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.
For erectile dysfunction, there’s the plainly named ED-1000. The key to how it works is low-intensity shock wave therapy that induces neovascularization – growth of new blood vessels in the penis.
“The garden variety of ED, around 80 per cent, is because of poor blood flow,” says Dr. Dean Elterman of University Urology Associates in Toronto. In fact, poor blood flow (endothelial dysfunction) is the same underlying cause of heart attack and stroke, which is why ED can precede a cardiac event by three to five years, notes Elterman.
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.