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[Trufflecat]

They are oral tablets, but they are a capsule rather than a tablet and seem to 'melt' ok.

[SueLW]

I'm talking about utrogestan. They are oral tablets as far as I know. I have seen a different sort that are especially for the vagina. Do oral tablets dissolve easily in the vagina? Some say you can insert them this way but would haver thought they need to be in a different format

Yes, those small round capsules are oil based and dissolve in the warm damp space of the vagina.  I believe the pessaries are stronger dosage and are designed for use in infertility treatment.  My private hormone doctor was very happy for me to use the oral caps vaginally.  It's common on the continent and is licensed for this particular use there.  It's just for some reason the UK hasn't caught up with the license for it.

[Hurdity]

I'm talking about utrogestan. They are oral tablets as far as I know. I have seen a different sort that are especially for the vagina. Do oral tablets dissolve easily in the vagina? Some say you can insert them this way but would haver thought they need to be in a different format

They are exactly the same tabs exactly the same formulation designed for oral or vaginal use. The Utrogestan 200mg for vaginal use (available in UK) is the same as used to be available for HRT. Now we only have the 100 mg for HRT and the leaflet has been re-written for the UK market.

If you check the French website ( their equivalent of eMC) you can read the SPC for 200 mg here: http://base-donnees-publique.medicaments.gouv.fr/affichageDoc.php'specid=63157698&typedoc=R

and for 100 mg here:
http://base-donnees-publique.medicaments.gouv.fr/affichageDoc.php'specid=61673424&typedoc=R


The 100 mg are described as "UTROGESTAN 100 mg, capsule molle orale ou vaginale"

ie soft capsule for oral or vaginal use

Vaginal use is given as an alternative where there are side effects from oral use such as sleepiness or dizziness.

Those pesky 100 mg balls are a right pain to insert though because they are so tiny and they sometimes escape while I'm trying to poke 'em up!

If you would prefer the 200 mg ones then ask your doc for them but you might encounter resistance since many lack the knowledge.....

You can also get specific progesterone pessaries but these can't be used orally - Cyclogest - waxy pessaries - eadsier to insert but not licensed for HRT.

Hurdity x

[RubyLove]

I asked my GP why I could not have a progesterone made for vaginal use (pessary) that would come with an applicator. The idea of shoving it up with my finger did not delight and Vagifem is so easy to use with its applicator. As Hurdity mentions, there's Utrogestan 200mg https://www.medicines.org.uk/emc/product/3244 and Cyclogest 200mg https://www.medicines.org.uk/emc/product/5568 and I also found Lutigest 100mg. ALL are made to be taken vaginally. They are not licensed for use in HRT, however, they are the same as the Utrogestan we take orally or off licence, vaginally. My GP said I had a reasonable question and when she tried to prescribe one of them for me, it came up on her computer as RED- cannot be prescribed by a GP. They have to be prescribed by a gynaecologist. She is going to raise this at the next BMS menopause training for GPs in Aeptember, which Dr Currie runs. I would be interested to know if anyone who sees a gynaecologist and already uses Utrogestan vaginally asks for one of these pessaries and gets it.