What suppositories help against urinary incontinence in older women?

Cream, suppositories and tablets Ovestin

Among estrogen preparations, cream, tablets, and Ovestin suppositories receive positive reviews for menopause in women. The main component of any form of release of this product is a natural estrogen called Estriol.
It is effective both during premenopause and postmenopause to eliminate unpleasant symptoms associated with estrogen deficiency. Among the main advantages of this drug, women highlight its short-term effect. In other words, Estriol is not contained in endometrial cells for long, so it does not provoke excessive cell division, thereby protecting the endometrium from tissue growth. Therefore, there is no need to take progestogens cyclically, and bleeding is not observed.

pharmachologic effect

It is an analogue of the physiological female hormone. Restrains postmenopausal symptoms and compensates for the lack of estrogen in women during the postmenopausal period. Shows effectiveness in the treatment of disorders related to the genitourinary system. In case of atrophy of the mucous membrane of the immediate lower parts of the genitourinary tract, estriol normalizes the epithelium of the genitourinary tract and helps restore physiological pH and normal microflora in the vagina.

Increases resistance to infections and inflammation of the epithelial cells of the genitourinary tract, reducing pain during sexual intercourse, itching and dryness in the vagina, reduces the likelihood of infections in both the vaginal and urinary tract, prevents urinary incontinence and normalizes urination.

Estriol has a short period of action, as it is retained in the nuclei of endometrial cells for a short period of time. Administration of a single daily dose is not expected to promote endometrial proliferation. Therefore, cyclic administration of progestogen is not required and withdrawal bleeding does not occur. Estriol, moreover, does not lead to an increase in mammographic density.

Release form and composition of the drug

This drug can be found in the pharmacy in several versions:

1. Cream. Produced in special tubes (15 g). In addition to estriol, the composition contains lactic acid, sodium hydroxide, cetyl palmitate and others.
2. Candles. One package contains 15 suppositories of 0.5 mg Estriol each. An additional component is vitepsol S 58.
3. Pills. Available in the form of capsules (1 or 2 mg) based on Estriol. One package contains 30 capsules. Additionally, the composition contains starch, lactose monohydrate, amylopectin, magnesium stearate.

There is no particular difference between these forms of release. This variety helps a woman choose a drug individually, based on intolerance to additional components and the convenience of using one or another form of the drug. But it is still necessary to adhere to the rules for using candles, creams, and Ovestin tablets, where each case has its own characteristics and recommendations.

The hormone estriol and its benefits for the body

Estriol is the active substance in any form of Ovestin release. Its action is characterized by selectivity in influencing the woman’s reproductive organs. After its use, estrogen production is stimulated, due to which:

• stops the thinning of the vaginal walls;
• inflammatory processes in the vaginal tissues are stopped;
• eliminates dryness of the mucous membrane;
• pain disappears during sex;
• sexual desire increases;
• stimulates the production of cervical mucus;
• blood circulation of the pelvic organs is normalized;
• the natural protective barrier against various infections increases;
• the vaginal microflora is restored.

Ovestin has a fast but short-term effect. Taking this medication does not cause bleeding. Excreted by the kidneys (98%), as well as the intestines (2%). Indications for use of Ovestin

Many women take Ovestin as part of hormonal therapy during menopause to increase estrogen production. Menopause causes many unpleasant symptoms, where Estriol helps to effectively combat:

• vaginal atrophy;
• dryness, itching and burning during menopause;
• involuntary loss of urine;
• hot flashes and increased sweating;
• infertility (solving the problem with cervical mucus);
• urogenital disorders;
• painful sensations during sexual intercourse.
• other menopausal disorders associated with a lack of estrogen.

Ovestin is very often used before surgical operations on the organs of the reproductive system, as well as as a drug for the recovery period. In addition, the use of the product acts as a preventive measure in preventing inflammatory processes and infectious diseases of the urinary tract and vagina.

Causes and types of incontinence

Pathological urine output manifests itself differently depending on the nature of the disease.

Types of involuntary urine discharge:

1. Stress incontinence (50%) is the most common pathology. It occurs against a background of weakening of the pelvic floor muscles and is activated by physical stress (when sneezing, coughing, laughing or lifting something heavy).
2. Urge incontinence (18-22%) manifests itself against the background of a strong urge to urinate. The release of urine occurs immediately after the urge or against the background of a strong desire to empty the bladder.
3. Mixed (30-32%) included the clinical manifestations of stress and urgency. Urine production occurs during physical stress and is accompanied by the urge to urinate.
4. Iatrogenic is caused by taking medications (antispasmodics, diuretics or antidepressants). To solve the problem, it is enough to stop taking the pills that caused the pathology.
5. Urinary incontinence in response to substances that irritate the bladder (tea, coffee, alcohol, citrus fruits).

The causes of the stress type of pathology are:

• pregnancy (mechanical pressure of the growing uterus on the bladder in the 2-3rd trimester or changes in hormonal levels in the 1st period;
• childbirth (perineal rupture affects the functioning of the sphincter and intra-abdominal pressure);
• surgeries on the pelvic organs (uterus, intestines, bladder);
• age-related changes (weakening of the pelvic muscles).

Pathological urination can be provoked by:

• heredity;
• overweight;
• hormone-dependent pathologies;
• diabetes;
• habitual depression and chronic stress;
• pelvic organ injuries;
• diseases of the nervous system (stroke, spinal cord injury, heart attack);
• acute infections of the urinary system.

Important! Determining the cause is paramount before starting therapy. For this purpose, you should contact a gynecologist or urologist.

Contraindications and possible side effects

This hormonal drug should not be used without medical supervision. After all, it is not suitable for all patients. The main contraindications are:

• bleeding with an unknown cause;
• suspicion of breast cancer or its presence;
• hereditary predisposition to cancer;
• various neoplasms;
• period of exacerbation of endometriosis;
• liver or kidney problems;
• individual intolerance to the composition of the product;
• epilepsy;
• thrombosis.

Ovestin treatment is prescribed with special caution to women with diabetes mellitus. In this case, choose a form of the drug that does not contain lactose monohydrate (suppositories or cream). It is also necessary to consult a doctor if you have cardiovascular diseases or various pathologies of the gastrointestinal tract during menopause.

According to reviews, side effects of the product appear in the first few months of use. The following undesirable effects most often go away on their own and do not require discontinuation of the course of treatment:

• headache;
• short-term nausea;
• loose stools;
• chest pain;
• enlargement of the mammary glands.

If an allergic reaction appears on the skin, this may indicate an individual intolerance to the components of the drug. Immediate cessation of treatment is necessary in the following situations:

• blood pressure surges;
• systematic headache, migraine;
• the occurrence of fainting;
• general weakness;
• destabilization of liver and kidney functions;
• bleeding;
• vomit;
• jaundice.

Minirin

Mechanism of action. The drug Minirin has proven itself in the fight against enuresis in children. The drug contains a synthetic analogue of the hormone, which is produced by the posterior part of the pituitary gland. The effect occurs within 15 minutes after taking the drug and lasts for 10 hours.

Contraindications:

• Polydipsia (congenital and psychogenic).
• Heart pathologies.
• Obesity.

Features of treatment with Minirin:

• If there is no effect from treatment, then the dose needs to be increased.
• The average course of treatment is 3 months.
• The course can be repeated if necessary, taking a break of 7 days.
• The tablets should not be washed down with water, and liquids should not be drunk after taking the medicine.

Reviews. Reviews about the use of the drug are most often positive. Parents say that one of the advantages of the drug is that children do not refuse to take the drug (it must be dissolved under the tongue), since the tablet has no taste. In addition, Minirin allows you to get rid of urinary incontinence even in cases where other drugs were ineffective.

Separately, it is worth noting the high cost of the drug, but it is justified by the fact that the drug really works and eliminates the unwanted symptom. The effect is observed within a few days from the start of treatment. Parents indicate that relapses do not occur in children after a course of treatment.

As for side effects, they appear extremely rarely. Adverse effects include: headaches, abdominal pain, nausea. As a rule, Minirin is well tolerated.

Useful information and instructions while taking the drug

Before starting any hormone replacement therapy, you must:

• take a general blood test;
• establish the blood level of Estradiol, FSH and LH;
• visit a therapist;
• undergo an ultrasound of the pelvic organs;
• undergo a mammogram;
• take a general urine test;
• be examined by a gynecologist;
• undergo a Pap test (cytology smear);
• check changes in blood sugar and cholesterol levels;
• get screened for osteoporosis.

When taking Ovestin, it is necessary to undergo an appropriate examination every six months so that any pathological changes can be detected in the early stages, and the drug can be discontinued in time. In this matter, much depends on the woman herself and her responsible attitude towards her health. Indeed, with the wrong approach to treatment, HRT can cause serious disruptions in the functioning of the entire body.

In addition, it is important to follow the instructions for use of the drug, based on the release form.

Instructions for using Ovestin

Candles

1. The suppository must be inserted into the vagina once a day in the evening. For the treatment of problems with the genitourinary system, the course is one month. For the first 14 days, the candle should be placed daily. Then the dose is gradually reduced. For example, with a significant improvement in well-being and a decrease in the frequency and intensity of menopausal symptoms, suppositories are already used once every two weeks.
2. If a woman uses suppositories before surgery, the course is 14 days (one suppository daily). And after surgery, Ovestin can be used for two weeks (two suppositories for 7 days).
3. If there is a lack of cervical secretions, suppositories are used only every other week for a week.
4. If a woman violates the course (missed one injection of a suppository), then the suppository must be placed at the first opportunity. But if more than twelve hours have already passed, then the procedure is skipped, and the next suppository is administered according to the treatment schedule.
5. It is forbidden to insert two suppositories into the vagina at once (a serious violation of the optimal dosage).
6. If Ovestin is the first HRT drug in a woman’s life, then the course of treatment can be started any day. And when switching from another drug, a break of one week is necessary (the exact period is determined by the doctor based on the characteristics of the drugs).
7. As for the time of use, it is advisable to place suppositories at the same time. A deviation of one hour is allowed.

Pills

1. For one day, the dose should be in the range of 4-8 mg. It must be used at the same time, preferably before bedtime.
2. To treat vaginal atrophy and menopause symptoms, the drug is taken for thirty days, adhering to the dose prescribed by the doctor. Then the dosage is reduced to 1 mg per day.
3. Before surgery, Ovestin should be taken for two weeks at the prescribed dosage, and after surgery the course is two weeks, 1 mg per day.
4. To normalize cervical discharge, tablets should be taken from days 6 to 15 of the menstrual cycle, 1 mg each. It is allowed to increase the dose monthly until the discharge is completely normalized.
5. If you miss a pill, you can take it at any time, but no more than 12 hours after missing it. In this case, the administration procedure is skipped, and the next tablet is taken according to the course of treatment.

In tablet form, Ovestin is quite easy to use, but the presence of lactose monohydrate makes taking it impossible for women with diabetes.

The cream is used using a special applicator, which is administered before bedtime.

1. The dosage corresponds to the suppository or tablet.
2. Contains 500 mcg Estriol.
3. The dose and schedule of use are the same as other forms of release.

The following instructions for using the cream should be followed:

• carefully remove the cap;
• open the protective film;
• put the applicator on the tube and fill it to the specified value with light pressure;
• securely close the tube with the cap;
• the applicator must be inserted into the vagina in a lying position;
• press the piston only when the applicator is inserted to a sufficient depth;
• after use, the applicator should be washed in warm water, remembering to rinse it;
• Do not treat the applicator with boiling water.

Remedies for urgent form

Let us describe some popular drugs used for incontinence in women. Most of them come in the form of tablets or capsules. These dosage forms are very convenient for oral administration. Of course, in order for medications to have an effect, you must carefully follow your doctor’s recommendations for taking them.

Detrusitol

Available in capsules containing tolterodine as the active substance. This medicine belongs to the class of m-anticholinergic drugs. The drug helps relax the muscles of the bladder, increasing its available volume. The medicine must be taken once a day, 1-2 capsules. It doesn’t matter when you do it - before or after meals, it doesn’t affect its effectiveness. Contraindications: age over 18 years, urinary retention, ulcerative colitis, megacolon.

Vesicare

https://www.youtube.com/watch?v=y7WWjGExkU4

The active ingredient is solifenacin. The drug belongs to the class of new generation anticholinergics. Prescribed for urgent forms of incontinence, helps to relax the bladder. Take Vesicare 5 mg once a day; if necessary, the dose can be increased to 10 mg. Contraindicated in case of urinary retention, severe renal failure, and in childhood (under 18 years).

Spazmex

Spazmex contains trospium chloride. The medicine is indicated for mixed and urgent types of incontinence, bladder spasms and increased excitability. The average daily dose is three 15 mg tablets. Tablets can only be taken before meals. Contraindications – age under 14 years, urinary retention, tachycardia, severe renal failure.

Imipramine

The drug belongs to the class of tricyclic antidepressants. The drug is able to normalize the functioning of the urinary tract. It is especially effective for nocturnal enuresis, when urine is released involuntarily. The course of treatment with the drug can last several months. The dosage is determined by the doctor. Usually 1-3 tablets per day are prescribed.

Ovestin

Contains a natural analogue of female sex hormones – estriol. Under the influence of the drug, the mucous membranes of the genitourinary organs are restored, their blood circulation improves, and their resistance to inflammation increases. The course of therapy with the drug in tablet form is at least a month. 2-4 tablets are prescribed per day.

Minirin

Minirin contains desmopressin, a synthetic analogue of vasopressin. The function of vasopressin in the body is to regulate urination. Therefore, due to the use of desmopressin, urine is excreted by the kidneys in a smaller volume.

Desmopressin is often used for nocturnal enuresis. The dosage is individual and varies between 10-40 mg per day. Minirin is taken only after meals. Contraindications: severe thirst, anuria, heart failure, stagnation of fluid in the body, sodium deficiency.

Midodrine

A medicine belonging to the group of alpha-agonists. Available in the form of tablets and solution for intravenous administration. Midodrine helps to increase the tone of the bladder sphincter. Contraindicated for people with hypertension or vascular spasms. The standard dosage is 2.5 mg 2 times a day.

Incontinence in women is treated with drugs from four pharmacological groups:

• sympathomimetics;
• hormonal;
• antispasmodic action;
• antidepressants.

The choice of incontinence tablets depends on the patient’s age, the provoking factor, the type of pathology and general health. It is impossible to take into account all the indicators on your own without a medical education, which necessitates the need to visit a specialist (sometimes a joint consultation of several doctors may be required).

The main group of drugs that reduce hypercontraction of the bladder muscles are anticholinergics (Driptan, Novitrapone, Detrusitol, Roliten, Uroflex, Urotol). These drugs reduce the excitability of the detrusor (bladder muscle). Side effects of this group include dizziness, constipation and drowsiness.

New generation drugs that affect the detrusor (providing a relaxing effect):

• Spazmex (trospium chloride);
• Vesicare (solefenacin);
• Enablex (Darifenacin);
• Toviaz (Fesoterodine);
• Merobegron (Begminga) is a drug with the fewest side effects and helps to increase the reserve accumulation of urine.

Important! Medicines for urinary incontinence in women have many negative consequences for the body; self-medication is unacceptable. Also, you should not use alcohol during the course of treatment with such drugs.

To eliminate bladder overactivity, anticholinergic drugs are prescribed, including: Novitropan, Driptan, Roliten, Uroflex, Urotol, Detrusitol. They affect the detrusor muscle of the bladder. However, side effects after taking these drugs include such body conditions as: constipation, drowsiness and dizziness.

New generation drugs such as:

• Vesicare (Solifenacin).
• Spazmex (trospium chloride).
• Toviaz (Fesoterodine).
• Mirobegron (Begminga). This drug has a minimal set of side effects and can significantly increase bladder reserves.

Self-medication of the urgent form of urinary incontinence with any medications is unacceptable. During the therapeutic course, you should stop drinking alcohol.

Author of the article: Lebedev Andrey Sergeevich | Urologist

Education: Diploma in the specialty “Andrology” received after completing residency at the Department of Endoscopic Urology of the Russian Medical Academy of Postgraduate Education at the urological center of the Central Clinical Hospital No. 1 of JSC Russian Railways (2007). Postgraduate studies were also completed here in 2010.

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Prices for Ovestin

This product can only be purchased with a prescription from your doctor, who will advise you on the appropriate use. Prices for Ovestin may be higher or lower in different regions:

• Cream – 1000-1300 rub.;
• Candles - about 1200 rub.;
• Tablets – 900-1100 rub.

You can choose cheaper analogues. But you need to remember that the actions of the funds may differ slightly. Therefore, the price should be considered last, guided by the recommendations of the attending physician.

Analogues of the drug

Instead of Ovestin, you can take almost any drug that is based on the same active substance. Among the popular analogues it is worth highlighting:

• Ovipol Clio
• Microfollin-forte
• Estrovagin
• Dimestrol
• Elvagin
• Tephastrol
• Estrocade
• Estriol
• Klimonorm

But most reviews from women indicate that Ovestin still has an optimal effect on the body, with virtually no side effects. In addition, it begins to act faster without lasting effects.

For menopause, Ovestin reviews from women, Ovestin for menopause, instructions for use and reviews

But most reviews from women indicate that Ovestin still has an optimal effect on the body, with virtually no side effects. The doctor prescribed me Ovestin in the form of a cream. I used Ovestin as prescribed by the doctor and was very pleased. Patients also leave reviews of Ovestin cream and tablets, noting that these drugs can reduce the intensity of unpleasant symptoms of menopause and help treat a number of diseases. Patients also leave reviews of Ovestin cream and tablets, noting that these drugs can reduce the intensity of unpleasant symptoms of menopause.

Ovestin candles properties

I felt the effect almost immediately. Pills during premenopause are used to stabilize hormonal levels, so the dosage, frequency and duration of use are calculated by the doctor individually, based on the characteristics of the body and the severity of symptoms. That is why replacement therapy is used, the action of which is aimed at eliminating the deficiency of female sex hormones. Now everything has improved, I’ve learned to control myself a little, and Ovestin has removed most of the troubles. That is, the patient can make a choice depending only on her personal preferences.

After a month of treatment, everything returned to normal, and I now feel like a full-fledged person. I took it in tablet form. It is also noted that the ointment is easy to use. Your email will not be published. After the appearance of dryness in the vagina, it was recommended to use Ovestin cream.

Hot flashes were exhausting, insomnia, irritability. Considering all the possible consequences, it should be remembered that Ovestin is taken only as prescribed by the attending physician, taking into account all his recommendations and established dosages. Report a review Share a review Review page. She says that Ovestin helped her endure menopause painlessly. By continuing to use the site, you agree to work with these files.

To get true information about side effects, just visit the forum on how to treat early menopause or ask a question yourself. This site uses cookies to store data. Add a comment Cancel reply.

The unpleasant symptoms went away quite quickly, there were no side effects. I went to the doctor, he recommended Ovetsin cream, he said it was hormonal, but it worked quickly. Below are the main drugs that cause hot flashes and are used in medicine to relieve the symptoms of menopause.

• Treatment with Ovestin is prescribed when the patient complains of pain when urinating, increased frequency of urination, and urinary incontinence.
• Reviews At what age can you start having sex Qi-klim.
• I rushed to the doctor, where they prescribed me Ovestin.
• If Ovestin vaginal suppositories are used for treatment, one suppository is prescribed daily for a month.
• But if you follow the doctor’s recommendations, this factor is reduced to almost zero.

This is signaled by sharp jumps in blood pressure, nausea, mouth, weakness, prolonged headache, and vaginal bleeding. Excellent product and helps a lot. Price-quality corresponds. Medicines to help you gain weight.

Pain during sexual intercourse. The drug completely fulfilled its mission. The top cover is the mucous membrane.

The itching, for example, almost disappeared within a few days after starting to use the suppositories. All of the above conditions require medical supervision when using Ovestin. Ovestin suppositories are prescribed to women for the treatment of atrophy of the mucous membrane of the lower genitourinary tract during menopause. This variety helps a woman choose a drug individually, based on intolerance to additional components and the convenience of using one or another form of the drug.

Live long and read our advice! All iLive content is reviewed by medical experts to ensure it is as accurate and factual as possible. However, before you start using the drug, consult your doctor and decide whether you really need it, or can you get by with other methods of treating menopause?

Patients' opinions

Reviews of the Ovestin candle (the price of this drug often repels women, and they begin to look for a replacement) are considered a real salvation. They have helped many during menopause. When estrogen deficiency occurs. They helped eliminate itching, excessive vaginal dryness and burning. Significantly improved health during menopause.

Reviews call Ovestin candles irreplaceable, especially at the very beginning of menopause, when hot flashes cause fatigue, fatigue, headaches and insomnia.

For some, the drug helps almost immediately, while others feel improvement after a month of use. There are ladies whom the medicine has relieved of urinary incontinence. It saved them from this trouble in almost a few uses.

But not everyone was satisfied with the drug "Ovestin". So, many note its hormonal composition. In their opinion, suppositories can cause ovarian cancer and provoke fibroids.

At the beginning of using suppositories, many experienced a burning sensation in the vagina, which disappeared on the 2-3rd day of treatment. Ladies also note that while they use the drug, their condition returns to normal, but after stopping it, all the negative symptoms return. Because of this, many people are prescribed the drug for life.

As a rule, women tolerate treatment with Ovestin vaginal suppositories well. But some ladies note the presence of side effects, including vulvar itching, migraine and irritation of the vaginal mucosa.

Reviews also talk about the inflated cost of the drug, which forced some female representatives to abandon it.

From all of the above, we can conclude that in most cases, Ovestin suppositories have a beneficial effect on the body. The drug helps eliminate ailments during menopause and is indispensable for vaginal atrophy. It acts quickly and delicately, but sometimes causes side effects.

Ovestin instructions for use reviews and prices

After all, you can’t do without hormonal therapy during menopause. Indications for use of Ovestin during menopause are based on the action of its active components. Ovestin during menopause is used to prevent infectious diseases of the vagina and genitourinary tract.

Patients with end-stage chronic renal failure require special monitoring due to a possible increase in the level of circulating active ingredient Ovestin. It took me six months to complete therapy. An important advantage is also the ability to be quickly and almost completely absorbed. The reproductive system becomes very vulnerable, immunity decreases, and against this background, diseases of the uterus and ovaries can occur. Dryness, itching and discomfort in the vagina.

Side effects

The use of Ovestin may cause side effects:

Use of cream:

• itching;
• irritation;
• increased sensitivity;
• soreness, tension, enlargement of the mammary glands.

These signs are short-lived and passing, but indicate excessive dosage.

Metrorrhagia, breakthrough bleeding, and acyclic spotting are also observed.

In the case of HRT with the use of estrogen-progestagen-containing agents, the following side effects were recorded, and to date, no cause-and-effect relationship with the use of Ovestin has been found:

• cholelithiasis;
• increased libido;
• dementia;
• subcutaneous and skin diseases (hemorrhagic purpura, erythema nodosum, erythema multiforme, chloasma);
• stroke;
• myocardial infarction;
• estrogen-dependent neoplasia (benign and malignant);
• venous thromboembolism (pulmonary embolism, thrombosis of the pelvis or deep veins of the legs), which occurs more often when using HRT than in the absence of therapy.
• baldness.

OVESTIN reviews

Estriol effectively normalizes the condition of the vaginal mucosa during postmenopause and menopause. An allergic reaction on the skin indicates individual intolerance to the components of the drug. Direct analogues of Ovestin can be considered drugs with an identical active ingredient.

Non-hormonal products are based on natural ingredients and act gently on the body, carefully correcting its condition and eliminating the unpleasant symptoms of menopause. The cream is not liquid, has a pleasant consistency and, most importantly, without a specific smell. I can’t even imagine how our mothers and grandmothers survived without such medications. An excellent remedy for itching and burning in the vagina. You should always remember that only a doctor can prescribe a hormonal drug.

Hormonal drugs

One way to alleviate suffering is to take various hormonal medications. By compensating for estrogen deficiency, they neutralize painful symptoms. However, now there is such a huge selection of drugs in pharmacies that it becomes difficult to make a choice.

During menopause, experts recommend using Ovestin. This is a hormonal drug based on estriol. It, in turn, is a natural female hormone - estrogen. Thanks to this hormone, Ovestin affects the cervix and vagina; stimulates blood supply to the vaginal epithelium and its restoration, eliminates dryness. Normalizes vaginal microflora.

Ovestin is produced in the form of tablets, vaginal suppositories and creams. The dosage form of this drug does not affect the effectiveness of treatment.

But before using any drugs, you need to consider the instructions and contraindications.

Duloxetine

Mechanism of influence. Duloxetine is an antidepressant drug. It is recommended for use when there is a frequent urge to urinate, as it has a sedative effect and has a positive effect on the nervous regulation of the bladder. The drug also helps relax the muscles of the organ, but reduces the muscle of its sphincter.

Duloxetine is recommended for stress urinary incontinence.

Side effects and contraindications:

• Insomnia and drowsiness.
• Dizziness.
• Vision problems.
• Hand trembling.
• Decreased appetite.
• Increased fatigue.
• Dry mouth.
• Constipation or diarrhea.

It is important to pay attention to contraindications to the use of this drug, including: glaucoma, breastfeeding, pregnancy, age under 18 years, renal and liver failure, high blood pressure.

It should be taken into account that abrupt withdrawal of the drug can lead to headaches, surges in blood pressure, tachycardia and attacks of dizziness.

Directions for use and indications

Indications for use are: vaginal atrophy, itching, hot flashes, urination problems, dryness of sex hormones, burning sensation. You should take tablets, suppositories or cream once a day, at night before bed. Depending on how severely a woman tolerates the symptoms of menopause, the dosage of the drug may vary. For urinary incontinence, the cream is administered 2 times a day using an applicator.

After improvements appear, it is used 2 times a week.

Ovestin is also taken if a tumor is suspected. For vaginal bleeding of unknown etiology, diabetes mellitus, epilepsy, endometriosis and pregnancy, taking the drug is not recommended. Overdose entails side effects: nausea, headache, jaundice, skin rash. If necessary, consult your doctor.

Traditional methods of treatment

Medicines for urinary incontinence in the stress type of pathology are aimed at reducing the tone of the bladder. The following drugs have the necessary therapeutic effect:

• Antidepressants (Duloxetine or Cymbalta). Such drugs increase the tone of the sphincter and at the same time relax the tone of the smooth muscle fibers of the bladder. The therapeutic effect is achieved two hours after administration. The use of tablets must be strictly justified; there are contraindications and side effects. Abrupt withdrawal of the drug is not permissible due to severe withdrawal syndrome.
• Adrenomimetics help strengthen the tone of the urethral sphincter by increasing the tone of the sympathetic system.
• Hormone therapy is prescribed to women over 50 years of age. Normalizing the content of progesterone and estrogen in the blood helps to normalize the lost function of the genitourinary muscles.

Herbal treatment methods show high effectiveness in the initial stage of pathology; in the case of an advanced process, they improve the effect of prescribed medications and speed up recovery. To treat urinary incontinence in women, medicinal plant materials are used in the form of decoctions (teas).

General principles for preparing a remedy for the treatment of incontinence: for a tablespoon of dry crushed raw materials you will need a glass of boiled water, pour in, infuse, strain and drink.

Herbs that help overcome urinary incontinence are listed below.

• Dill seeds. Consume a glass of dill daily in 1 dose, a course until the problem is completely eliminated.
• A decoction of corn silks is used instead of tea; adding a spoonful of honey improves the healing properties.
• Use yarrow in a course of up to 30 days, a glass a day, divided into 2-3 doses (according to convenience).
• Drink freshly squeezed carrot juice (a glass a day) until complete recovery.
• Use sage as tea, drink no more than 3 glasses a day, in courses of 20 days every other week or constantly.
• Rosehip decoction, 2 cups a day, optionally with the addition of honey.

Advice! When treating with the gifts of nature, follow the simple rules of herbal treatment: take daily, preferably at the same time, prepare the decoction fresh (can be stored for up to a day in the refrigerator). If you have the slightest allergic reaction, stop taking the drug; it is better to choose a medicinal plant together with your doctor; contraindications are possible.

Urinary incontinence in women is a serious disease that affects the quality of life. Lack of treatment leads to worsening of the pathology. At the first symptoms of incontinence, you should contact a urologist or gynecologist. The doctor will select treatment. Taking tablets for urinary incontinence in women is prescribed in a course of three months.

Reviews from forums: Ovestin cream, suppositories and tablets

According to reviews from women, the cream copes well with dryness, burning, hot flashes, itching, and incontinence. With proper dosing, the cream lasts for a long time. If you need a small amount of the drug, then you should pay attention to suppositories. In any case, this remedy is beneficial.

Most people are unreasonably afraid of hormonal drugs. However, Ovestin is a safe drug. Many women have become convinced of this and give their preference to Ovestin. They also noted the convenience of using candles, which are no less effective in dealing with discomfort and unpleasant symptoms.

Sources:

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Drug interactions

Interactions between Ovestin and other drugs have not been observed in clinical practice.

It is possible to enhance the metabolism of estrogens when used in combination with compounds that induce enzymes involved in the metabolism of drugs. These include antimicrobial and anticonvulsants.

Nelfinavir and ritonavir exhibit inducing properties when used with steroid hormones.

Herbal remedies that contain St. John's wort can induce estrogen metabolism.

Increased metabolism of estrogens may reduce their clinical effect.

The effectiveness of lipid-lowering drugs is enhanced by estriol.

Weakens the effect of male sex hormones, antihypertensive, diuretic, antidepressants, anticoagulants, hypoglycemic drugs.

Medicines used for general anesthesia, anxiolytics, opioid analgesics, ethanol, certain antihypertensives reduce the effectiveness of the drug.

The effects of estriol are enhanced by drugs targeting the thyroid gland and folic acid.