Jeffrey M Blake, MD, FACOG, FPMRS

07/07/2025

https://www.linkedin.com/posts/chronic-uti-australia_chronicuti-sentencedbyuti-bladdercrimes-activity-7346284552455131138-KBYW?utm_source=share&utm_medium=member_android&rcm=ACoAAEGBTlYBJndmaTzTKXNaMFFXHuN4XfdaX7E

Outdated UTI tests are failing patients. Current diagnostic methods miss at least 50% of genuine urinary tract infections (UTIs). That means too many are being told they're "fine" when they’re not. Symptoms often tell the real story — not the test results. Don’t let a negative te...

07/05/2025

Another reminder that: a) you don't have to put up with it, and, b) ignoring it may just make it worse. Speak up and ask for help! (And don't accept, "it's normal/normal for your age/because of your weight/because of your diet/because you drink too many fluids/your bladder is just small, etc, etc)

It's a fact: If you don’t treat overactive bladder, symptoms can worsen over time. Early treatment = better results. Don’t wait. Get a FREE discussion guide to help you start the conversation with your doctor at https://nafc.org/we-count/

07/03/2025

06/05/2025

Have you checked out our resource center? We have downloadable brochures, diaries, and educational materials on a range of topics from urinary incontinence to bowel health, and how to talk to your doctor.

Download your free resources here. https://nafc.org/printed-patient-resources/

05/14/2025

Just what we old guys have been saying/seeing for a long time. Crunching numbers is not always reflective of the real world. Women have, once again, been put at unnecessary risk based on miss-based statistical analysis. We've seen too many "anecdotal" instances where the rules have left patients victims of cancer which could have been avoiding with more liberal testing recommendations. Just last month I had a patient with a recently negative Pap show Carcinoma in-situ of the endocervix on hysterectomy pathology. Her next scheduled Pap per USPSTF recs would not have been for another 2-3 years. In the perfect world these things work, but this is not a perfect world. Ugh. Glad that someone is finally pointing this out and is able to quantitate the numbers. One example that's telling from this article is that 20% of women with cervical cancer are over 65 yo. Why are we stopping the screening?????

A new modeling study estimates that the risk for cervical cancer is low in women who met criteria to stop screening, but real-world stats tell a different story. Do exit criteria need updating?

04/30/2025

We're hiring!
Advanced Gynecology & Pelvic Health Specialists
AdvancedgynIN.com

Very busy gynecology/urogynecology practice looking to hire an experienced mid-level provider. In just 1 year our clinic has rapidly grown to become a premier statewide destination for patients looking for urogynecologic and specialized gynecologic care. We have established a strong reputation for quality care for Endometriosis, Pelvic Pain, Menstrual Disorders, Urinary issues including Incontinence, Pelvic Organ Prolapse, Hormone Replacement Therapy, and Minimally Invasive Gynecologic Surgery.
We are looking for a provider with experience and expertise in women's health, strong patient skills, compassionate with a positive attitude. Candidate MUST have at least 1 year of women's health experience as a provider, adept at providing and counseling on hormone replacement therapy, competent at diagnosing and managing typical gynecologic problems including PCOS, Menstrual issues and well-women care. Urogyn experience a plus. We need a provider that can quickly ramp up productivity to help manage our backlog.

Experience Expert Care for Endometriosis, Pelvic Pain, and More at Advanced Gynecology & Pelvic Health Specialists. Book in Noblesville, in Today!

03/17/2025

| Great news for women who feel like they are constantly waking up to p*e: bladder Botox injections lead to increased sleep hours, sleep quality, and quality of life in women with overactive bladder and bothersome nighttime urination.

https://journals.lww.com/fpmrs/fulltext/2025/03000/botox_for_sleep_effectiveness.4.aspx

03/17/2025

Way to go, Texas! This is just the beginning.

For far too long, our food system has prioritized corporate profits over public health—fueling an epidemic of obesity, diabetes, and chronic disease while ultra-processed junk fills our schools, hospitals, and grocery stores. But today, Texas took a bold step toward change.

After testifying before the Senate and advocating for this critical bill, I’m thrilled to see SB 25 pass unanimously—setting a new precedent for food and health policy.

Here’s what SB 25 will do:

- Require food labels to warn Texans about ingredients banned in other countries
- Ensure daily PE for K-8 students—because movement is medicine
- Protect recess, PE, and sports from being taken away as punishment
- Teach high school students real nutrition and metabolic health
- Update nutrition training for doctors, nurses, and medical students—so we treat the root cause, not just symptoms
- Establish a nutrition advisory council focused on chronic disease and functional medicine

This is a historic win, but the fight is far from over.

Next, we need:
✔️ More states to follow Texas’ lead—this should be a national movement
✔️ Stronger policies to ban toxic additives outright—especially in children’s food
✔️ Food system reform that prioritizes real, whole food over ultra-processed junk

The tide is turning. Food has been at the center of our health crisis for decades—and now it’s finally becoming part of the solution.

Texas has set the standard. Who’s next?

03/05/2025

Interestingly, probably about half of my incontinence patients don't realize that they have Urinary Incontinence until they are informed that their involuntary loss of urine is actually, (surprise), Urinary Incontinence. Then we start having the conversation. I've learned to ask, a minimum of 3 or 4 times, about urine loss on my new patient intakes.

Studies have found that only 1 in 4 women with UI ever seek care from a healthcare professional (HCP), and for those who do, the average time between the onset of symptoms and first contact with an HCP is 6.5 years! That’s too long to suffer in silence. And too long to tailor your life dealing wit...

03/03/2025

Myth: All endometriosis is the same in all patients.
Fact: No, it's not.
Think all is the same and presents the same way in all individuals affected by the disease? It's way more complicated than that claim implies.

02/22/2025

See this in my patients daily. Literally. every. day. As usual it will take years for the paradigm and practice to shift and adapt..

Experiencing UTI symptoms but keep getting negative test results? You’re not alone.

Standard UTI tests, like dipsticks and standard cultures, often miss infections because they rely on specific markers or outdated thresholds and can’t detect all types of bacteria.

Many people experience ongoing symptoms despite 'normal' results, leaving them frustrated and without answers.

It’s time to shed light on the limitations of these tests and advocate for more accurate diagnostics. You deserve answers and the right care.

02/03/2025

This is great news—and a long-overdue step forward.

Red No. 3, a petroleum-based dye linked to cancer in animal studies, has been banned from food and ingested drugs.

It was banned in cosmetics 35 years ago but stayed in candy, gum, and processed foods marketed to kids.

These dyes aren’t harmless—they’re synthetic chemicals that disrupt our biology and offer no nutritional benefit. They’re designed to make food look more appealing, but at what cost?

While this ban is progress, it’s just the beginning. Our food system is flooded with additives and chemicals that harm our health. The real solution is simple: choose whole, real foods.

Prioritize your health. Read ingredient labels.

This is about more than Red No. 3—it’s about creating a future where our food supports our health, not undermines it.