How does vaginal oestrogen work?
Vaginal oestrogen restores oestrogen levels in the vaginal tissues, improving moisture, thickness, and flexibility while reducing irritation and discomfort.
What is vaginal oestrogen used to treat?
Vaginal oestrogen is commonly prescribed for:
- Vaginal dryness and discomfort (due to menopause or low oestrogen levels)
- Pain during sex (dyspareunia)
- Recurrent urinary tract infections (UTIs) (caused by vaginal atrophy)
- Vaginal irritation and itching
Who can use vaginal oestrogen?
Vaginal oestrogen is suitable for most postmenopausal women and others experiencing vaginal symptoms due to low oestrogen levels.
Who might not be able to use vaginal oestrogen?
Vaginal oestrogen may not be suitable if you:
- Have a history of breast cancer or hormone-sensitive cancers
- Have unexplained vaginal bleeding
- Have a history of blood clots (deep vein thrombosis or pulmonary embolism)
- Have severe liver disease
Can I use vaginal oestrogen if I’m pregnant or breastfeeding?
Vaginal oestrogen isn’t usually recommended during pregnancy or breastfeeding. Speak to your doctor if you need treatment for vaginal symptoms during this time.
What if I miss a dose?
If you forget a dose, apply it as soon as you remember. If it’s close to your next dose, skip the missed one—do not apply extra to make up for it.
How effective is vaginal oestrogen?
Vaginal oestrogen is highly effective at relieving vaginal dryness, discomfort, and urinary symptoms when used consistently.
What should I do if I use too much?
Using too much vaginal oestrogen may cause irritation or discharge. If symptoms persist, seek medical advice.
What dose of vaginal oestrogen is usually taken?
- For vaginal dryness and irritation: Applied once daily for 2 to 3 weeks, then reduced to twice weekly
Your doctor will determine the correct dose based on your symptoms.
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What are the side effects of vaginal oestrogen?
Common side effects include:
- Vaginal irritation or itching
- Increased vaginal discharge
- Breast tenderness
Serious side effects, such as unusual vaginal bleeding or severe pelvic pain, require urgent medical attention.
How should I apply vaginal oestrogen?
Vaginal oestrogen is available as pessaries, creams, vaginal rings, and tablets. Follow these steps for proper use:
- Wash your hands before and after applying.
- Insert the cream, tablet, or pessary into the vagina as instructed.
- If using a vaginal ring, follow the instructions on placement and replacement.
When should vaginal oestrogen be used?
Vaginal oestrogen should be used at the same time each day, following your doctor’s instructions.
What are the brand names for vaginal oestrogen?
Vaginal oestrogen is available as a generic medicine, but some branded versions include:
- Vagifem (tablets)
- Ovestin (cream)
- Estring (vaginal ring)
Final thoughts
Vaginal oestrogen is an effective treatment for vaginal dryness, discomfort, and urinary symptoms, but it should be used exactly as prescribed. If symptoms persist or side effects occur, speak to your doctor or pharmacist.
