When you have menstrual problems, you go to a gynecologist. When you are pregnant, you visit an OBGYN. When you have issues with your bladder, you visit a urologist.
But what about when you struggle with pelvic floor concerns, bladder leaks, recurring UTIs, abnormal heavy bleeding, and more? Who can offer the best help?
At Horizons OBGYN, we recommend visiting our urogynecologist in Winter Garden.
What is a urogynecologist? And how can Horizons’ well-woman services help you? Find out more in this article.
Table of Contents
Here’s everything we will cover in this article. To skip ahead to the information that is most pertinent to you, use the links below.
- What Is a Urogynecologist?
- What Do Urogynecologists Treat?
- What to Expect: The Process of Care at Horizons OBGYN
- Frequently Asked Questions
Alternatively, you can read our other informational blogs that cover our services and how we support your health.
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- What Makes a Great OBGYN? Questions to Ask Before Booking
- Meet Our Gynecologists: Your Lifelong Partners in Wellness
- What Makes a Good OBGYN?
- Permanent Birth Control: Sterilization Options for Women
What Is a Urogynecologist?
A urogynecologist is a doctor who specializes in both urology and gynecology, making them experts in pelvic floor disorders and conditions related to your urinary and reproductive systems.
The Pelvic Floor
Your pelvic floor muscles span from your tailbone to your pubic bone, providing a base for core muscles like your abdomen, back, and diaphragm. It also supports vital organs like your bladder, bowel, uterus (women), and prostate (men).
Let’s explore all of the conditions and concerns that a urogynecologist can treat.
What Do Urogynecologists Treat?
Our urogynecologist in Winter Garden can treat urinary incontinence, PMOS (formerly PCOS), abnormal heavy bleeding, menopausal symptoms, and more.
Urinary Incontinence
Because your pelvic floor supports your bladder, muscle weakness due to injury or trauma, giving birth, or aging can cause urinary incontinence.
At Horizons OBGYN we can strengthen those muscles with Emsella pelvic floor therapy so you have better control over your bladder. This non-invasive treatment uses high-intensity focused electromagnetic (HIFEM) energy to trigger approximately 12,000 pelvic floor muscle contractions (similar to Kegel exercises).
The best part? All you have to do is show up and sit down (fully clothed) for a series of sweat-free, 30-minute sessions.
Polyendocrine Metabolic Ovarian Syndrome (PMOS)
PMOS, formerly known as PCOS, or polycystic ovarian syndrome, is a condition caused by hormone fluctuations that impacts weight, skin, and metabolic and mental health. This name change in 2026 has changed the way PMOS is diagnosed—removing the focus from solely the ovaries and looking at the condition as a hormonal or endocrine disorder instead.
PMOS causes the following symptoms:
- Irregular periods: Missed periods or not menstruating at all.
- Heavy bleeding: When you do have your period, you may bleed more than usual.
- Acne: Higher levels of androgens can cause excess oil on your skin, leading to acne.
- Abnormal hair growth: Some women experience excess hair on their face, arms, chest, and abdomen. This is also known as hirsutism.
- Infertility: With missed periods and missed ovulation, women with PMOS may experience infertility.
In addition to these symptoms, women may also experience obesity, thinning hair, cysts, skin darkening, and skin tags. When you visit our urogynecologist in Winter Garden, we can perform a physical exam, pelvic exam, and pelvic ultrasound, as well as order blood and hormone tests to determine if the cause of your health issues is PMOS. Based on these findings, we develop a personalized treatment plan designed to target inflammation and reduce other chronic PMOS symptoms, restoring comfort and well-being.
Treatment for PMOS includes:
- Hormonal birth control
- Androgen-blocking medications
- Insulin-sensitizing medication
- Lifestyle changes
Our team can determine which treatment, or combination of treatments, can help you manage the symptoms of PMOS.
Abnormal Heavy Bleeding
Abnormal heavy bleeding, also known as menorrhagia, is menstrual bleeding that lasts longer than 7 days. This condition causes you to pass blood clots roughly the size of a quarter or larger and requires multiple tampon or pad changes every hour for several hours.
While we’ve established that abnormal heavy bleeding is a symptom of PMOS, it could also point to other underlying issues related to a hormonal imbalance.
Your urogynecologist in Winter Garden may test for the following causes of menorrhagia:
- Thyroid Disease
- Anovulation (inability to ovulate)
- Polyps, fibroids, adenomyosis (growths in the uterus)
- Sexually Transmitted Diseases (like gonorrhea, chlamydia, or trichomoniasis)
- Pelvic Inflammatory Disease (often caused by untreated STDs)
- Endometriosis
Your treatment depends on the underlying cause of your abnormal heavy bleeding.
Menopause
Menopause is the natural, permanent end of menstruation, fertility, and estrogen production in your body. Without estrogen, you may face symptoms like:
- Vaginal dryness
- Weakened pelvic floor muscles
- Urinary incontinence
- UTIs
- Mood fluctuations
- Hot flashes
- Poor sleep
At Horizons OBGYN, we offer menopause management, which involves a combination of treatments to help you adjust to this transitional life stage, including:
- Emsella Chair – Strengthens and supports the pelvic floor
- Emfemme Feminine Rejuvenation – Addresses vaginal laxity, dryness, and decreased sensitivity.
- Hormone Replacement Therapy – Replenishes estrogen levels for better overall function
- Lifestyle Guidance – Improves wellness through herbal supplements and dietary recommendations
Each menopause treatment is tailored to you and your lifestyle by our urogynecologist in Winter Garden.
What to Expect: The Process of Care at Horizons OBGYN
If you’re ready to find relief from weakened pelvic floor muscles, urinary incontinence, abnormal bleeding, PMOS, among other concerns and conditions, give us a call and schedule an appointment.
Here’s what to expect from our team.
Consultation
We start with an in-depth conversation about your health concerns, symptoms, and medical history. This initial assessment allows us to tailor a treatment plan specifically for you. For some patients, we may also recommend the following services:
- Pap smears
- Blood tests
- Hormone tests
- STD or STI tests
Based on the results, we then recommend treatments, medications, and lifestyle changes to help improve your symptoms.
Treatment
You and your urogynecologist in Winter Garden will meet regularly to monitor your health and results from our treatment. The frequency of these follow-up appointments will be determined by your individual needs and the progression of your care. We are committed to ensuring you achieve optimal well-being, and our team is available to answer any questions or concerns that may arise throughout your journey.
Results
Results from our treatments vary depending on factors like your condition, the services provided, and your commitment to your plan. We can give you better estimates during your consultation on when you can expect to feel relief.
Frequently Asked Questions
Here are some questions we hear often regarding our urogynecology services.
Do you accept insurance?
Yes! We accept Disney Health insurance and Cigna Disney insurance in addition to:
- BlueCross BlueShield
- Aetna
- Cigna
- Ambetter
- Oscar
- United Healthcare
- UMR
- EHN
- Orlando Health Disney Cast Advantage
- Orlando Health Team Member Health Plan
- Advent Health Employee Health Plan
- AMPS
- Centivo
- Health First Health Plans
We also offer flexible financing options to patients who do not have insurance through CareCredit or Cherry. This helps make visiting a urogynecologist in Winter Garden more accessible to anyone with a uterus.
Do I need to see a gynecologist, a urologist, or a urogynecologist?
When you trust our team, we have the expertise and knowledge in each of these fields. All you need to do is schedule an appointment, and we help you find the relief you need—and you don’t have to wonder if you’re visiting the right doctor.
Can I strengthen my pelvic floor muscles myself?
Yes, you can strengthen your pelvic floor muscles with Kegel exercises. However, we highly recommend visiting our team first so we can teach you how to properly perform these exercises. If you target the wrong muscles, you run the risk of worsening your symptoms. In addition to teaching you how to perform these exercises, we can also couple your at-home efforts with Emsella for the best results.
Find Relief With Our Team
When you visit our urogynecologist in Winter Garden, you receive comprehensive and ongoing care. To schedule your appointment, you can either try our treatment planning tool or request a consultation.
