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[Jules]

No Jules, there is no danger from nightly use of Ovestin. You can use the pessaries and the cream every night if that's what it takes. (Many women are underdosed when it comes to local oestrogen.)
JP x

Okay thanks. The 3 or 4 times weekly vagifem seems fine but the external problem will take more treatment and time. Twice weekly is useless.  My friends doctor told her she didn't need anything internally - he told her that over the phone!

[CLKD]

Jules - each 1 of us is different so requires a personal treatment atrophy plan.

[sfreesto]

Tinkerbell,

I too have started with this at 48. Have you been able to identify the triggers for your flares? Do you think it’s something specific or did to hormones being all over the place in peri? Xx

[Jules]

Jules - each 1 of us is different so requires a personal treatment atrophy plan.

I know,  I just worry about how much is getting in my system

[CLKD]

Jules - U R over thinking.  Why the worry?  I had breast treatment in the 1990s and have never been concerned about HRT  - something may well trigger the disease however, quality of life and living in the now take precedence. 

[Jules]

Jules - U R over thinking.  Why the worry?  I had breast treatment in the 1990s and have never been concerned about HRT  - something may well trigger the disease however, quality of life and living in the now take precedence.

Because I'm basically using more than advised. I'd be the same about anything, vitamin supplements or alcohol

[CLKD]

'more than is advised'  .  I don't think that too much can be inserted into the vagina to ease symptoms as well as smeared round the vulval area.  Once treatment begins to work and symptoms ease, the amount can be reduced.  The vagina cleanses itself once dryness is settled.

[Jules]

'more than is advised'  .  I don't think that too much can be inserted into the vagina to ease symptoms as well as smeared round the vulval area.  Once treatment begins to work and symptoms ease, the amount can be reduced.  The vagina cleanses itself once dryness is settled.

We're all different.  Though I use experience from others, I don't totally ignore those who are medically qualified either.

[Penguin]

Jules - U R over thinking.  Why the worry?  I had breast treatment in the 1990s and have never been concerned about HRT  - something may well trigger the disease however, quality of life and living in the now take precedence.

Because I'm basically using more than advised. I'd be the same about anything, vitamin supplements or alcohol

Jules, my GP (and a different meno specialist also a GP) said that a year's supply of vagifem is equivalent to one day's dose of systemic hrt. It doesn't make sense to me why they limit vaginal hrt if that is correct. I didn't think to ask them why at the time, but am wishing I did given what I read on here about prescribed doses being insufficient.

[CLKD]

As well as 'those medically qualified' often no nowt about appropriate vaginal atrophy treatment. 

[Jules]

As well as 'those medically qualified' often no nowt about appropriate vaginal atrophy treatment.

I don't think it's appropriate to quote someone in that way.  A normal reply is sufficient.  Are you medically trained?

[CLKD]

I probably have more knowledge about vaginal atrophy as will many members here, than GPs, Nurses, Consultants and sometimes menopause specialists - Dr Newson is trying to get the leaflet altered which is inserted in boxes of VA treatment to give more clarification to prescribing practitioners and users.  I am a medical secretary with a history of breast disease in the 1990s and my VA was treated promptly by my GP, without examination or blood tests.  He prescribes HRT on symptoms.

[Jules]

I probably have more knowledge about vaginal atrophy as will many members here, than GPs, Nurses, Consultants and sometimes menopause specialists - Dr Newson is trying to get the leaflet altered which is inserted in boxes of VA treatment to give more clarification to prescribing practitioners and users.  I am a medical secretary with a history of breast disease in the 1990s and my VA was treated promptly by my GP, without examination or blood tests.  He prescribes HRT on symptoms.

I will still take note of my GP, he's a good one. I worked with psychologists. Doesn't mean I'm a psychologist myself. I appreciate your input. It feels patronising or sarcastic though when you keep quoting parts of what I say. This forum is for us to air our concerns and experiences. We should expect reasonable replies.

[CLKD]

Jules : do read the thread back as I think that you have targeted the wrong person ?  in that I never 'quote' any1.  All members give reasonable replies.  I never see sarcasm on the Forum.

[Jules]

Jules : do read the thread back as I think that you have targeted the wrong person ?  in that I never 'quote' any1.  All members give reasonable replies.  I never see sarcasm on the Forum.

Twice you've done it. Perhaps you're not aware. Just replying normally to the point is all that's needed.