Some medi-spas have begun promoting laser treatments as the cure for vaginal dryness and other age-related vaginal atrophy symptoms. Laser is our treatment of choice for vaginal rejuvenation but it should be approached with care: a professional medical diagnosis is a must. Before you opt for laser vaginal rejuvenation, do yourself a favor and see a doctor, not an aesthetician.
The once very private topic of post-menopausal vaginal atrophy is having a moment.
Women of a certain age are asking their doctors to treat dryness, painful intercourse and incontinence at the same time makers of prescription medicines, over-the-counter moisturizers and even specialized vaginal lasers are being aggressively marketed…
The other laser approved to treat GSM in Canada is the Fotona Dynamis which is also used for facial treatments. There are 14 machines in B.C. — seven in Metro Vancouver, according to its distributor — which can be used to perform procedures marketed as IncontiLase and IntimaLase, mostly in medi-spas.
Toronto urologist Dr. Dean Elterman is using it (Intimalase) in his practise to treat incontinence and GSM and says it’s important for women to be examined by a specialist before turning to laser therapy.
“Do they have stress incontinence, do they have atrophy, does something look abnormal like a cancer? A trained eye who’s doing the assessment as well as the treatment is important, I think,” Elterman said in a phone interview.
Glow magazine interviewed Dr. Elterman about female incontinence:
Dr. Dean Elterman, a urologist with the University Health Network in Toronto, says that, although multiple pregnancies may increase the risk of incontinence, vigorous activities such as horseback riding or Zumba can cause an “accident” whether you’re a mom or not. Treatments include pads, surgery and pelvic physiotherapy like Kegel exercises. You can also help prevent leaks by losing weight (which reduced pressure on your bladder) and quitting smoking (which means less chronic coughing). Elterman also recomments Poise Impressa, which is inserted like a tampon but has soft silicone prongs to support the urethra and reduce leaks.
Much more than a sexual performance issue, low testosterone can affect your prostate health.
Details in the Huffington Post piece on low testosterone and prostate cancer link from Dr. Elterman:
A 65-year-old man notices he’s feeling more tired lately. He’s gaining weight and losing muscle. He can’t get as many erections, and generally feels foggy and unwell.
His family doctor takes some blood tests and rules out thyroid problems, high cholesterol and blood sugar issues, among other conditions. The only finding is low testosterone — but that’s a normal part of aging, right?
While declining testosterone may be a normal part of aging, it should still be treated in men with symptoms. To me, that would be like saying cancer or vision loss are normal parts of aging and therefore they should not be treated.
As a urologist with an interest in men’s health issues, I think we need to take “manopause” — more properly know as Testosterone Deficiency Syndrome (TDS) — much more seriously.
Are your PSA levels elevated? Have you had an abnormal digital rectal exam (DRE) result? Get a SelectMDx test to …Continue Reading »
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