Understanding Poise Impressa and How It Works
Poise Impressa is not a medication or a pad; it is a non-absorbent, internal medical device available over-the-counter for the temporary management of Stress Urinary Incontinence (SUI) [1.4.2, 1.6.1]. SUI is bladder leakage that occurs during physical activities like coughing, sneezing, laughing, or exercising [1.6.2]. The device is inserted into the vagina much like a tampon and works by gently lifting and supporting the urethra, the tube through which urine passes [1.6.1, 1.6.2]. This added support helps to stop leaks before they happen [1.2.2].
Made with a flexible, soft core, Impressa is designed to fit comfortably and move with the body [1.2.2]. It is disposable and can be worn for up to 12 hours within a 24-hour period, though it should not be worn during menstruation [1.2.1, 1.5.5]. It is crucial to note that Impressa is only designed for SUI and is not intended for women who experience Urge Urinary Incontinence (a sudden, intense urge to urinate) or Mixed Incontinence [1.5.2].
Common and Temporary Side Effects
According to the manufacturer and clinical research, most side effects associated with Poise Impressa are mild and temporary, typically resolving within the first 14 days of use as the body adjusts [1.3.1, 1.4.2]. If these symptoms persist, it is recommended to stop using the product and consult a healthcare provider [1.3.1].
Potential mild side effects include:
- Mild Discomfort: Some users may feel the device, especially initially. Proper insertion and finding the right size are key to comfort, and any discomfort should fade with use [1.3.1, 1.5.6].
- Vaginal Soreness: Tenderness or soreness in the vaginal area can occur, particularly during the initial adjustment period [1.4.2].
- Small Blood Spots: Finding small spots of blood on the device after removal can happen, especially in the first few weeks of use [1.4.2].
- Increased Bladder Leakage: Paradoxically, some women may experience an increase in leakage. This could be a sign of improper fit or that the device is not suitable for their specific condition [1.4.2].
More Serious Potential Side Effects and User-Reported Issues
While the manufacturer highlights temporary issues, user reviews and FDA adverse event reports point to other potential concerns that can be more significant. It is important to consider these when evaluating the product.
- Urinary Tract Infections (UTIs): The presence of a foreign device in the vaginal area can potentially increase the risk of developing a UTI [1.4.2]. Symptoms include a burning sensation during urination or a frequent urge to urinate [1.5.2].
- Vaginal Infections: Similarly, the risk of vaginal infections (like yeast infections or bacterial vaginosis) may increase [1.4.2]. Symptoms can include itching, irritation, soreness, or a bad-smelling discharge [1.5.2].
- Pain and Bleeding: Some users have reported significant pain that led them to stop using the product, as well as bleeding upon removal [1.3.6]. One doctor suggested that the device's rigid design could cause tearing in the sensitive vaginal tissue of post-menopausal women who may have less natural lubrication [1.3.6, 1.5.1].
- Device Retention: The FDA's MAUDE (Manufacturer and User Facility Device Experience) database includes a report of a user who inadvertently retained the device for over a year, leading to infections and pain until it was discovered and removed by a doctor [1.3.3, 1.5.4].
- Sepsis: In rare and severe cases reported to the FDA, use of the product has been associated with hospitalization for sepsis and septic shock, which are life-threatening conditions [1.4.3].
The Risk of Toxic Shock Syndrome (TSS)
Toxic Shock Syndrome (TSS) is a rare but very serious disease caused by toxins from bacteria [1.8.3]. The risk is known to be associated with products worn in the vagina, such as tampons and contraceptive diaphragms [1.8.1, 1.8.2]. While this risk exists for many intravaginal products, the manufacturer of Poise Impressa states that an association between their bladder supports and TSS has not been established [1.3.1].
Who Should Not Use Poise Impressa?
There are specific contraindications for this product. You should NOT use Poise Impressa if you [1.5.2]:
- Are under the age of 21.
- Are pregnant, might become pregnant, or have given birth within the last 3 months.
- Have had unusual or unexpected vaginal bleeding in the last 6 months.
- Currently have a urinary tract or vaginal infection.
- Have had vaginal surgery within the past 3 months.
- Have been diagnosed with a severely dry (atrophic) vagina.
It is also recommended to consult a doctor before use if you have pain during intercourse, difficulty retaining a tampon (which could indicate pelvic organ prolapse), or other underlying health concerns [1.5.2].
Comparison of SUI Management Options
| Method | Type | How It Works | Key Considerations |
|---|---|---|---|
| Poise Impressa | Internal Support (Disposable) | Lifts and supports the urethra from inside the vagina to prevent leaks [1.6.1]. | Over-the-counter, must find the right size, can be worn up to 12 hours [1.2.1]. Potential side effects include discomfort, soreness, and risk of infection [1.4.2]. |
| Pads & Liners | External Absorption | Absorb urine after a leak occurs [1.7.1]. | Widely available, but can be bulky, cause skin irritation, and do not prevent leaks [1.6.2]. |
| Reusable Pessaries | Internal Support (Reusable) | A silicone device inserted into the vagina to support pelvic organs and/or the urethra [1.5.3]. Another brand, Revive, is reusable for up to 30 wears [1.7.2]. | Often requires fitting by a doctor [1.5.3]. Can be a long-term, cost-effective solution. Requires cleaning and maintenance. |
| Tampons | Internal Absorption/Support | While designed for menstruation, some studies and users note they can provide enough urethral support to reduce SUI leaks [1.7.4]. | Not designed or FDA-cleared for SUI. Absorbent nature may lead to dryness or irritation if used for incontinence alone. |
| Pelvic Floor Exercises | Physical Therapy | Strengthens the pelvic floor muscles to provide natural support to the urethra and bladder. | Non-invasive and can resolve the root cause. Requires consistency and proper technique, often guided by a physical therapist. |
| Surgery | Surgical Intervention | Procedures like a 'sling' are used to create permanent support for the urethra. | Most invasive option, reserved for more severe cases. Carries surgical risks but can be a permanent solution. |
Conclusion
Poise Impressa offers a unique, over-the-counter approach to managing Stress Urinary Incontinence by physically preventing leaks. For many, it can be a discreet and effective alternative to pads [1.2.1]. However, it is not a medication but a medical device with a specific mechanical function, and it is not without risks. While common side effects are often mild and temporary, users should be aware of the potential for more serious issues like infections, pain, and in very rare instances, life-threatening complications [1.4.2, 1.4.3]. Understanding the contraindications and consulting a healthcare provider, especially if you have pre-existing conditions or experience persistent side effects, is essential for safe use.
For more information from the manufacturer, you can visit the official product website: Poise® Impressa® Bladder Supports
