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Author Topic: VA, Post Meno bleeding on HRT  (Read 2357 times)

Wren

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VA, Post Meno bleeding on HRT
« on: December 18, 2022, 04:36:23 PM »

New member grateful to have found this site.
I had urinary urgency and frequency for a few years but didn’t think much of it until started with VA (self-diagnosed).  I had it prior to then but didn’t realise till I had an awful flare up of vulval burning and soreness which initially included clitoral throbbing and went to GP.  I got swabbed, given antibiotics and sent on my way.  I couldn’t walk or sleep.  This was 3 years ago.
After tearful lockdown telephone conversations to the surgery and told to use emolient and use Steroid cream I finally got a referral to a dermatologist who prescribed Amitriptyline and Dermol 500 to wash.  I still use the Dermol 500 to wipe and wash but gave up the Amitriptyline after 2 years or so – no use.  After googling, I asked for, and used, Ovestin internally - didn’t know it could be used externally.  Last year I asked for HRT, Estraderm 50 and Progesterone 100.  I had asked for it 2/3 years prior due to muscle aches/spasms and having had an early menopause 15 years ago and diagnosed with Osteopenia at that time (fell and broke wrist) but they said they didn’t prescribe HRT for those reasons.  Even though it was still up to me, as they didn’t seem supportive, I came away to think about it.  Last year I also asked to see a Womens Health Physio after reading Me & My Meno Vagina.  It came through as a Gynae appointment.  He prescribed steroid cream as thin skin was exposing the nerves and the aim was to thicken the skin.  I was sore and burning throughout . On follow up I saw a locum who I told I was stopping using the cream, after 3 months it didn’t work and when I asked why I was using it he said lichen sclerosus.  He didn’t examine me and the previous gynae never said that.  I told my new GP (I changed surgeries to see if they were better informed!) I don’t believe I have that and she said there is no sign of it.
After 9 months I was bleeding and told to stop systemic and local.  I had a polyp removed, hysteroscopy.  I re-started HRT and Ovestin.  I found this site and armed with knowledge, asked for Vagifem.  I was using Vagirux internally x 2 p/w, after the load, but increased to x 5 p/w (against GP advice of x2) and Ovestin daily + systemic HRT.  The GP doesn’t seem to have knowledge of VA – she says I have no sign (externally) and other ladies are better straight away on vagirux and until my mood improves I aren’t going to get better.  The gynae said I don’t need vagirux if I’m on systemic.  I quoted NICE guidelines and when he wrote to GP he had acknowledged that he agreed with me using Vagirux.   Then the GP said I didn’t need Ovestin externally if I was using Vagirux but fortunately she has prescribed them.  The gynae did refer me to a Meno Specialist (previously a gynae who occupies a new post of Meno Specialist and set up private clinic in the area) and I have had one telephone call from her and get a follow up in a year.  She also said only use Vagirux twice a week.  I didn’t argue – I despair!   I don’t know where I’d be without this site.  Thank you all.  Sorry for the ‘essay’, I know it’s a familiar story to you all.  I wanted to provide a background as this is the only place I trust the advice and need to post a question in the Post Menopause section as I have now been told to stop everything again, systemic and local whilst I wait for results of an Ultrasound after spotting then light bleed after 6 months back on HRT.
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Flossieteacake

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Re: VA, Post Meno bleeding on HRT
« Reply #1 on: December 18, 2022, 04:42:46 PM »

Hello Wren and welcome to the forum.

What a stressful situation this is for you. You have done so well to do your own research and you clearly know all about VA. It is infuriating you have had such a battle to get treatment and come across such unsupportive GPs.
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CLKD

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Re: VA, Post Meno bleeding on HRT
« Reply #2 on: December 18, 2022, 06:08:07 PM »

OK - so an ex-gynaecologist who doesn't seem up2date with VA treatment, how much did that cost I wonder !  Did she take on the position so that she could call herself a 'Meno Specialist' and get paid for not keeping up to date: cynic? Moi?

I wouldn't go back but ask for an NHS Menopause Clinic [see my reply in your other thread]. 
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Wren

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Re: VA, Post Meno bleeding on HRT
« Reply #3 on: December 18, 2022, 06:46:32 PM »

I'm afraid I was being the cynic CLKD!
She is an NHS Meno Specialist at our Trust.  We didn't have one and then suddenly do so I googled her and there was only info on her gynae background, no menopause interest mentioned. She has a private menopause clinic and website - which look new to me...
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Wren

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Re: VA, Post Meno bleeding on HRT
« Reply #4 on: December 18, 2022, 06:49:31 PM »

Thank you for your responses Flossietecake and CLKD.  Very much appreciated.
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CLKD

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Re: VA, Post Meno bleeding on HRT
« Reply #5 on: December 18, 2022, 06:59:42 PM »

How does that work ?  She can't call herself a 'specialist' without having done appropriate Courses surely?   :-\
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Wren

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Re: VA, Post Meno bleeding on HRT
« Reply #6 on: December 18, 2022, 07:26:18 PM »

Sorry CLKD, I meant no mention of interest in menopause until they actually do the training, or whatever, and become a menopause specialist.  I am not saying she isn't a trained menopause specialist.  She is obviously new to the post though. She has told me, via a telephone appointment, to lower use of Vagirux from x5 per week to the licensed x2 even though I'd increased from x2 because it wasn't working for me.  (I also had issues with her talking about my Estraderm patch dosage but I won't go off on another tangent at the moment - too much at once!) This without seeing me or having background knowledge of past treatment.  The letter from her to my GP said something like she could keep the increase in Vagirux dosage as an option for later if needed!  I'll update the Post Menopause section with future posts or it'll get confusing.  Thank you so much CLKD though.  I have read your past comments on most gynaes not knowing about hormones and totally agree following my experience.
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CLKD

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Re: VA, Post Meno bleeding on HRT
« Reply #7 on: December 18, 2022, 08:33:30 PM »

I would ask for 'vagifem' which can be used every night if required, as well as an extra dose when necessary.  'vagirux' I think is quite a new medication?

'later if needed' - that's a cop out. Sorry. 
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Ayesha

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Re: VA, Post Meno bleeding on HRT
« Reply #8 on: December 18, 2022, 10:34:38 PM »

Just to point out Vagirux and Vagifem are the same. The only difference is the cost, Vagirux being cheaper.
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