Ian Taras MD - Boutique Gynecologist 818GYN

70% of what I do is listen!

TLC: Tradition of Listening & Caring is not just another phrase but is the key to helping you.

Taking extra time with patients inside the office as well as continuing medical education outside the office keep me fresh and “new & improved.” There is surgery, surgery alternatives and surgical advancements that I continue to stay abreast on but also its keeping my ear to the ground on what pharma has to offer that is patient-focused. Elon Musk famously opened up all the patents for Tesla Motors so that the world would benefit. I also want you to benefit from these “secrets” so here are links to some of the newest medications out there. I will continue to update as newer medications on-board so that even if you are not seeing me as your doctor you can read and ask your provider about them.

  1. Bacterial Vaginosis
    1. Solosec (secnidazole) only single dose ORAL antibiotic
    2. Ovaprene (Bioadhesive gel, clindamycin 2%)
    3. Nuvessa – (metronidazole vaginal gel 1.3%) only single dose VAGINAL antibiotic
  2. Depression
    1. Zulresso (brexanolone) for post partum depression
    2. Trintellix (vortioxetine)
  3. Endometriosis: Endometriosis is a condition in which the type of tissue that forms the lining of the uterus (the endometrium) is found outside the uterus and cause one or all 3 of dysmenorrhea (pain with your period), NMPP-Non Menstrual Pelvic Pain (pelvic pain between your periods) or deep dyspareunia (deep pelvic pain with sex).
    1. Orilissa (elagolix)
  4. Fibroids  For heavy periods due to uterine fibroids in premenopausal women.
    1. Oriahnn (elagolix/estradiol/norethindrone acetate)
    2. Myfembree (relugolix/estradiol/norethindrone)
  5. HSDD (Hypoactive Sexual Desire Disorder) also known as low libido
    1. Addyi (filbanserin)
    2. Vyleesi (bremelanotide)
    3. Ristela
    4. Testosterone
  6. IBS-C (Irritable Bowel Syndrome-Constipation) or CIC-Chronic Idiopathic Constipation
    1. Linzess (linaclotide)
    2. Trulance (plecanatide)
    3. Motegrity (prucalopride)
  7. Influenza
    1. Xofluza (baloxavir) only single dose oral anti-viral for influenza
  8. Insomnia
    1. Dayvigo (lemborexant)
    2. Belsomra (suvorexant)
  9. Migraine Headaches
    1. Nurtec (rimegepant)
    2. Ubrelvy (ubrogepant)
    3. Qulipta (atogepant)
    4. Sepranolone
  10. Obesity
    1. Plenity
    2. Wegovy (semaglutide)
    3. Saxenda (semaglutide)
  11. PMDD-PreMenstrual Dysphoric Disorder also known as PMS-PreMenstrual Syndrome
    1. New medications are in phase 3 trials but for now this is a good resource: International Association for Premenstrual Disorders
    2. Allopregnanolone
  12. RVVC-Recurrent VulvoVaginal Candidiasis (yeast infection)
    1. Brexafemme (ibrexafungerp)
    2. Oteseconazole
  13. VMS-VasoMotor Symptoms associated with menopause
    1. BiJuva bio-identical estradiol and bio-identical progesterone in a single daily oral capsule.
    2. NON-hormonal treatment-NK3 receptor antagonist fezolinetant
  14. VVA: VulvoVaginal Atrophy also known as a subset of GSM: Genitourinary Syndrome of Menopause has to do with menopausal vaginal dryness as well as superficial pain with sexual intercourse.
    1. Osphena (ospemifene)
    2. Intrarosa (Prasterone/DHEA)
    3. Imvexxy (estradiol)
    4. Revaree (Hyaluronic acid)
    5. Vagifem (estradiol)
  15. Woman-controlled, birth control pregnancy prevention
    1. Phexxi Woman-controlled, vaginal on-demand method of birth control pregnancy prevention
    2. Twirla (levonorgestrel/ethinyl estradiol) is a weekly hormonal birth control patch for women
    3. Annovera (segesterone acetate/ethinyl estradiol) a procedure-free birth control ring that lasts for a whole year.
    4. Nextstellis (drospirenone/estetrol)
    5. Xulane (norelgestromin/ethinyl estradiol)