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[Hopeful2]

Hi ladies

Is it ever possible to manage atrophy & soreness with systemic HRT alone?

[Flossieteacake]

I think some members seem to be okay with using systemic HRT for their VA but perhaps not if the VA is severe. I know it is not enough for me and I need Ovestin.

I understand you are reacting each time you try localised oestrogen.

[Kathleen]

Hello Hopeful2


I am on systemic HRT and I don't need anything for atrophy. I am post meno by a long way and my regime is one 1mcg sachet of Sandrena gel daily and half a 200 mcg Cyclogest pessary on alternate nights.
I did  notice vaginal dryness creeping in when I used a quarter of a sachet and also half a sachet.

The only time I used topical treatments was when I came off all HRT a few years ago. At that time I managed with moisturisers but I didn't need them when I resumed systemic treatment.

I hope this helps you and take care.

K.

[Hopeful2]

Thank you both for your kind replies.

[Dierdre]

I'm on local estrogens and a few years ago tried HRT patches hoping for an improvement as I was struggling with atrophy. I tried the patches for 6 months but to be honest I didn't get any more relief and as I didn't have any other meno symptoms I stopped using them. I upped my Vagifem and also started using Ovestin as well and that helped.
Some need both as systemic don't always do it.