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What is Urogynecology?

Urogynecology is an established specialty that focuses on female pelvic floor disorders – a combination of gynecology and pelvic reconstructive surgery. Urogynecologists are OBGYNs who become specialists with additional years of fellowship training and certification in Female Pelvic Medicine and Reconstructive Surgery (FPMRS).

Though Urogynecology as a specialty is relatively new, the Minnesota Women's Care team has extensive experience working with women to resolve a full range of urogynecologic conditions. We pride ourselves on listening to our patients and providing top-notch care second to none. Here is what some of our patients have said:

What our patients say:

  • Dr. Ashford is the best! Being a doctor that is both a gynecologist and an urologist he has been able to help me solve all of my issues, not just some of them. Even when I was questioning what was going on, he has remained calm and has always had a plan. He also has explained everything in a way that I could understand.
    Anon - Patient - RateMDs.com
  • Dr. Ashford was very thorough and listened to my concerns. He explained all my options and made me feel comfortable. He asked if I had any questions and took the time to answer them.
    A.D. - Patient
  • Dr. Myer is an incredible doctor! I recently had surgery with Dr. Myer and she has been amazing through the entire process. From diagnosis, making a care plan, pre-op and post-op she has listened to my concerns, is detailed in her explanations of things, and has been so incredibly caring! She has been such a blessing and I highly recommend her!
    L.Z. - Patient
  • Minnesota Women's Care offers very extensive care for every woman and their needs. The facility is always clean. The staff is always friendly and helpful. I myself go weekly for Urostym treatment for my Pelvic Floor Dysfunction. This treatment has been very beneficial for me. Dr. Ashford is so knowledgeable about every aspect of a women's body. I would HIGHLY recommend him to every woman.
    E.B. - Minnesota
  • From February 2013 to November 2013, I worked with Dr. Ashford's staff with use of the In-Tone device to strengthen my pelvic floor muscles. It was a very good experience, and I still use the device. This is a great alternative to try for bladder leakage.
    P.R. - Minnesota
  • Dr Ashford is the best surgeon in the state of Minnesota dealing with Womens pelvic issues. He uses state of the art methods and gives you very individual care. He really listens to you. His staff from the moment you walk into his clinic treat you with the best service possible and always make you comfortable. I love going to this clinic!
    M.R. - Patient
  • Amazing chiropractor, amazing person! I have been seeing Dr Erin for a few years now starting at a prior location. She has allowed me to live pain free as well as provide many tips and tricks to prolong my bodily health
    D.P. - Patient
  • My experience with Dr. Ashford and MWC has been excellent. Dr. Ashford always listens to what I have to say and I always feel that he is carefully considering what is best for me with my unique set of symptoms. I have every confidence in him. In addition, his staff is always responsive to my needs and questions.
    B.C. - Patient
  • I was hit with a few major diagnoses at once and didn't realize how much it could effect women's health overall. There were times where I had honestly given up on the possibility of being without pain until Dr. Ashford had instilled in me that women don't have to just exist with it.

    Dr. Ashford is the most honest and thoughtful provider I've ever worked with. He explains decision making with clarity and ease without making you feel overwhelmed or small. I'm someone with a boat load of anxiety and Dr. Ashford and the team here at MNWC are truly sensitive to my needs and want to see their patients reach their wellness goals. I'm beyond thankful and wish I could begin to describe the kind of gratitude that comes with that but for now I'd just say thank you so much!
    Anon - Patient
  • A huge thank you to Dr. Ashford for the last surgery to remove scar tissue that was messing things up and causing me pain everyday. I am now back to myself - feeling great & active - and no pain!!
    E.A. - Minnesota
  • I enjoy coming to Minnesota Woman's Care because I feel like I am getting the best treatment possible and the staff makes me very comfortable. Dr. Ashford figured out what was wrong with me and why I was in so much pain when no one else could. He was with me through my whole pregnancy and even after. I feel like I am very well taken care of and I would highly recommend Dr. Ashford to any woman.
    M.C. - Minnesota
  • I have had incredible results working with Dr. Ashford and his staff. Before meeting with him I had been dealing with severe pelvic pain for over two years. Most doctors, even specialists, did not know how to reduce my pain level. I had tried many therapies and nothing had worked until I met Dr. Ashford. After a few months working with him and his therapy and medication treatment I have seen a dramatic improvement with my symptoms. These people really know what they are doing and are patient and compassionate enough to take the time to listen and explore the many options that can help you. I highly recommend you give Minnesota Women's Care a chance to help you feel your best!
    R.S. - Saint Paul
  • I recently had surgery performed by Dr Ashford to correct some prolapse issues. I was extremely impressed with his level of competence and caring throughout the process. I totally trusted him,the surgery was a total success at this point with followup appointments scheduled to make sure I have healed correctly.

    He is an exceptional surgeon who cares personally about each of his patients. I definitely recommend Dr Ashford to any women with pelvic issues.
    Marilyn - Patient
  • Finally Found a Dr. that listens to me as an individual. I have unique pelvic issues and Dr. Ashford is helping me along the road to recovery. Finally someone that doesn't just practice cookie cutter medicine. Everyone there is nice an helpful. I love that the nurses answer the phone and usually don't have to wait for answers to questions. Well worth the drive. I understand having to wait to be seen because all his patients have their needs met.
    Rhonda - Minnesota
  • I hope you are still around for my daughters when they are older as I still tell my friends and family about you! Thank you for everything. I wish there was a way I can tell the world what you did for me. God Bless you.
    A.G. - Minnesota
  • Dr. Ashford is a brilliant and kind physician. It's worth the wait to see him. After some years of pelvic pain, he put me on a path of therapy and treatment that has ultimately totally alleviated it completely. His expertise is invaluable and I hope more doctors can be influenced by his advanced and wholistic approach to women's care.
    C.K. - Patient
  • My experience with Dr. Ashford has been absolutely amazing. I've seen many physician's for my problem and this is the first time I feel that someone has listened and offered options/solutions versus being dismissive. I feel like I'm finely on the right path. I would highly recommend Dr. Ashford!
    Anon - Patient
  • I wasn't sure what to expect given that this was my first time ever meeting with a chiropractor and meeting someone for my pregnancy sciatica pain that I've had my last pregnancy as well. But Erin has made me feel really comfortable and made it easy for me to trust her with my body. She thoroughly explains what she is doing so I don't become alarmed and also in a way that I understand. Overall, it's been a great experience!
    M.Y. - Patient
  • Doctor Ashford and his staff gave me my life back and I would recommend them to anyone dealing with OBGYN needs. He worked with me for many months and really listened to and understood me, he also personally preformed surgery on me in April and found the right medication for my endometriosis. A million thank you's to EVERYONE at the clinic, from the people answering the phones, all the way to the nurses and Doctors Ashford, may God bless you all.
    M.A. - Patient
  • I am 39 weeks pregnant and have been having issues with sciatic nerve pain and groin cramping. Erin has adjusted me during both my pregnancies and has given me so much relief; from migraines, neck pain, to ligament pain relief, and now to my current issues. She is wonderful with her patients.
    L.E. - Patient
  • My experience with Dr Ashford has been very positive in getting me back to good health after my surgery. I have had two surgeries with him and good results. Dr Ashford and nurses are a great team in providing healthy experience. Rachael, Andrea have done the uroystem treatment with me great success along with others that have assisted. I love Women's Care and have referred others to the clinic. Very helpful and supportive. Thanks.
    S.A. - Patient
  • I went months thinking that I had chronic bladder or vaginal infections. I took tons of antibiotics. Dr. Ashford told me that it was not an infection, but possibly a pelvic floor problem. WOW, I never would have guessed, and took the extra time to teach me about my issue. Pain free now, and I have worked with so many providers at the clinic besides Dr. Ashford. So many kind and professional people here to help.
    Again, thank you so much.
    C.M. - Patient
  • Erin is so caring and great at what she does! She has been adjusting me for a while and I have never had a bad experience! She is always so caring and has definitely helped with making both chronic and acute pain feel better! I am so grateful for all she has done and would highly recommend her!
    L.Z. - Patient
  • I wasn't sure what to expect given that this was my first time ever meeting with a chiropractor and meeting someone for my pregnancy sciatica pain that I've had my last pregnancy as well. But Erin has made me feel really comfortable and made it easy for me to trust her with my body. She thoroughly explains what she is doing so I don't become alarmed and also in a way that I understand. Overall, it's been a great experience!
    M.Y. - Patient

Our Approach
What makes Urogynecology at Minnesota Women's Care special?

Urogynecology is a relatively new specialty and because of that, there are few providers in the Twin Cities in comparison to other medical specialties. Minnesota Women's Care has more board-certified urogynecologists on staff than any other practice. In addition, because of our commitment to providing the most personalized care to each of our patients, our providers offer a level of care that's distinctive in its own right.

The Minnesota Women's Care Difference

We take a multidisciplined approach using our urogynecologist, chiropractor and pelvic floor therapists to achieve optimal results.

Our Urogynecologists

Minnesota Women's Care has two urogynecologists on staff: Dr. Melvin Ashford and Dr. Emily Myer. Their cumulative education and experience is second to none.

Experience and Training

Each of our providers brings a unique perspective to the care we offer.

Dr. Ashford was one of the first board certified urogynecologists in the state of Minnesota and has a 17-year track record of clinical and surgical
excellence.

Dr. Myer completed her Urogynecology (Female Pelvic Medicine & Reconstructive Surgery) fellowship at Johns Hopkins University in Baltimore, MD – one of the top three Urogynecology fellowships in the United States.

Erin (Epperly) Beer, D.C. is trained specifically to work with women during pregnancy, after delivery, and beyond. The pelvic floor therapy she provides has been a great non-surgical solution for many women.

Patient Satisfaction

In addition to traditional services, Minnesota Women's Care offers a contemporary gynecological services such as laser therapy, RF energy services, and PRP to augment or fill in the gaps of traditional care. This results in extremely high patient satisfaction and success.

PELVIC FLOOR DISORDERS
What conditions are treated by Urogynecologists?

Urogynecology is the diagnosis and treatment of pelvic floor disorders which involve the complex system of muscles, ligaments, connective tissue, and nerves that help support and control the rectum, uterus, vagina, and bladder. Damage to the pelvic floor can occur for any number of reasons including childbirth, repeated heavy lifting, chronic disease or surgery.

Women with pelvic floor disorders typically experience these kinds of symptoms:

Urinary incontinence: loss of bladder or bowel control with leakage of urine or feces

Prolapse: descent of pelvic organs; a bulge and/or pressure; “dropped” uterus, bladder, vagina or rectum

Emptying disorders: difficulty urinating or moving bowels

Pelvic pain: discomfort to the lower back, pelvis or bladder and/or urethra

Overactive Bladder: frequent need to void, bladder pressure, urgency, urge incontinence (difficulty holding back urine when having the urge to urinate)

Fistulas: abnormal hole between the vagina and rectum (recto-vaginal), vagina and urethra (urethrovaginal), or vagina and the bladder (vesicovaginal)

Remember: Surgery is NOT the only answer.

Our urogynecologists offer a number of non-surgical options that have helped many women find relief from troublesome symptoms. These treatments include in-house pelvic floor therapy, platelet-rich plasma injections, vaginal treatments (like Femilift, Thermiva and Geneveve), urethral bulking procedures, and Urgent PC. We’ll work with you to find the right solution.