{"id":938,"date":"2020-01-15T11:42:06","date_gmt":"2020-01-15T11:42:06","guid":{"rendered":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/?page_id=938"},"modified":"2020-01-15T12:49:31","modified_gmt":"2020-01-15T12:49:31","slug":"non-surgical-services","status":"publish","type":"page","link":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/non-surgical-services\/","title":{"rendered":"Non-Surgical Services"},"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-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-0 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-text fusion-text-1\"><h2 style=\"text-align: center;\">Non-Surgical Treatment Options for Pelvic Organ Prolapse<\/h2>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first fusion-animated\" style=\"--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );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-2\"><h3 style=\"text-align: center;\">Pessary<\/h3>\n<\/div><div class=\"fusion-text fusion-text-3\"><p>A pessary is a device made out of silicone that is placed in the vagina to help support the prolapsed vaginal tissue. There are different sizes and types of pessary to accommodate different pelvic problems. All women who have a pessary placed will require ongoing follow up with a medical professional to remove, clean, and replace the pessary at regular intervals.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_3 1_3 fusion-one-third fusion-animated\" style=\"--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );margin-right: 4%;\" 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;\">Kegel Exercises<\/h3>\n<\/div><div class=\"fusion-text fusion-text-5\"><p>Women who can successfully perform kegel exercises may notice improvement in their pelvic organ symptoms. This is especially true for women with mild pelvic organ prolapse.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-last fusion-animated\" style=\"--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 4% + 4% ) * 0.333333333333 ) );\" 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-6\"><h3 style=\"text-align: center;\">Diet\/Lifestyle Changes<\/h3>\n<\/div><div class=\"fusion-text fusion-text-7\"><p>Some women notice that they are less likely to have symptoms if they prevent themselves from getting constipated or straining on the toilet. Some women also notice improvement if they avoid lifting heavy objects or activities that involve significant straining.<\/p>\n<\/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-padding-top:40px;--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-4 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-text fusion-text-8\"><h2 style=\"text-align: center;\">Non-Surgical Treatment options for Urinary Incontinence<\/h2>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 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=\"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-938-1\"><div class=\"fusion-panel panel-default panel-1eac66beb0e6039de fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_1eac66beb0e6039de\"><a class=\"active\" aria-expanded=\"true\" aria-controls=\"1eac66beb0e6039de\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-1\" data-target=\"#1eac66beb0e6039de\" href=\"#1eac66beb0e6039de\"><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\">Anticholinergic Medications<\/span><\/a><\/h4><\/div><div id=\"1eac66beb0e6039de\" class=\"panel-collapse collapse in\" aria-labelledby=\"toggle_1eac66beb0e6039de\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>These medications are indicated for urge urinary incontinence. Examples of such medicines include Vesicare, Trospium, Enablex, Oxybutynin, or Toviaz. These medications help to prevent bladder spasms and may be taken in the evening to help decrease night time symptoms and decrease side effects of the medication. Side effects of these medications may include dry mouth, dry eye, constipation, feeling flush, and mental status change in the elderly. These medications should not be taken by people with closed angle glaucoma or urinary retention.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-a587ba2322f94a305 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_a587ba2322f94a305\"><a aria-expanded=\"false\" aria-controls=\"a587ba2322f94a305\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-1\" data-target=\"#a587ba2322f94a305\" href=\"#a587ba2322f94a305\"><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\">Beta-3 Agonist Medications<\/span><\/a><\/h4><\/div><div id=\"a587ba2322f94a305\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_a587ba2322f94a305\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>These medications are indicated for urge urinary incontinence. Examples of such medications include Myrbetriq. These medications help to encourage bladder relaxation and decrease bladder spasms. They can be taken any time of day with full glass of water. Side effects with this class of medication are rare but may include runny nose and blood pressure changes. We generally recommend checking blood pressures at home after medication started to ensure no significant change.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-d2be802847dd86d66 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_d2be802847dd86d66\"><a aria-expanded=\"false\" aria-controls=\"d2be802847dd86d66\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-1\" data-target=\"#d2be802847dd86d66\" href=\"#d2be802847dd86d66\"><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\">Tibial Nerve Stimulation<\/span><\/a><\/h4><\/div><div id=\"d2be802847dd86d66\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_d2be802847dd86d66\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>This is a treatment for urge urinary incontinence and is an office based weekly treatment. Treatment involves placement of a tiny needle (an acupuncture type needle) by the posterior tibial nerve in the ankle and mildly stimulating the nerve for about 20 minutes with each treatment. It is comfortable for most patients. After initial 12 sessions follow up treatments generally range between every 4-8 weeks.<\/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-6 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=\"0.7\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><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-938-2\"><div class=\"fusion-panel panel-default panel-21b2c3eadb2e5ad8d fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_21b2c3eadb2e5ad8d\"><a class=\"active\" aria-expanded=\"true\" aria-controls=\"21b2c3eadb2e5ad8d\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-2\" data-target=\"#21b2c3eadb2e5ad8d\" href=\"#21b2c3eadb2e5ad8d\"><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\">Kegel Exercises\/Pelvic Rehabilitation<\/span><\/a><\/h4><\/div><div id=\"21b2c3eadb2e5ad8d\" class=\"panel-collapse collapse in\" aria-labelledby=\"toggle_21b2c3eadb2e5ad8d\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Women who can successfully perform kegel exercises may notice improvement in their urinary incontinence. This can improve both stress and urge urinary incontinence. When performed with a specialized nurse\/physical therapist, outcomes can be significantly improved.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-3f1f91764c1e2ea67 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_3f1f91764c1e2ea67\"><a aria-expanded=\"false\" aria-controls=\"3f1f91764c1e2ea67\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-2\" data-target=\"#3f1f91764c1e2ea67\" href=\"#3f1f91764c1e2ea67\"><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\">Diet\/Lifestyle Changes<\/span><\/a><\/h4><\/div><div id=\"3f1f91764c1e2ea67\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_3f1f91764c1e2ea67\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Decreased caffeine intake and decreased smoking has been associated with improvement in urge, as well as stress incontinence symptoms. Moderate weight loss amongst overweight patients has also been associated with significant improvement in stress related urinary incontinence.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-442e95763d396543f fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_442e95763d396543f\"><a aria-expanded=\"false\" aria-controls=\"442e95763d396543f\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-2\" data-target=\"#442e95763d396543f\" href=\"#442e95763d396543f\"><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\">Timed Voiding<\/span><\/a><\/h4><\/div><div id=\"442e95763d396543f\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_442e95763d396543f\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Some women may benefit from regularly emptying the bladder every 2-3 hours during the day to help prevent the number and severity of urinary incontinence events.<\/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-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:50px;--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-7 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-text fusion-text-9\"><h2 style=\"text-align: center;\">Non-Surgical Treatment for Fecal Issues<\/h2>\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_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=\"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-938-3\"><div class=\"fusion-panel panel-default panel-3555262c30341b166 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_3555262c30341b166\"><a class=\"active\" aria-expanded=\"true\" aria-controls=\"3555262c30341b166\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-3\" data-target=\"#3555262c30341b166\" href=\"#3555262c30341b166\"><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\">Pelvic Rehabilitation<\/span><\/a><\/h4><\/div><div id=\"3555262c30341b166\" class=\"panel-collapse collapse in\" aria-labelledby=\"toggle_3555262c30341b166\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Pelvic rehabilitation involves the evaluation and treatment of pelvic floor dysfunction in women. It can be performed by a specially trained nurse or PT and is usually overseen by a physician. It is an individualized program involving assessment of pelvic floor muscle tone, use, and functional evaluation. From this a personalized treatment plan is developed for each patient, including therapeutic exercise, relaxation techniques, manual therapy, education, and modalities as indicated.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-5015abebb2cf6b825 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_5015abebb2cf6b825\"><a aria-expanded=\"false\" aria-controls=\"5015abebb2cf6b825\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-3\" data-target=\"#5015abebb2cf6b825\" href=\"#5015abebb2cf6b825\"><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\">Loperamide<\/span><\/a><\/h4><\/div><div id=\"5015abebb2cf6b825\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_5015abebb2cf6b825\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Loperamide is a medication that increases anal sphincter tone and can be used to minimize fecal incontinence. Women should avoid use of loperamide if they have infectious\/bloody dirarrhea.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-293a46f68579d7f4b fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_293a46f68579d7f4b\"><a aria-expanded=\"false\" aria-controls=\"293a46f68579d7f4b\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-3\" data-target=\"#293a46f68579d7f4b\" href=\"#293a46f68579d7f4b\"><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\">Diet Changes\/Fiber Intake<\/span><\/a><\/h4><\/div><div id=\"293a46f68579d7f4b\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_293a46f68579d7f4b\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Fiber can help women with bowel issues by making bowel movements softer and more regular. Adding fiber to your diet can help with problems including constipation, hemorrhoids, and diarrhea. Plus, it can help prevent \u201caccidents\u201d if you have trouble controlling your bowel movements. Using the right kind of fiber and correct amount is important for benefit.<\/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-9 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=\"0.7\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><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-938-4\"><div class=\"fusion-panel panel-default panel-9b54cd362b97d52fb fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_9b54cd362b97d52fb\"><a class=\"active\" aria-expanded=\"true\" aria-controls=\"9b54cd362b97d52fb\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-4\" data-target=\"#9b54cd362b97d52fb\" href=\"#9b54cd362b97d52fb\"><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\">Oral Probiotics<\/span><\/a><\/h4><\/div><div id=\"9b54cd362b97d52fb\" class=\"panel-collapse collapse in\" aria-labelledby=\"toggle_9b54cd362b97d52fb\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Using oral probiotics (such as culturelle, activia yogurt, etc&#8230;.) can help fecal habits. In general, these agents act by helping the natural bacteria in the gut to improve growth of advantageous colonies and improve function. These are especially beneficial after antibiotic exposure.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-1e79c3362f1271e63 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_1e79c3362f1271e63\"><a aria-expanded=\"false\" aria-controls=\"1e79c3362f1271e63\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-4\" data-target=\"#1e79c3362f1271e63\" href=\"#1e79c3362f1271e63\"><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\">Stool Softeners<\/span><\/a><\/h4><\/div><div id=\"1e79c3362f1271e63\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_1e79c3362f1271e63\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Using stool softeners, such as Colace or Miralax, can help with constipation issues. In general, these agents help to bring water into the stool and decrease the hard stools that many people suffer from. These may serve as an adjunct to oral fiber and your doctor should know if you are on these regularly. These are different then stimulant laxatives, such as dulcolax or the like, which should not be used on a daily or routine basis unless directed by your doctor.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-36df2a5d37e659119 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_36df2a5d37e659119\"><a aria-expanded=\"false\" aria-controls=\"36df2a5d37e659119\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-938-4\" data-target=\"#36df2a5d37e659119\" href=\"#36df2a5d37e659119\"><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\">Other<\/span><\/a><\/h4><\/div><div id=\"36df2a5d37e659119\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_36df2a5d37e659119\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Your care team will discuss any other appropriate treatment options available to you.<\/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 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-10 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-1 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-10\" 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-11 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-12 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-13 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-5 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-14 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-11\"><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-2 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-12\"><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-15 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-13\"><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-3 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;\">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-16 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-15\"><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-4 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;\">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-6 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-17 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-17\"><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-18\"><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-7 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-18 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-5 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-19 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-6 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-938","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-json\/wp\/v2\/pages\/938","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=938"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-json\/wp\/v2\/pages\/938\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/first-coast-urogynecology\/wp-json\/wp\/v2\/media?parent=938"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}