Laser therapy for vaginal atrophy

Genitourinary syndrome of menopause (GSM) include genital symptoms of dryness, burning, irritation, but also sexual symptoms of lack of lubrication, discomfort or pain, and impaired function, as well as urinary symptoms of urgency, dysuria and recurrent urinary tract infections. Reported prevalence rates of vaginal dryness due to vulvovaginal atrophy (VVA) or GSM vary, but it is estimated that approximately 15% of premenopausal and up to 57% of postmenopausal women experience this condition. Local vaginal estrogen administration is the treatment of choice for VVA atrophy, although lacking long time efficacy and safety.
Source: Maturitas - Category: Primary Care Authors: Tags: INV63 Source Type: research

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Conclusions: Between January and December 2018, 33 patients underwent surgery between two units. Indications for surgery included dysfunctional uterine bleeding, endometrial hyperplasia, pelvic pain, post-menopausal bleeding, prophylactic surgery in BRCA positive patients and one grade 1 stage 1 endometrial cancer in whom laparoscopic hysterectomy was technically difficult and complicated by previous midline laparotomy. Ages ranged from 35-75 and BMI from 20-53.Mean operation time was 68.5 minutes and mean blood loss intraoperatively was 269mls. 15.2% (n = 5) had a blood loss equal or more than 500&thi...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
This study also found that Proteus DNA, a genus with many uropathogenic species (Drzewiecka, 2016), was more prevalent in women with OAB compared to asymptomatic controls (Curtiss et al., 2017). IC A recent study by Abernethy et al. suggested that the microbiome may play a role in IC (Abernethy et al., 2017). In this study, 16S rRNA analysis determined the microbiome of catheterized urine from women (n = 40) with IC was not dominated by a single genus and was less likely to contain Lactobacillus compared to asymptomatic women. Abernethy et al. also showed that L. acidophilus was associated with less severe scores on the ...
Source: Frontiers in cellular and infection microbiology - Category: Microbiology Source Type: research
Kate V. Meriwether1*, Zhenmin Lei1, Rajbir Singh2, Jeremy Gaskins3, Deslyn T. G. Hobson1 and Venkatakrishna Jala2 1Department of Obstetrics and Gynecology, University of Louisville, Louisville, KY, United States 2Department of Microbiology and Immunology, James Graham Brown Cancer Center, University of Louisville, Louisville, KY, United States 3Department of Bioinformatics and Biostatistics, University of Louisville, Louisville, KY, United States Interstitial cystitis/bladder pain syndrome (ICBPS) may be related to an altered genitourinary microbiome. Our aim was to compare the vaginal and urinary microbiomes b...
Source: Frontiers in cellular and infection microbiology - Category: Microbiology Source Type: research
CONCLUSION: Research from 2018 produced several high-quality studies in CVD but also spanned the breadth of primary care including pediatrics, women's health, and pain management, among other areas. PMID: 30979756 [PubMed - in process]
Source: Canadian Family Physician Medecin de Famille Canadien - Category: Primary Care Authors: Tags: Can Fam Physician Source Type: research
This study reports a case of UTI with pain of episiotomy scar inflammation for 10 years, which was successfully cured under traditional Chinese medicine (TCM) and showed no recurrence for 5 years. Patient concerns: A female patient, aged 71 years, experienced UTIs with pain of episiotomy scar inflammation for 10 years. Under antibiotics and external application of estrogen therapy, the patient still had no significant curative effect. Therefore, he was admitted to treatment with TCM for complementary therapy. Diagnosis: UTIs with pain of episiotomy scar inflammation. Interventions : This patient was treated with C...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Conclusions Correction of SUI using TOT appears to have a positive effect on female sexual function.
Source: Arab Journal of Urology - Category: Urology & Nephrology Source Type: research
This article will review the effect of oral contraceptive pills on bladder symptoms.Recent FindingsOral contraceptives appear to decrease the risk of stress urinary incontinence (SUI). The effect of OCP on recurrent UTI, OAB/UUI is unclear. Combined oral contraceptives may be implicated in interstitial cystitis/bladder pain syndrome.SummaryThere appears to be a link between changes in estrogen and progesterone levels and lower urinary tract symptoms. While many studies have evaluated the effect of hormones on the genitourinary tract and bladder function in postmenopausal women menopause, further studies are needed to direc...
Source: Current Bladder Dysfunction Reports - Category: Urology & Nephrology Source Type: research
CONCLUSIONS: This preliminary study suggests that the plant-based, multi-component cream Ginetrox® could be effective and safe in counteracting menopause-related vaginal discomfort symptoms. PMID: 28420227 [PubMed - in process]
Source: Minerva Ginecologica - Category: OBGYN Tags: Minerva Ginecol Source Type: research
There are approximately 3,000 new UK diagnoses of cervical cancer annually, with many women presenting symptomatically. We aimed to identify and quantify features of cervical cancer in primary care in a case–control study in the UK. Putative features of cervical cancer were identified, and odd ratios and positive predictive values (PPVs) were calculated. About 1,006 women aged ≥40 years diagnosed with cervical cancer and 4,992 age‐, sex‐ and practice‐matched controls were selected from the Clinical Practice Research Datalink. Median age at diagnosis was 61 years (interquartile range 51–75). S...
Source: European Journal of Cancer Care - Category: Cancer & Oncology Authors: Tags: ORIGINAL ARTICLE Source Type: research
This week, a patient came in reporting two awful urinary tract infections that she had this summer while traveling on vacation. She is in her 50s, postmenopausal, and fit and healthy. After having sex with her partner, she woke up with burning and pain with urination. She was treated for a urinary tract infection with antibiotics and felt better in a few days. She did fine for two weeks until they had sex again, when the same symptoms returned. Although antibiotics worked again, and quickly, at this point she felt consumed by the whole thing. She was unable to enjoy her vacation, and she was afraid to have sex. It took sev...
Source: New Harvard Health Information - Category: Consumer Health News Authors: Tags: Infectious diseases Women's Health Source Type: news
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