Bladder HealthEmsellaVaginal Health

10 ways to Prevent Incontinence

  1. Keep your vaginal wall tissue healthy as in estrogenized, and prevent vaginal and bladder tissue from thinning with aging and loss of hormones. This may mean using a prescription medication such as Vagifem, Imvexxy, or Intrarosa as inserts; or using oral Osphena.
  2. Improving your mobility! The better you move, the better to get to the bathroom, for those young and old! There is no better way than yoga and Pilates
  3. Improving or if possible eliminate constipation and straining. This will not just help incontinence but be beneficial for the entire pelvic floor.
  4. Curing low grade bladder infections, if you have some discomfort, mild stinging with urination, come see your gyno and get tested!
  5. Strengthening pelvic floor muscles, either with self exercising or with our Emsella pelvic floor trainer. Emsellas at Hada Cosmetic Medicine are very effective for both incontinence and improving the entire pelvic floor.
  6.  Mona Lisa Touch Therapy to improve the health and function of the superficial layers of the bladder, the blood circulation, and the nerve function
  7. ThermiVa therapy can help improve collagen and ligament function that helps preserve the entire pelvic floor
  8. Fluid management: don’t over hydrate ever without appropriate bath room stops, especially before aerobics class
  9. Medications can also prevent incontinence, if training is not successful, one on one medical consultation really is necessary for this
  10. Pessary use, they come in many shapes and sizes and can be helpful
  11. Botox of the bladder in cases that fail some of the above strategies
  12. Bulking agents can also be used around the urethra, PRP can be used instead of these as a test and temporary fix
  13. Posterior Tibial Nerve Stimulation, often covered by insurances, few women truly use it prophylactically, it’s more a fix once it occurs.
  14. Interstim electrical device also helps improve nerve function and helps with over active bladder causes of incontinence.


Suzanne Trupin, MD, Board Certified Obstetrician and Gynecologist and owner of Women's Health Practice, Hada Cosmetic Medicine, and Hatha Yoga and Fitness

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