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[Turkish delight]

Hi team!

I'm off to my GP tmrw and just in case they don't have a clue on standard effective dose for vagifem for VA I want to know my oinions...wink!

So, what is the standard dose mg or dose you found works, and for how long/ many days etc?

I'm going to ask for SYLK or YES also for the outer bits of my bits. Any advice on the dose that works for you?
I know there are patient leaflets with these meds but quite often the word on the street by real users is different to what the literature says.

Any help would be golden.

Thanks girls.

TD

[JaneinPen]

Hi TD. I find Monday, Wednesday and Friday is okay for me but I know a lot of ladies use every other day after the two week load

[Turkish delight]

Thanks hun!

Are they always 10mg dose?

And is it ok to use Vagifem on the Utrogestan phase of my cycle? As I use those vaginally also.

TD

[Maryjane]

They are 10mcg no 10mg.

Every other night or more if needed. 😊

[Tc]

TD. It's a 2 week loading dose first which is every night.iim fairly new to it but I've done the loading dose and am now using it every other night but my doc doesnt know that.yet!!  Some docs are fine with more frequent than twice a week but mine is a bit of a stickler.

Have you seen maryjane thread about it?

I use estriol cream for the outside bits and alternate with "yes".

My GP  said yes products are not available here on prescription. It might be different where you are. I bought some from the well known high street chemists beginning with an S. I think you can get it online. I find the yes VM lovely to use.
Good luck. Let us know how you get on  xx

[CLKD]

MayB read our threads on vaginal atrophy [there's also a book written by a Member] 

Atrophy mimics urine infection-type symptoms really really well  i.e. the need to pee little and often.  Add dryness and soreness.  Simply ask for treatment, don't be put off by 'you're not old enough' or 'it's a urine infection' - Yes and Slyc are brought from the Companies I believe not by prescription 

[Annie0710]

I have to use Vagifem every morning otherwise I start getting UTIs x

[CLKD]

4 me it was like repeated urine infection-type symptoms  - like razor blades up there 

Ovestin1mg helps enormously, used every 3/4 nights through the week after a 2 week nightly load.  Sometimes I need Nurofen if the bladder feels irritated which it does sometimes after a dose [delivered by applicator].

Urine infections can only be diagnosed by a fresh sample being sent to a Lab., a dip stick in the Surgery doesn't tell much at all  but is often what 'they' go on ....... resist antibiotics ;-)


Let us know how you get on!

[Tinkerbell]

I have to use it every day, one of the good GP's at my surgery, think she has now left said she had no problem with her ladies being on 5X a week as that was equivalent to the dose before they changed them to 10mcg.

[CLKD]

It was 25 initially.

[Turkish delight]

Wowee thanks girls, such great answers. I have it all in my head now 

CLKD What you said re atrophy mimics UTI really hit home and came together for me. I am seeing Doc tmrw and will stand my ground.
I'm even going to bring in a fresh urine sample bcz although what I'm going to describe to her will sound like a UTI I'm 99.9 % sure it's not. I have my own 10 parameter dip strips, and have tested my pee this morning It's clear. I've only ever had 2 UTI's both last year a month apart caused by low estrogen.

Thought that SYLK is available on the NHS bcz it says that on their web page, have a looksee. Link under here

https://sylk.co.uk/article/health-professionals/

And "yes"

https://www.yesyesyes.org/blog/yes-vm-nhs/

TD

[Annie0710]

I got prescribed Sylk by Nhs then after that I bought my own x

[Tc]

TD. Have just taken  a screenshot of the info in that link to show my gp who said yes products are not on prescription. Thank you.
Have you seen maryjane's  post linking to her latest podcast on VA.?
If not. Give it  a listen.
Good luck with the appointment and let us know how you get on.xxxxx

[Turkish delight]

Thanks girls

Just going out the door.
How often do i apply yes vm? Cz need to get enough from gp ina mo.

Thanksy

TD

[Hurdity]

Probably too late for your appointment Turkish Delight but for anyone reading and who doesn't know - just to be correct re dose - there used to be TWO doses available - the 10 mcg and the 25 mcg so they did not reduce the dose as such - just discontinued the higher dose. The driver for this was to use the "lowest effective dose" and was based on a study that showed statistical significance for effectiveness at the lower dose for somewhere between 60 and 70 % of the participants in the trial (from memory!). This is of course nonsense because what happenes to the women for whom there was no significant effectiveness?  The study also showed that better results were obtained from te higher dose! This is recognised (that there are women for whom 10 mcg twice a week is insufficient) by knowledgeable GPs and docs and also in the NICE Guidelines which says the amount can be increased (with specialist input I think?). It's also nonsnese because the Estring which is still available and licensed delivers  7 mcg per day which is equivalnet o the old dose so the whole thing is absurd!

Good luck Turkish Delight!

Hurdity x