What is Interstitial Cystitis/Painful Bladder Syndrome?
Interstitial Cystitis, or Painful Bladder Syndrome, are terms used to describe uncomfortable or painful bladder symptoms that may include or mimic recurrent urinary tract infections, feelings of urgency and frequent need to urinate (including at night), burning, pain, pelvic pressure or discomfort. A wide range of symptoms make the condition difficult to diagnose initially, and it may take years before a proper diagnosis is reached. This condition may range from mild feelings of urgency and frequency with intermittent burning or discomfort to severe, unrelenting, debilitating pain and significantly reduced bladder capacity with blood in the urine and ulcerations of the bladder wall. The cause of this condition is unknown, and is probably multifactorial including environmental, genetic, immunologic and structural factors. It is not unusual for a sufferer to also have similar associated conditions such as irritable bowel syndrome, endometriosis, migraine headache, vulvodynia/vulvar vestibulitis, or fibromyalgia.
How is it Diagnosed?
The initial diagnosis may be presumptive rather than related to a specific diagnostic test. The clinical signs and symptoms may point to the diagnosis. A cystoscopy is usually performed at some point in order to determine whether any ulcerations are present, and some practitioners perform a hydrodistension to make the diagnosis. This is somewhat controversial as repeated hydrodistensions may cause scarring and shrinkage of the bladder capacity, and an initial hydrodistension may give a false positive reading. The presence of Hunner lesions (small ulcers of the bladder wall) are considered definitive diagnostic findings.
What Can be Done to Treat It?
Treatment is usually done in a stepwise fashion, beginning with the simplest and least invasive and proceeding as needed/indicated to more complex or invasive treatments.
Avoidance of PERSONAL bladder irritants is paramount under all circumstances with IC. Many individuals will learn from experience that tomatoes, coffee, tea, chocolate, or spicy foods may worsen or cause symptoms. The key to finding and following the proper diet usually lies with elimination of all potential irritants at first (not an easy task for most) and gradually adding back potential irritants one at a time in order to determine which foods or liquids are on the “OK” list. Often, the list of foods/drinks to avoid includes bowel irritants as the bladder and bowel are often irritated by the same or similar substances. See the attached list or go to www.ic-network.com for a list of foods to avoid. You may also want to consider food sensitivity testing for a more accurate listing of your foods and substances to avoid.
Very often, when a painful condition exists in the pelvis the pelvic musculature and connective tissue become inflamed, irritated, spastic and tight. This leads to a vicious cycle of more pain and more clenching. The worst thing for this is to try to do Kegel exercises or “pelvic strengthening” exercises. The most important thing to do in a situation like this is to find a well-trained pelvic physical therapist who can help with reducing the muscle spasm and inflammation that has developed in the tissues. Myofascial pain, referring to the muscles and connective tissue, is extremely common and a significant contributor to the discomfort felt with interstitial cystitis/painful bladder syndrome. Therapy may consist of hot baths in Epsom Salt, intravaginal muscle release, stretching, sometimes in conjunction with muscle relaxants. This is an often overlooked but extremely important aspect of treatment. There are multiple studies demonstrating the importance of physical therapy in pelvic pain disorders including IC/PBS.
There are several supplements that have been useful to treat either recurrent urinary tract infection or interstitial cystitis/painful bladder syndrome. Pre-lief is quite helpful for some individuals. Also, freeze-dried Aloe Vera extract can be helpful for some individuals, particularly in reducing recurrent urinary tract infections. Of course, allergies to just about anything are possible, so it is important to consider a possible sensitivity or allergy if the supplement doesn’t help or seems to worsen symptoms. D-mannose has been used to reduce the ability of bacteria to stick to bladder walls and cause infection, so is often recommended to help prevent UTIs. While cranberry products such as Utiva ® , Ellura ® and Theracran ® may be helpful in preventing UTIs, they may irritate a bladder when IC/PBS is present, so should be approached with caution. Supplements designed to treat IC which contain Quercetin, chondroitin sulfate and sodium hyaluronate have been helpful for many. There are several brand names containing a mixture of these ingredients with other things such as herbal extracts, and though data are lacking in the absence of an allergy or known interaction may be worth considering.
Elmiron ® is the only prescription oral medication in the USA with a specific indication for Interstitial Cystitis. It is taken 3 times daily and may take up to 3 months to take effect. Other medications used may include amitriptyline, cymbalta, hydroxyzine, cimetidine or ranitidine. RIMSO-50 is a liquid form of DMSO (dimethylsulfoxide) that can be instilled directly into the bladder and is approved to treat IC. There are potential side effects (sometimes serious) with some of these medications so again, they should be approached with caution and monitored closely.
There are many “recipes” for various bladder “cocktails” to be used in treating IC/PBS and/or recurrent urinary tract infections. Most of the recipes include lidocaine and heparin, many include triamcinolone (a steroid similar to cortisone), sodium bicarbonate, and an antibiotic (usually gentamicin). We have seen many patients obtain relief both from recurrent urinary tract infections and symptoms of IC with this therapy.
Cystoscopy with cauterization of Hunner lesions (ulcerations in the wall of the bladder) and/or hydrodistension (stretching with fluid by filling the bladder to its maximum size) can be done in certain cases. There is evidence that cauterizing the ulcers may help with symptoms. Hydrodistension is somewhat more controversial, as it may relieve symptoms but the relief is often temporary and may result in scarring or damage to the bladder in some cases. It can be a helpful diagnostic tool at times as well. If there is a question regarding the diagnosis and/or treatment a cystoscopy is usually performed at some point.
Is There a Cure?
Since we don’t know the cause, it is hard to say whether we can find a cure. It is possible that we are seeing several different conditions with similar symptoms. Many individuals undergo a remission of sorts. Until we understand all of the possible causes and their specific treatments, we will not be able to definitively “cure” IC. However, we can work together to make it livable.
The most important thing to understand is that it is a real condition, you are not “crazy” and while sometimes chronic pain can be depressing, seeing a therapist or psychiatrist will not treat the underlying problem, only the emotional symptoms that come with chronic pain.
Schedule a Consultation
At Laser Skin & Wellness, our urogynecologists take a comprehensive approach in evaluating and treating this condition. We may need to perform additional testing that is outside of the usual spectrum of insurance-covered testing in order to obtain more and better information regarding the cause of the problem. We can thus find better ways to successfully treat the condition.
Votiva is one of the latest innovations specifically for women’s health. It is a machine by InMode that provides many solutions to an array of concerns women have for vaginal health. This technology is safe, effective, and minimally invasive. At Laser Skin & Wellness, we are offering this new instrument to help women feel great once again.
What is Votiva?
Votiva is a workstation with a variety of machines included, all of which assist in providing a feminine makeover by addressing a range of concerns. Votiva uses radiofrequency energy to heat and stimulate the cells of the vagina and vulva. It increases collagen and elastin fiber production. The Votiva workstation includes three different technologies: the FormaV, Morpheus8, and Aviva. The FormaV helps to improve blood circulation to help with muscle relief pain and relaxation. This therapeutic device addresses sexual dysfunction. The Morpheus8 focuses on subdermal tissue remodeling, dermal treatment, and epidermal resurfacing. Aviva is a minimally invasive procedure that is an alternative to a traditional labiaplasty. Together, the Votiva machine can:
Enhance the vaginal tone, strength, and control
Tighten the vaginal canal
Increase sensation during intercourse
Reduce vaginal dryness
Reduce stress urinary incontinence
Improve the appearance of the labia
Who is a Candidate for Votiva?
Women of every age can benefit from Votiva. Many women experience changes in their feminine health due to childbirth and menopause. Loss of vaginal tone, vaginal dryness, and painful intercourse are all common concerns that women face. Votiva is an extremely versatile treatment that can help women feel normal once again.
How Long Does The Votiva Treatment Take?
Depending on your individual needs and concerns, the sessions last anywhere from 20 to 40 minutes. There is very little downtime associated with this treatment. Women will need to abstain from intercourse for at least 3 days following their Votiva sessions. Also, it is important to avoid hot tubs, pools, and baths for those 3 days as well. Your specialist at Laser Skin & Wellness will go over any and all questions you may have regarding this treatment during your consultation.
Schedule a Consultation
To learn more about Votiva and our feminine rejuvenation treatments, schedule a consultation with Laser Skin & Wellness. You can do so by calling or texting our Lake Worth, Florida office at (561) 427-0900 or request an appointment through our online form.
There are many menopause symptoms that women tend to push through and ignore (as best they can) because they don’t realize that there is help available. However, when you continually have a sudden urgency to urinate due to menopause, suffer from hot flashes, and simply don’t want to have intercourse with your partner, it can have an adverse effect on your relationships and your self-esteem. We’re here to help you feel confident and sure of your body again, and you can start by not ignoring these three menopause symptoms.
#1: Urinary incontinence
Menopause and urinary incontinence tend to go hand in hand, but that doesn’t mean you have to put up with it! While you may have tried natural methods in the past such as diet changes and exercise, there are a few other alternatives. The professionals at Laser Skin & Wellness have helped hundreds of women in Florida by using safe and effective feminine lasers that improve the functionality and tightness of vaginal walls. One of the best urinary incontinence treatments is called Juliet, and it’s proven to be efficient and has a very short healing time. The procedure is minimally invasive and discreet, and most women only need one session to achieve the results that make them feel at home in their body again.
#2: Lack of sexual desire
Beyond helping with urinary incontinence, the Juliet feminine laser can also contribute to improving your desire to have intercourse again. After menopause, it can be painful, and it can have a negative impact on your relationship. However, the Juliet laser will improve the moisture levels and the elasticity of your vagina, and leave you feeling comfortable again. Many women have found the laser to be successful in rejuvenating the vaginal area even before menopause has started. Whether you’ve had children and want to improve the aesthetics of your vagina, or you have an urgency to urinate because of menopause, ask about the many benefits of this feminine laser at your free consultation.
#3: Hot flashes
Hot flashes can leave you exhausted, and you never know when they are going to rear their ugly head. This can cause you to miss out on some of life’s most memorable events whether you decide to stay home or spend the entire time sitting in a corner self-conscience miserable. Pay attention to what triggers these flashes, and talk to the pros about a weight loss or individualized diet plan that eliminates elements like sugar, caffeine, hot sauce, intense exercises, and stress.
When you’re ready to get relief from the symptoms of menopause, then contact the experts at Laser Skin & Wellness today. We’ve proudly been improving the health and beauty of women in Boynton Beach and the surrounding areas for years, and look forward to hearing from you! Simply call 561-641-9490, fill out our contact form online, or swing by our locations in Lake Worth and Palm Beach Gardens to make an appointment for a no-obligation, free consultation to learn more!
Menopausal dryness is one of those things that most women don’t think about until they are in the midst of it – and it can be more than frustrating. However, if you’ve never considered correcting it, then it’s time that you learn a little more about the benefits that come with proactively finding an effective and safe menopausal dryness procedure. Here are the top reasons why it’s time to take back your life and invest in a treatment for vaginal dryness.
#1: Relief and comfort (finally)
When you suffer from menopausal dryness in West Palm Beach, FL it may feel like you’ll never be comfortable in your body again. However, when you apply an effective procedure, you’ll finally have the relief that you’ve been craving. It’s troublesome to be in public and have an itch that you can’t relieve – especially around the vaginal area. You don’t have to go through this any longer when you take the time learn more about the treatments available and enlist the help of a professional.
#2: A menopausal dryness solution that works
Our team at Laser Skin & Wellness specializes in menopausal dryness solutions that are effective, discreet, and painless. We use the feminine laser Juliet to improve symptoms such as irritation and itching, lack of lubrication around the vaginal walls, and intercourse pains due to dryness.
#3: The treatment is quick
You won’t have to take time off from work or away from your family because in most cases you’ll only need one session, and it will take around fifteen minutes. More severe instances of menopausal dryness will require two sessions, but they will be months apart. No anesthesia is required so you can drive yourself to and from the appointment.
#4: A menopausal dryness treatment cost you can afford
The price of menopausal dryness will vary depending on your needs. It can range from a few hundred dollars to over a thousand, and the best way to learn more is to schedule a no obligations consultation with Laser Skin & Wellness. We provide you with a pressure free and comfortable atmosphere to ask any pressing questions and to gather more information.
#5: A newfound confidence in your sexuality
One of the benefits of investing in a menopausal dryness procedure in Florida is that you’ll find a newfound confidence in the bedroom that you may have noticed faded as you were going through the symptoms. Whether you’ve been married for decades, or you’re going out on a first date, having sexual confidence will lift your spirits and make you feel fantastic with every step you take.
If you want to learn more about the menopausal dryness treatment price and procedure, don’t hesitate to call Laser Skin & Wellness and schedule a free consultation! Your health, comfort, and confidence are our priority, and we’re easy to reach at 561-641-9490. Or swing by our locations in Lake Worth and Palm Beach Gardens, FL to visit.
After menopause, you’ll discover that your body just won’t have some of the advantages that estrogen provides the vagina, and this can result in painful sex. Dry and thin tissue can occur due to the changing hormones in your body, and then the friction that happens during intercourse can cause discomfort and pain. And while you might think that painful sex and menopause go hand in hand, there is something you can do. Here are four ways that you can combat painful sex after menopause if you live in Palm Beach Gardens, Lake Worth, and the surrounding areas.
#1: A Feminine Laser
If you live in Boynton Beach or the surrounding areas, the specialists at Laser Skin & Wellness can tell you about the feminine Laser Juliet® and all of the benefits it can provide. It works with your body to restore your vagina and increase moisture and flexibility. The procedure is minimally invasive and discreet, and most women only require one session to get the results that improve their sex life. You can schedule a free consultation to learn more about pricing and what to expect during the procedure.
Some women choose to get small doses of estrogen to help reduce the symptoms of painful sex after menopause in West Palm Beach. A doctor will have to prescribe these for you, and they’ll come in easy application methods such as cream or pills. For some women, this only provides them with a small amount of relief and they’ll pair it with other methods such as the Juliet® laser.
One of the main reasons women have painful sex after menopause is because of the lack of moisture. Invest in a lubricant that doesn’t irritate your skin so that you can use it during intercourse and add back the extra moisture that will make the experience more comfortable. Lubricant is affordable and sold at many stores. However, if you want a more permanent solution, a feminine laser will be worth looking into and will help your body produce natural moisture if you don’t want to use artificial alternatives.
#4: Four Play
Yep, that’s right! If you haven’t made time for it in the past, then you should start now to help your body produce that natural moisture that makes sex more fun and less painful. Also, having intercourse more often can get your sex organs in shape again because you’ll improve blood flow. This is an act that you should enjoy with your partner, so if you find that you are uncomfortable due to pain, then try self-pleasure to help get you aroused and to get your natural moisture levels up.
If you’re ready to learn more about the Juliet feminine laser and other treatments that will rejuvenate your body, call our friendly customer service to schedule a free consultation that’s convenient for you. You can reach Laser Skin & Wellness at 561-641-9490 or visit one of our locations in Florida!
There is a lot to enjoy when you live in Florida from the beaches to the sunshine to the laid back atmosphere. However, if you suffer from female urinary incontinence, then you may not be noticing the beautiful scenery and community, you may spend your time looking for the nearest bathroom. If you find yourself struggling with this issue and see no end in sight, it’s the perfect time to take advantage of Laser Skin & Wellness’ complimentary consultation. Here are a few myths that may have stopped you in the past from making that appointment, and we’ll set the record straight, so you make the best decision for you.
There isn’t an effective and safe female urinary incontinence procedure
Some people still believe that there isn’t an effective female urinary incontinence treatment. However, there is a minimally invasive procedure called Juliet that is quick and painless and has helped thousands of women with issues such as dryness, incontinence, and intercourse pain. The technology is state of the art, and the feminine laser treatment is designed to restore the natural PH and rejuvenate the vagina.
Pushing through the discomfort is better than the alternative
If you think that you have to push through the discomfort, leaks, and avoid events because of your urinary incontinence, then you aren’t alone. Some women simply accept this as a natural part of aging and they don’t want to hear that they’ll need a complicated surgery or treatment to take care of it. Our female urinary incontinence solution is fast and requires three days of recovery time that involves avoiding intercourse or participating in high-impact activities. The recovery time is short, as well as the amount of time you’ll have to spend in the office.
Every woman’s body will go through the same urinary experience
While some women will go through similar experiences as they age, none will be identical. If you have a female friend that goes through urinary incontinence, and you’ve discussed the way you feel and the situations you go through due to the discomfort and leaks, that’s great. However, be mindful that you don’t continually compare your symptoms to theirs. You want to get a female urinary incontinence treatment that’s right for you. You may have a friend that has much lighter and easier to manage the symptoms, and you don’t want to base your treatment decisions on them.
The female urinary incontinence cost isn’t worth it
The female urinary incontinence price doesn’t compare to the experience of feeling your symptoms reduce, and you getting to take back your life. Enjoying time with family and being confident at public events is invaluable. If you’re ready to learn more about the costs of the Juliet treatment, then contact the specialist at Laser Skin & Wellness by calling 561-641-9490, or filling out our contact form online. Your free consultation is waiting for you at our offices located in Lake Worth and Palm Beach Gardens, FL!
Going through menopause can be an overwhelming time in a woman’s life. Your body is changing, and you simply don’t feel like yourself. While there are multiple symptoms that you’ll go through from hot flashes to trouble sleeping, one that many women seek help for is vaginal dryness. Once the symptoms have subsided, you’re often left with a dryness that can result in itching, burning, and discomfort during sex. Here we’ll learn a little about why it occurs and the best vaginal dryness treatment.
Why does vaginal dryness occur after menopause?
Vaginal dryness due to menopause is a result of reduced estrogen levels. There is a thin layer of fluid that allows the walls of the vagina to stay lubricated. As estragon levels get low, the amount of moisture that keeps the vaginal elasticity and thickness in a healthy place begins to drop, leaving you dry. This can cause discomfort because of the itching and burning that can result from the lack of moisture.
Ways to combat vaginal dryness after menopause:
While some women think that there is nothing they can do about vaginal dryness after menopause, so they push through the symptoms, we’re here to tell you there is something you can do. Here are a few vaginal dryness treatments that you should discuss with the team at Laser Skin & Wellness if you’re ready to feel like yourself again.
Juliet is a feminine laser that works to stimulate specific areas of your vaginal wall to restore and improve the connective tissue, as well as the mucosa. It’s a quick and painless treatment that doesn’t require anesthesia and only takes around fifteen minutes. We understand that you want the procedure to be discreet, and we respect you and keep all treatments confidential. Most women experience the healing time to be about three days and will only require one treatment. However, your doctor will let you know if you need more than one appointment for the most effective results.
Diet and exercise
Your current health can play a role in vaginal dryness after menopause, so it’s important that you take your diet and exercise routine seriously. Regular exercise promotes blood flow, as well as hormone balance. Pair that with a diet high in fatty acids, and vitamins A and B, your body will be better prepared to regulate estrogen levels. Before changing your diet and exercise routine, talk to your doctor about the goals you hope to achieve so that they can guide you in the right direction.
Contact us today!
If you suffer from vaginal dryness, you’re not alone. Let the professionals at Laser Skin & Wellness guide through the Juliet treatment and healthy diet options during the free consultation. We’ll answer all of your pressing questions and address any concerns. We want you to be confident in every aspect of life after menopause, and we’ll be with you every step of the way. Give us a call at 561-641-9490, or stop by our location in Lake Worth and Palm Beach Gardens.
As women, our bodies will go through dynamic changes throughout our life from puberty to pregnancy to menopause, and these moments take adjustment and understanding. When it comes to menopause, many women go through vaginal dryness and painful sex because the natural moisture that once produced at a normal rate just isn’t happening like it used to. When you suffer from pain during intercourse in Boynton Beach and the surrounding areas, there are actions that you can take to relieve the dryness and feel at home in your body again.
Learn more about your options
The first step to relieving vaginal dryness due to menopause is to learn more about the different options. There are very effective, quick, and painless treatments such as the Juliet feminine laser that work with your body to restore and rejuvenate the vagina so that you have the moisture levels and flexibility that you once did. This will make intercourse comfortable and enjoyable again, and the treatment will be discreet. You’ll need to refrain from physical and sexual activities for three days after the treatment, but once your recovery time is over, you can go about your routine. Other methods to treat pain during intercourse include estrogen pills, lubricants, and pelvic exercises.
Have an open discussion with a professional
It doesn’t matter where you live in Florida – it’s crucial that you’re open and honest with a professional about the desired results and the menopause symptoms you’re going through. This isn’t a time to be bashful or gloss over the topic. The professionals at Laser Skin & Wellness make your health their top priority, and they take all of your needs and symptoms into consideration. Before recommending any treatment for vaginal dryness, they’ll make sure that you’re a good candidate.
Gather questions ahead of time
It’s easy to go about your day in Lake Worth knowing that you have an appointment to learn more about combating pain during intercourse, only to not put much thought into what is going to be discussed. Often we want to put things like this out of our mind. However, when you really take the time to sit down and think about what you hope to accomplish with the treatment, you’ll have some questions. By taking fifteen minutes before the appointment to do a little research and write down your questions and concerns, you’ll be more prepared to make the decision about what is right for you.
Start with a free consultation
Don’t let the price of an appointment get in your way when you want to find out more about the feminine laser Juliet. At Laser Skin & Wellness we start with a free consultation that is at no obligation to you. We know that you want to be informed and we’re here to be a valuable resource, as well as offer services, that improve the health and beauty of women. We have locations in West Palm Beach, Palm Beach Gardens, and the surrounding areas, and you can fill out the contact form online, or you can call 561-641-9490 to get started today!