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Topical Medications

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Medications for topical estrogens are available and can be discussed in detail with Dr. Pezzella and her team.

Like other treatments, there is not a one size fits all when it comes to topical medications. Southern Urogynecology Wellness & Aesthetics will look at your condition in detail and find a medication best suited for you.

Medications for urge urinary incontinence/overactive bladder (OAB)

There are several medications approved to treat the symptoms of overactive bladder (OAB). All the medicines essentially work in the same way by decreasing the nerve impulses to the bladder that cause it to contract and leak, thereby helping to control strong sudden urges, frequency and urge incontinence. Common side effects of all the OAB medicines include dry mouth, constipation and blurred vision.

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Oral Medications

  • Detrol LA (tolteradine ER)
  • Ditropan XL (oxybutinin ER)
  • Enablex (darifenicin)
  • Sanctura XR (tropsium chloride)
  • Toviaz (fesoteradine fumarate)
  • Vesicare (solifenacin succinate)
  • Myrbetriq (mirabegron)

It’s important to realize that medications for OAB often do not resolve symptoms on their own and are meant to be used in conjunction with behavioral modifications (bladder retraining and avoidance of dietary irritants) to achieve bladder control. Patients who are compliant with taking their medication, stay committed to their bladder retraining and adhere to their diet restrictions enjoy an excellent response with resolution of their symptoms.

Medications for Interstitial Cystitis/Painful Bladder Syndrome (IC/PBS)

Learn more about this condition and treatment and medication options:

Medications for Lichen Sclerosus (LS&A)

Topically applied corticosteroids to the affected skin are the first-line treatment for lichen sclerosus in women with strong evidence showing that they are "safe and effective"; when appropriately applied, even over long courses of treatment, rarely causing serious adverse effects. Clobetasol ointment is the usual recommended therapy. 

Learn more about LS&A using the link below:

https://rarediseases.org/rare-diseases/lichen-sclerosus/

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Medications for Vulvodynia

Topical agents can be used as well as oral agents that have association with assisting with nerve pain.

Topical Medications

  • Topical Hormonal Creams (estrogen, testosterone)
  • Topical Anesthetics (lidocaine)
  • Topical Compounded Formulations (anticonvulsant, antidepressant)

Oral “Pain-Blocking” Medications

  • Tricyclic Antidepressants
  • Serotonin-Norepinephrine Reuptake Inhibitors
  • Anticonvulsants
  • Opioids

Medications for Vaginismus

Click below to learn more about the condition and medication options:

https://www.hopeandher.com

Mediations for Dyspareunia

Visit these links to learn more about dyspareunia and treatment options, including medications

To find out what may be write for you, Dr. Pezzella will perform a thorough evaluation and examination and determine what suits your individual needs.