem.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element fusion-no-large-visibility in-legacy-container\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"959\" height=\"822\" title=\"imageservicesingle (1)\" src=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/imageservicesingle-1.jpg\" alt class=\"img-responsive wp-image-863\" srcset=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/imageservicesingle-1-200x171.jpg 200w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/imageservicesingle-1-400x343.jpg 400w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/imageservicesingle-1-600x514.jpg 600w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/imageservicesingle-1-800x686.jpg 800w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/imageservicesingle-1.jpg 959w\" sizes=\"(max-width: 800px) 100vw, 959px\" \/><\/span><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:40px;--awb-padding-bottom:40px;--awb-margin-top:2%;--awb-background-color:#ffffff;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first fusion-animated\" style=\"--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );margin-right: 4%;\" data-animationType=\"slideInLeft\" data-animationDuration=\"0.7\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-3\"><h3 style=\"text-align: center;\">Recurrent Urinary Tract Infections in Women<\/h3>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:18px;--awb-content-font-size:18px;--awb-icon-alignment:left;--awb-hover-color:#f9f9f9;--awb-border-color:#cccccc;--awb-background-color:#ffffff;--awb-divider-color:#e0dede;--awb-divider-hover-color:#e0dede;--awb-icon-color:#05b3d5;--awb-title-color:#2b2b2b;--awb-content-color:#474e5d;--awb-icon-box-color:#333333;--awb-toggle-hover-accent-color:#05b3d5;--awb-title-font-family:&quot;Roboto&quot;;--awb-title-font-weight:regular;--awb-title-font-style:normal;--awb-title-font-size:18px;--awb-content-font-family:&quot;Roboto&quot;;--awb-content-font-style:normal;--awb-content-font-weight:300;\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-930-3\"><div class=\"fusion-panel panel-default panel-b09cade9f625d97ef fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_b09cade9f625d97ef\"><a aria-expanded=\"false\" aria-controls=\"b09cade9f625d97ef\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-3\" data-target=\"#b09cade9f625d97ef\" href=\"#b09cade9f625d97ef\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What does it mean to have a Urinary Tract Infection?<\/span><\/a><\/h4><\/div><div id=\"b09cade9f625d97ef\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_b09cade9f625d97ef\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Urinary tract infections happen when the urine overgrows with certain types of bacteria. Common symptoms associated with urinary tract infections can include: urinary urgency, urinary frequency, blood in the urine, pain with urination, or urinary incontinence. As we age sometimes these symptoms can change to include mental status changes (confusion) or feeling tired all the time. Rarely, urinary tract infections can involve the kidney as well (called pyelonephritis) and be associated with back pain, fever, and sometimes kidney injury. Although urinary tract infections are fairly common, it is abnormal to have 3 or more urinary tract infections in a single year.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-da20f063506f90017 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_da20f063506f90017\"><a aria-expanded=\"false\" aria-controls=\"da20f063506f90017\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-3\" data-target=\"#da20f063506f90017\" href=\"#da20f063506f90017\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How many Urinary Tract Infections are \u201ctoo many\u201d?<\/span><\/a><\/h4><\/div><div id=\"da20f063506f90017\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_da20f063506f90017\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Someone who has three or more urinary tract infections in a single year is said to have \u201crecurrent urinary tract infections\u201d and may be offered further evaluation and considered for preventative treatment options.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-7ce9be597221d91d6 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_7ce9be597221d91d6\"><a aria-expanded=\"false\" aria-controls=\"7ce9be597221d91d6\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-3\" data-target=\"#7ce9be597221d91d6\" href=\"#7ce9be597221d91d6\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How is a Urinary Tract Infection diagnosed?<\/span><\/a><\/h4><\/div><div id=\"7ce9be597221d91d6\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_7ce9be597221d91d6\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Often a patient gives a urine sample to their health care provider and is told they have a urinary tract infection based on a urinalysis which looks for changes in the urine associated with an infection. Although a urinalysis is often correct, a urine culture is frequently needed to accurately diagnose someone with a urinary tract infection. Your health care provider may prefer catheterized urine specimens to ensure the urine sample is not contaminated during collection, this may be particularly important in women diagnosed with recurrent urinary tract infections.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-b079b8010167b3207 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_b079b8010167b3207\"><a aria-expanded=\"false\" aria-controls=\"b079b8010167b3207\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-3\" data-target=\"#b079b8010167b3207\" href=\"#b079b8010167b3207\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Evaluation for women with recurrent Urinary Tract Infections.<\/span><\/a><\/h4><\/div><div id=\"b079b8010167b3207\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_b079b8010167b3207\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Each person\u2019s situation is unique; however, women with documented recurrent urinary tract infections or other risk factors may require further evaluation of the bladder and kidneys. This evaluation may include cystoscopy and renal ultrasound or CT scan.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-934ac393bada3402a fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_934ac393bada3402a\"><a aria-expanded=\"false\" aria-controls=\"934ac393bada3402a\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-3\" data-target=\"#934ac393bada3402a\" href=\"#934ac393bada3402a\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Can other problems cause similar symptoms as a Urinary Tract Infection? <\/span><\/a><\/h4><\/div><div id=\"934ac393bada3402a\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_934ac393bada3402a\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Yes, it is not uncommon for someone presenting with symptoms of recurrent urinary tract infections to actually have a pelvic floor or bladder disorder such as overactive bladder, interstitial cystitis, or levator muscle spasm. Symptoms of these disorders can include urinary urgency, urinary frequency, pain with urination, and\/or urinary incontinence. These disorders are more likely in women with recurrent symptoms but negative urine cultures.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-f7e9a448646173ba1 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_f7e9a448646173ba1\"><a aria-expanded=\"false\" aria-controls=\"f7e9a448646173ba1\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-3\" data-target=\"#f7e9a448646173ba1\" href=\"#f7e9a448646173ba1\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How can I help to prevent Urinary Tract Infections?<\/span><\/a><\/h4><\/div><div id=\"f7e9a448646173ba1\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_f7e9a448646173ba1\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Ways to prevent urinary tract infections vary but a few behavioral methods are presented below:<\/p>\n<ul>\n<li>\u00a0Make sure to always keep your outer vaginal area clean and only wipe from front to back when cleaning after bowel movements.<\/li>\n<li>If you currently use spermicide containing products (especially in association with diaphragm use) you may want to consider alternate contraception.<\/li>\n<li>Urinating after sexual relations and maintaining good fluid intake throughout the day.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last fusion-animated\" style=\"--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 4% ) * 0.5 ) );\" data-animationType=\"slideInRight\" data-animationDuration=\"0.8\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-4\"><h3 style=\"text-align: center;\">Hematuria in Women<\/h3>\n<\/div><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:18px;--awb-content-font-size:18px;--awb-icon-alignment:left;--awb-hover-color:#f9f9f9;--awb-border-color:#cccccc;--awb-background-color:#ffffff;--awb-divider-color:#e0dede;--awb-divider-hover-color:#e0dede;--awb-icon-color:#05b3d5;--awb-title-color:#2b2b2b;--awb-content-color:#474e5d;--awb-icon-box-color:#333333;--awb-toggle-hover-accent-color:#05b3d5;--awb-title-font-family:&quot;Roboto&quot;;--awb-title-font-weight:regular;--awb-title-font-style:normal;--awb-title-font-size:18px;--awb-content-font-family:&quot;Roboto&quot;;--awb-content-font-style:normal;--awb-content-font-weight:300;\"><div class=\"panel-group fusion-toggle-icon-unboxed\" id=\"accordion-930-4\"><div class=\"fusion-panel panel-default panel-1f111c159b1dff1d4 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_1f111c159b1dff1d4\"><a aria-expanded=\"false\" aria-controls=\"1f111c159b1dff1d4\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-4\" data-target=\"#1f111c159b1dff1d4\" href=\"#1f111c159b1dff1d4\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What does it mean to have hematuria?<\/span><\/a><\/h4><\/div><div id=\"1f111c159b1dff1d4\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_1f111c159b1dff1d4\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Hematuria is the finding of blood in the urine. While some people are able to see blood in their urine, most patients are only made aware of blood in the urine after a urine sample is taken with their physician.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-a87f3adbedfbb5bfe fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_a87f3adbedfbb5bfe\"><a aria-expanded=\"false\" aria-controls=\"a87f3adbedfbb5bfe\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-4\" data-target=\"#a87f3adbedfbb5bfe\" href=\"#a87f3adbedfbb5bfe\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">How hematuria is diagnosed? <\/span><\/a><\/h4><\/div><div id=\"a87f3adbedfbb5bfe\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_a87f3adbedfbb5bfe\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Hematuria is diagnosed based on urine testing. Your physician will take a specimen of your urine either through a clean catch specimen (urinating into a cup) or catheterized specimen (placing a very small tube into the bladder) to get a specimen<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-c59b94b1e4ab2cba8 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_c59b94b1e4ab2cba8\"><a aria-expanded=\"false\" aria-controls=\"c59b94b1e4ab2cba8\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-4\" data-target=\"#c59b94b1e4ab2cba8\" href=\"#c59b94b1e4ab2cba8\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">If there is blood in my urine is it always from my bladder or kidneys?<\/span><\/a><\/h4><\/div><div id=\"c59b94b1e4ab2cba8\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_c59b94b1e4ab2cba8\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>No, there are reasons why blood can be found in the urine that isn\u2019t coming from the bladder or kidneys. Many physicians obtain urine specimens by having patients urinate into a cup (clean catch). However, sometimes this method will allow contamination of the sample with blood that is either from the vaginal, vulvar, or anal area. Your physician may obtain a catheterized specimen directly from the bladder to remove this possible source of contamination if they believe it is merited.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-54e9492649fd35442 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_54e9492649fd35442\"><a aria-expanded=\"false\" aria-controls=\"54e9492649fd35442\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-4\" data-target=\"#54e9492649fd35442\" href=\"#54e9492649fd35442\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What problems can cause hematuria? Do we always find out why there is blood in the urine?<\/span><\/a><\/h4><\/div><div id=\"54e9492649fd35442\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_54e9492649fd35442\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>There are several medical problems that can cause hematuria and these can range from simple benign reasons (urinary tract infections or excessive exercise) to more complex issues (kidney stones, interstitial cystitis, or cancer). We are not always able to find out why each person has hematuria and the reasons for most cases of hematuria are not worrisome. The evaluation for hematuria focuses on making sure that more complex processes are not present.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-d7c022d03ac32bed4 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_d7c022d03ac32bed4\"><a aria-expanded=\"false\" aria-controls=\"d7c022d03ac32bed4\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-4\" data-target=\"#d7c022d03ac32bed4\" href=\"#d7c022d03ac32bed4\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What is the typical evaluation for hematuria? <\/span><\/a><\/h4><\/div><div id=\"d7c022d03ac32bed4\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_d7c022d03ac32bed4\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Women with hematuria are usually evaluated with a combination of imaging of both the lower urinary tract (bladder) and upper urinary tracts (kidneys). This is typically performed with office cystoscopy (a small camera is passed into the bladder) to look at the lining of the bladder as well as either a CT scan or renal ultrasound to evaluate the kidneys. Your physician is also likely to perform a urine cytology to look for abnormal bladder or kidney cells that may be in the urine.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-6ec6eab17cb6a8da4 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_6ec6eab17cb6a8da4\"><a aria-expanded=\"false\" aria-controls=\"6ec6eab17cb6a8da4\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-930-4\" data-target=\"#6ec6eab17cb6a8da4\" href=\"#6ec6eab17cb6a8da4\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">What if there is blood and protein in my urine? <\/span><\/a><\/h4><\/div><div id=\"6ec6eab17cb6a8da4\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_6ec6eab17cb6a8da4\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Some women have persistent findings of both blood and protein in the urine. This is sometimes associated with kidney diseases that may require evaluation with a Nephrologist (an internal medicine doctor that specializes in general medical diseases of the kidney).<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:3%;--awb-padding-bottom:3%;--awb-background-color:#f5f5f5;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-margin-bottom:20px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><img decoding=\"async\" width=\"80\" height=\"80\" title=\"icon-6\" src=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2020\/01\/icon-6.png\" alt class=\"img-responsive wp-image-956\" srcset=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2020\/01\/icon-6-66x66.png 66w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2020\/01\/icon-6.png 80w\" sizes=\"(max-width: 80px) 100vw, 80px\" \/><\/span><\/div><\/div><div class=\"fusion-text fusion-text-5\"><h2 style=\"text-align: center;\">OUR SERVICES<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator\" style=\"margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:30px;width:100%;max-width:280px;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#d1d1d1;border-color:#d1d1d1;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-3 hover-type-none services-icon\"><a class=\"fusion-no-lightbox\" href=\"\/firstcoasturo\/surgical-services\/\" target=\"_self\" aria-label=\"Layer 837\"><img decoding=\"async\" width=\"93\" height=\"93\" src=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/Layer-837.png\" alt class=\"img-responsive wp-image-898\" srcset=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/Layer-837-66x66.png 66w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/Layer-837.png 93w\" sizes=\"(max-width: 93px) 100vw, 93px\" \/><\/a><\/span><\/div><\/div><div class=\"fusion-text fusion-text-6\"><h3 style=\"text-align: center;\"><a href=\"\/firstcoasturo\/surgical-services\/\">SURGICAL SERVICES<\/a><\/h3>\n<\/div><div class=\"fusion-text fusion-text-7\"><p style=\"text-align: center;\">Minimally invasive surgical options allow women to leave the same day or day after most urogynecology procedures.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_3 1_3 fusion-one-third\" style=\"--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-4 hover-type-none services-icon\"><a class=\"fusion-no-lightbox\" href=\"\/firstcoasturo\/non-surgical-services\/\" target=\"_self\" aria-label=\"Layer 837\"><img decoding=\"async\" width=\"93\" height=\"93\" src=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/Layer-837.png\" alt class=\"img-responsive wp-image-898\" srcset=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/Layer-837-66x66.png 66w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/Layer-837.png 93w\" sizes=\"(max-width: 93px) 100vw, 93px\" \/><\/a><\/span><\/div><\/div><div class=\"fusion-text fusion-text-8\"><h3 style=\"text-align: center;\"><a href=\"\/firstcoasturo\/non-surgical-services\/\">NON-SURGICAL SERVICES<\/a><\/h3>\n<\/div><div class=\"fusion-text fusion-text-9\"><p style=\"text-align: center;\">We know that sometimes the best treatment is a less invasive approach. Let us help you to achieve your goals.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-last\" style=\"--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-5 hover-type-none services-icon\"><a class=\"fusion-no-lightbox\" href=\"\/firstcoasturo\/laser-gsm\/\" target=\"_self\" aria-label=\"Layer 837\"><img decoding=\"async\" width=\"93\" height=\"93\" src=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/Layer-837.png\" alt class=\"img-responsive wp-image-898\" srcset=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/Layer-837-66x66.png 66w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2019\/11\/Layer-837.png 93w\" sizes=\"(max-width: 93px) 100vw, 93px\" \/><\/a><\/span><\/div><\/div><div class=\"fusion-text fusion-text-10\"><h3 style=\"text-align: center;\"><a href=\"\/firstcoasturo\/laser-gsm\/\">LASER\/GSM<\/a><\/h3>\n<\/div><div class=\"fusion-text fusion-text-11\"><p style=\"text-align: center;\">An effective non-hormonal treatment for genitourinary syndrome of menopause that is safe for women who can\u2019t use estrogen.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container fusion-parallax-fixed nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:100px;--awb-padding-bottom:60px;--awb-background-image:url(&quot;https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2016\/01\/paralax-image-our-patients-say.jpg&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;background-attachment:fixed;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_4_5 4_5 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:80%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.2%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:2.4%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-6 hover-type-none\"><img decoding=\"async\" width=\"80\" height=\"72\" title=\"Vector-Smart-Object\" src=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2020\/01\/Vector-Smart-Object.png\" alt class=\"img-responsive wp-image-958\"\/><\/span><\/div><div class=\"fusion-text fusion-text-12\" style=\"--awb-margin-top:20px;\"><h2 style=\"text-align: center; color: #fff;\">PATIENT FEEDBACK<\/h2>\n<\/div><div class=\"fusion-separator\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:60px;width:100%;max-width:280px;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#d1d1d1;border-color:#d1d1d1;border-top-width:2px;\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_4 1_4 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-testimonials clean awb-speech-bubble-show fusion-testimonials-1\" style=\"--awb-textcolor:#ffffff;--awb-backgroundcolor:rgba(255,255,255,0);--awb-testimonial-border-style:solid;--awb-testimonial-border-color:var(--awb-color3);--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;--testimonial-border-width-top:0px;--testimonial-border-width-right:0px;--testimonial-border-width-bottom:0px;--testimonial-border-width-left:0px;\" data-random=\"0\" data-speed=\"4000\"><div class=\"reviews\"><div class=\"review active-testimonial avatar-above no-avatar\"><blockquote class=\"testimonials-shortcode-blockquote\"><div class=\"awb-quote\"><div class=\"awb-quote-content\">\n<p><span style=\"font-weight: 400;\">\u201cThe office staff is professional and caring. Dr. Epstein takes time to educate and explain tests and procedures. He listens to his patient\u2019s concerns and answers questions thoroughly. He is an excellent surgeon and one I would highly recommend.\u201d<\/span><\/p>\n<\/div><\/div><\/blockquote><div class=\"author\"><span class=\"company-name\"><strong>Jeanne D.<\/strong><\/span><\/div><\/div><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-testimonials clean awb-speech-bubble-show fusion-testimonials-2\" style=\"--awb-textcolor:#ffffff;--awb-backgroundcolor:rgba(255,255,255,0);--awb-testimonial-border-style:solid;--awb-testimonial-border-color:var(--awb-color3);--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;--testimonial-border-width-top:0px;--testimonial-border-width-right:0px;--testimonial-border-width-bottom:0px;--testimonial-border-width-left:0px;\" data-random=\"0\" data-speed=\"4000\"><div class=\"reviews\"><div class=\"review active-testimonial avatar-above no-avatar\"><blockquote class=\"testimonials-shortcode-blockquote\"><div class=\"awb-quote\"><div class=\"awb-quote-content\">\n<p><span style=\"font-weight: 400;\">\u201cDr Epstein is awesome. He has a great bedside manner and cares about his patients. He takes extra time to answer your questions and makes the most anxious patients (me) feel at ease. Surgery was a huge success and the recovery was honestly short and easy. The office staff is super helpful and sweet and Kristen went over and above to help with scheduling, insurance and coordinating all the moving parts. Thank you so much for a great experience!\u201d<\/span><\/p>\n<\/div><\/div><\/blockquote><div class=\"author\"><span class=\"company-name\"><strong>Christine D.<\/strong><\/span><\/div><\/div><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_4 1_4 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:25%;--awb-margin-top-large:0px;--awb-spacing-right-large:7.68%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:7.68%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-testimonials clean awb-speech-bubble-show fusion-testimonials-3\" style=\"--awb-textcolor:#ffffff;--awb-backgroundcolor:rgba(255,255,255,0);--awb-testimonial-border-style:solid;--awb-testimonial-border-color:var(--awb-color3);--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;--testimonial-border-width-top:0px;--testimonial-border-width-right:0px;--testimonial-border-width-bottom:0px;--testimonial-border-width-left:0px;\" data-random=\"0\" data-speed=\"4000\"><div class=\"reviews\"><div class=\"review active-testimonial avatar-above no-avatar\"><blockquote class=\"testimonials-shortcode-blockquote\"><div class=\"awb-quote\"><div class=\"awb-quote-content\">\n<p>\u201cThis is by far one of the best doctors that I have ever had in my life and I am 60. I would recommend him to my most loved family members and anyone else that needed his services.\u201d<\/p>\n<\/div><\/div><\/blockquote><div class=\"author\"><span class=\"company-name\"><strong>Rose <\/strong><\/span><\/div><\/div><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:40px;width:100%;\"><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 hundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns\" style=\"--awb-background-position:left top;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"--awb-padding-top:8%;--awb-padding-right:6%;--awb-padding-bottom:10%;--awb-padding-left:6%;--awb-bg-color:#05b3d5;--awb-bg-color-hover:#05b3d5;--awb-bg-position:center center;--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-text fusion-text-13\"><h3 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Why Choose Us<\/span><\/h3>\n<\/div><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-margin-bottom:20px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-7 hover-type-none\"><img decoding=\"async\" width=\"76\" height=\"26\" alt=\"Wave\" title=\"wave-divider\" src=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2015\/12\/wave-divider.png\" class=\"img-responsive wp-image-75\"\/><\/span><\/div><\/div><div class=\"fusion-text fusion-text-14\"><p style=\"text-align: center;\"><span style=\"color: #ffffff;\">At First Coast Urogynecology we are committed to improving the lives of our patient\u2019s every day. We understand improving our patient\u2019s quality of life comes not only from treating disease but also increasing pelvic floor wellness through education, therapy, and encouragement.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_3 1_3 fusion-one-third\" style=\"--awb-padding-top:8%;--awb-padding-right:6%;--awb-padding-bottom:10%;--awb-padding-left:6%;--awb-bg-color:#23acc8;--awb-bg-color-hover:#23acc8;--awb-bg-position:center center;--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-text fusion-text-15\"><h3 style=\"text-align: center;\"><span style=\"color: #ffffff;\">How We Can Help You<\/span><\/h3>\n<\/div><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-margin-bottom:20px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-8 hover-type-none\"><img decoding=\"async\" width=\"76\" height=\"26\" alt=\"Wave\" title=\"wave-divider\" src=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2015\/12\/wave-divider.png\" class=\"img-responsive wp-image-75\"\/><\/span><\/div><\/div><div class=\"fusion-text fusion-text-16\"><p style=\"text-align: center;\"><span style=\"color: #ffffff;\">Dr. Epstein and his staff have been focused on helping women with pelvic floor disorders for over a decade. Let us help you achieve your goals.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-last\" style=\"--awb-padding-top:8%;--awb-padding-right:6%;--awb-padding-bottom:10%;--awb-padding-left:6%;--awb-bg-color:#3ca7bc;--awb-bg-color-hover:#3ca7bc;--awb-bg-position:center center;--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-text fusion-text-17\"><h3 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Experience the Difference<\/span><\/h3>\n<\/div><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-margin-bottom:20px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-9 hover-type-none\"><img decoding=\"async\" width=\"76\" height=\"26\" alt=\"Wave\" title=\"wave-divider\" src=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2015\/12\/wave-divider.png\" class=\"img-responsive wp-image-75\"\/><\/span><\/div><\/div><div class=\"fusion-text fusion-text-18\"><p style=\"text-align: center;\"><span style=\"color: #ffffff;\">We take pride in the quality of care we provide at First Coast Urogynecology. Experience the difference that a subspecialty center with a strong patient centered approach to care can provide.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-bg-parallax\" data-bg-align=\"center center\" data-direction=\"right\" data-mute=\"false\" data-opacity=\"100\" data-velocity=\"-0.5\" data-mobile-enabled=\"false\" data-break_parents=\"0\" data-bg-image=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2015\/12\/make-an-appointment.jpg\" data-bg-repeat=\"false\" ><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 fusion-flex-container fusion-parallax-right nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:67px;--awb-padding-bottom:54px;--awb-background-image:url(&quot;https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2015\/12\/make-an-appointment.jpg&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:66.6666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-19\"><h2 style=\"text-align: center; color: #fff;\">Make An Appointment<\/h2>\n<\/div><div class=\"fusion-separator\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:30px;width:100%;max-width:280px;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#d1d1d1;border-color:#d1d1d1;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-text fusion-text-20\"><p style=\"text-align: center; color: #fcfcfc;\">Have a question about our practice or want to schedule an appointment? Call us and speak with a member of our team.<\/p>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-span-no fusion-button-default-type\" target=\"_self\" href=\"\/first-coast-urogynecology\/contact-us\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">REQUEST AN APPOINTMENT<\/span><\/a><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-8 hundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns logos-footer\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:10px;--awb-padding-bottom:0px;--awb-padding-left:60px;--awb-background-color:#f0f3f6;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first\" style=\"--awb-padding-top:40px;--awb-bg-blend:overlay;--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 0 ) * 0.5 ) );margin-right: 0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-10 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"\/first-coast-urogynecology\/\" target=\"_self\" aria-label=\"First Coast Urogynecology\"><img decoding=\"async\" width=\"270\" height=\"100\" src=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2020\/09\/First-Coast-Urogynecology.png\" alt class=\"img-responsive wp-image-990\" srcset=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2020\/09\/First-Coast-Urogynecology-200x74.png 200w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2020\/09\/First-Coast-Urogynecology.png 270w\" sizes=\"(max-width: 800px) 100vw, 270px\" \/><\/a><\/span><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last\" style=\"--awb-padding-top:40px;--awb-bg-blend:overlay;--awb-bg-size:cover;width:50%;width:calc(50% - ( ( 0 ) * 0.5 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-max-width:300px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-11 hover-type-none\"><img decoding=\"async\" width=\"1576\" height=\"376\" title=\"TopLine MD-RegisterR_Stacked_Logo_rgb_color\" src=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color.png\" alt class=\"img-responsive wp-image-1024\" srcset=\"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-200x48.png 200w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-400x95.png 400w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-600x143.png 600w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-800x191.png 800w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-1200x286.png 1200w, https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-content\/uploads\/sites\/116\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color.png 1576w\" sizes=\"(max-width: 800px) 100vw, 600px\" \/><\/span><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-930","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-json\/wp\/v2\/pages\/930","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-json\/wp\/v2\/comments?post=930"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-json\/wp\/v2\/pages\/930\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-json\/wp\/v2\/media?parent=930"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}