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[Maryjane]

tc I am not sure if you are in my FB group ? Seem to think you are fit sime reason.

Anyway if you are we have a lovely GP dr Reneee who has joined the group, she obviously can't discuss one-one problems at all ever, but she is the one who a) gives this type of updated hot off the press info b) when ladies are being told absolute nonsense re HRT she says waht the guidelines are etc.

She is an accredited menopause specialist.

I will also do a separate post re laser treatment as she has an update re how that's going on a trial on the NHS.

[Perinowpost]

Maryjane is the laser treatment the same as the Mona Lisa Touch?x

[Maryjane]

Perino yes this is the MLT one ( I have had it ) I don't k ow anything about any of the other lasers.

But it's MLT that is be trialled on the NHS ATM. I have to find the tweet so I can write it word for word. 😊

[Katejo]

This was on twitter on Dr Renees account re vagifem ( local oestrogen).

British Menopause Society Women's Health Update 27th March 2019. Management of urogenital atrophy Professor Linda Cordozo, Professor is urogynacology & consultant gynaecologist, King's College London.


This is what was said


The licensed dose for vagifem ( and be default other vaginal oestrogens ) is too low. In order to work and keep vaginal atrophy at bay we can safely instruct use every other day, not twice a week. ( even 5 Xs a week is acceptable dose ).

Discussion carried on, someone asking why not 7 a week , & the answer was the BMS/ RCGP there is always an element of erring on the side of caution.

So basically if you need it 7'xs a week which many do, well the amount extra is like a grain of salt on your roast. This is IMO not tweeted, although lots of ladies in my VA group use it daily anyway. 😊

I referred to this in my urogynaecologist appt this morning. Will add more later when I get to work. The consultant also had a nurse (mature lady probably in her 60's) there. Both were happy to agree that it is fine to use them 5-7 times a week so I asked for this to be included in  the follow up letter to my GP so that I don't have future supply problems. I mentioned that I have tried to reduce it to alternate days but sometimes need it daily. The nurse commented on the fact that the dose is tiny and that using them for a year is only the equivalent of 1 systemic HRT tablet. They also both agreed that it is ok to use vagifem if you are also using a systemic HRT. I have a meno clinic appointment very soon with a doctor whom they both know.

[Tc]

Hiya ladies  I wondered if anyone would be able to answer my question.
I have VA and bladder issues. My doc referred me for womens physio but should she also have referred to a urogynacologist.
I guess I'm asking where is the best place for these issues. My gynae is clueless about treating VA and I've struggled to get the right treatment. Shes also not clued up on HRT either. So I was thinking about asking to go to meno clinic. Is that a good place for VA too or would urogynacologist be the way to go. Especially as I have quite severe bladder issues.
Thank you for any advice/experiences shared
Xxx

[Meadowblue]

Thank you MaryJane for this news.  It is so reassuring to know we can use it more often.  I have been using every other day for a little while and feel so much better for it.  You'd have thought though that when the doseage per tablet was reduced from 25 mcg to 10 mcg it would have been common sense to change the guidelines for useage but obviously not!

[Tc]

Maryjane I'm not on the FB group. But I'm going to join. Thank you so .uch for the info.x

[Katejo]

Hiya ladies  I wondered if anyone would be able to answer my question.
I have VA and bladder issues. My doc referred me for womens physio but should she also have referred to a urogynacologist.
I guess I'm asking where is the best place for these issues. My gynae is clueless about treating VA and I've struggled to get the right treatment. Shes also not clued up on HRT either. So I was thinking about asking to go to meno clinic. Is that a good place for VA too or would urogynacologist be the way to go. Especially as I have quite severe bladder issues.
Thank you for any advice/experiences shared
Xxx

I think you might benefit from a urogynaecologist. The one who saw me wrote her PhD thesis on bladder problems (particularly frequent urination and UTI's caused by bacteria embedded in the bladder, VA and  the unreliability of urine tests).

[Tc]

Thanks katejox

[Hurdity]

Thanks huridty, I've copied and pasted it to my notes and will show it to my drs next week, so fingers cross I can use it more. Don't know you Facebook page so unable to see more details.
Thanks again

It's Maryjane to thank and who has the FB page and does all the fantastic VA stuff everywhere! Good luck with doc!

Hurdity x

[Hurdity]

Hurdity I have a picture on my FB page of a slide that was put up by DR Reneee who was at the lecture.

I have no idea how to post a picture here. Or as you are on twitter go to Dr Renees tweets & you will see the discussion there & slide. 😊

Thanks Maryjane - have a lot on at the mo' but will have a look on your group!! It always helps to have concrete info doesn't it even though everyone knows that women are individual and for some 10 mcg twice a week will be enough and for others not?

Hurdity x

[CLKD]

Tc - read our various Vaginal Atrophy threads too.  Make notes  .  Fortunately my GP  was on the ball and noticed my symptoms were dryness.

[Tc]

👍

[CLKD]

Oh a thumbs up sign, where'd you get that from 

[Tc]

Clkd  it is small isnt it. Hope you didnt mistake it for a rude gesture!! It's in my phone emojis 🌷