Removing Fallopian Tubes: Opportunity to Reduce Ovarian Cancer

Removing Fallopian Tubes: Opportunity to Reduce Ovarian Cancer

Recent recognition that many ovarian cancers actually arise from the fallopian tube requires a reassessment of our thinking about the management of the fallopian tubes at the time of surgery—Hysterectomy & Sterilization. The tubes serve no physiological role and provide no benefit to women in whom they are retained (unlike the ovary, where preservation may […]

Bladder Infections: You’re Not Dirty Down There

Your mother may have taught you to wipe front to back after peeing.  It sounds logical. It used to be spouted as gospel by health care professionals too.  Yet a well-done review article found no difference in the rate of bladder infections correlated with how a woman wipes after using the toilet. It can’t hurt […]

New Treatments for Urinary & Fecal Incontinence

At times the “circle of life” may seem unfair; for example, we start off as babies wearing diapers and sometimes end up wearing them.  Incontinence, the uncontrollable loss of urine or stool, ranks as one of the most embarrassing conditions.  Consequently, many patients are reluctant to bring this up to their doctor and likewise many […]

Irregular Periods Reflect Ovulation Problem

Menstrual periods should occur every 21 to 35 day on a repetitive (i.e. predictable) cycle. A few days variance is common and is not cause for concern. Yet 8 to 10% of reproductive age women have very unpredictable menstrual cycles. This often reflects the inability to ovulate since the ovaries produce the hormones—estrogen and progesterone—that […]

Dr. Kramer’s New Year’s Wellness Wishes

New Year’s Wellness Wishes If we don’t take time to take care of ourselves, then we won’t be able to take care of those we care about most The longer I practice Western medicine (now 26 years), the more I come to appreciate the benefits of Eastern healing practices, especially those addressing the mind-body connection. […]

Making Sense of New Mammogram Guidelines

There is no doubt that Breast Cancer screening using mammograms provides early detection which increases survival rates. If cancer is found they also minimize the need for mastectomy or chemotherapy since there is a lower chance of metastasis (cancer cells spreading to another site).   So why all the controversy about changing mammogram screening recommendations featured […]

Relief from Painful Periods

Up to 70% of women in their late teens and early 20s may experience incapacitating painful periods (dysmenorrhea). Up to half of these women are unable to perform daily activities or attend work or school due to the pain experienced during their periods. Menstrual Cramps are caused by overproduction of (and possibly a heightened sensitivity […]

I’m 40. Do I need to worry about getting pregnant?

Despite the availability of highly-effective contraceptive options, half the pregnancies in the United States are unintended. This not only occurs in teenagers, but also for many older women. Last year, women over 40 experienced over 60,000 unplanned pregnancies. Medical emergencies and mortality associated with pregnancy in older mothers far exceeds the risks associated with any […]

Top Causes of Heavy Periods

The uterus has two layers. The thick outer muscular layer and the thin inner layer called the endometrium.  The ovary produces female hormones that stimulate the endometrium to grow thick each month in preparation for pregnancy. If a woman does not become pregnant, the lining sheds during the menstrual period. After menopause, without female hormones, […]

New Year’s Weight Loss Resolutions

“If we don’t take time to take care of ourselves, then we won’t be able to take care of those we care about most” New Year’s comes and we make resolutions to improve our lives.  As you can imagine I am often asked, “How can I lose weight?” So if this is of interest to […]

Dr Scott Kramer


Voted One of Northern California’s
Best Gynecologists



Less pain, less cost,
& less recovery time

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