Many women suffer from Urinary frequency and urgency. The thing that needs to be ruled out is bladder infection (this can be accomplished with a urine culture- the kind that takes 3 days to perform, not the in office dipstick test). Once the bladder infection is out of the way, issues of prolapse, and uterine fibroids, or large ovarian cysts, also need to be ruled out, this is easily done with a bimanual examination by your gynecologist, GP, or NP. If these are also negative, then you may have the condition known as 'overactive bladder'. Although the most common therapy is medication (e.g., Detrol, Ditropan, Enablex), other therapies exist. Examples of these are timed voiding, kegel exercises (with emphasis on the relaxation part), pelvic flor physical therapy (performed weekly by a trained pelvic floor physical therapist), and vaginal electrical stimulation (which can be self-administered at home twice daily for 8 weeks). Other conditions which can cause frequency/urgency, include kidney stones (these are usually painful, and accompanied by blood in the urine), and bladder cancer (this is very rare, but smokers can have an increased risk of this).