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[Orba]

Hi. I've been using Vagifem twice weekly for years,, including doing a reload dose about a year ago when I suffered a recurrent UTI.
Recently I'm finding it irritates the day after use, my vaginal canal feels sore ( a bit like when a cannestin pessary for thrush is used )
I've done lots of reading up on Blissel and as it's a weaker oestrogen I'm thinking of giving it a go.
Just wondering if anyone made a switch to this and if it helped ?
I did try Ovestin cream but that also irritated.
Maybe my skin is getting thinner so the oestrogen in vagifem is too strong - I'm not sure
Thanks for reading.
I was going to try ask my GP but tbh the ladies on here are more informed !

[Joaniepat]

It sounds to me as though you need more oestrogen vaginally rather than less. Two Vagifem a week is not much, many women use more than that and some need it daily. There used to be a 25mcg version of Vagifem and the maintenance dose of that was twice weekly = 50mcg per week as opposed to the 20mcg you've been using. You could try a reload and then reduce cautiously to whatever level keeps you comfortable. I'm not saying Blissel isn't worth a try though, I've no experience of it. Good luck whatever you decide.
JP x

[CLKD]

I agree with Joaniepat.  Get the product into the vagina every night for 2-3 weeks. Initially not too deeply until the soreness improves.  It may be that with the 'ovestin' your vagina was too dry.  Let us know how you get on.

[Orba]

Hi, I did consider that as well but I'm finding I get urinary frequency a day after insertion as well so my dilemma was if it's the vagifem causing it then do I want to use more but, it could be as you say and I need more especially for the bladder.
All I could do I suppose is up the use first and see what happens. Thanks for your input. It's an ongoing battle this menopause lark !!!

[Orba]

Thanks CLKD our replies crossed !

[CLKD]

Great minds etc.. 

[Orba]

Just a general ask - how often can a reload be done as in at what intervals ?  Or is it not that scientific !!!

[Joaniepat]

Can't really give a straightforward answer to this, because having to do a reload implies to me that the product is not used frequently enough to give an adequate maintenence dose. I would suggest using the product daily for a couple of weeks then reduce to 6 for a week or two. If still comfortable you can try reducing to 5, then 4. If symptoms return, go back to the dose that worked.
JP x

[CLKD]

When ever necessary.  As Joaniepat suggests, if a reload is necessary then the symptoms aren't settled.  When I get lazy I can feel symptoms niggling in my belly button region. 

Let us know how you get on.