HRT Preparations: Vaginal Treatments
Please note: Patients should consult a health professional to decide on the appropriate treatment option to be prescribed.
Local estrogen can be used for vaginal and bladder symptoms, when systemic treatment is not desired or appropriate. For some women, vaginal estrogen may be required along with systemic HRT.
|
ESTROGEN CREAMS |
|
| Gynest - Estriol - 0.01% cream. | |
| Ovestin - Estriol - 0.1% cream | |
ESTROGEN VAGINAL TABLET | |
| Vagifem 10--Estradiol 10mcg | |
| Vagirux 10-Estradiol 10mcg, reusable applicator | |
| ESTROGEN VAGINAL RING | |
| Estring--Estradiol --3 month's treatment | |
| ESTROGEN VAGINAL PESSARY | |
| Imvaggis-Estriol 0.03mg | |
| ESTROGEN VAGINAL GEL | |
| Blissel -- Estriol50 micrograms/g vaginal gel | |
| ORAL TREATMENT | |
| Senshio - Ospemifene 60mg daily | |
| NON HORMONAL VAGINAL TREATMENTS WHICH CAN BE PRESCRIBED | |
| Hyalofemme | |
| Regelle | |
| Replens MD | |
| Sylk | |
| Yes | |
| Yes | |
- Estrogen creams and tablets - initial dose is nightly for 2 weeks, followed by twice weekly applications for maintenance.
- Estrogen pessary and gel --nightly for 3 weeks then twice weekly.
- Vaginal ring should be replaced every 3 months.
- Replens – 1 application 3 times weekly in the morning.
- Sylk - use as required.
- Hyalofemme - once every 3 days.
VAGINAL LASER
Laser treatment applied to the vaginal wall is believed to increase vascularity and lead to rejuvenation of vaginal tissues. Limited data is available on effect and safety but preliminary data is encouraging. This treatment is not yet available in NHS clinics.
See this news article: Laser treatment helpful for genitourinary syndrome of menopause (GSM) (10 May 2021)