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Menopause Matters magazine ISSUE 81 out now. (Autumn issue, September 2025)

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Author Topic: Vaginal Atrophy - Again  (Read 15193 times)

Jules

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Re: Vaginal Atrophy - Again
« Reply #45 on: June 02, 2024, 09:15:58 PM »

Honey-moon cystitis  ::).  Not quite the same as it usually resolved itself.

4 me the importance of managing the symptoms is important as well as recognising when I require a 'boost'.  Plus using 'nurofen' when there is a nip as the urine flow shuts off.
I was referring to the UTIs that many women of all ages get with sex but was common on honeymoon in the days people refrained till after marriage.
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Bunny lady

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Re: Vaginal Atrophy - Again
« Reply #46 on: June 03, 2024, 06:35:56 PM »

The tests are an ultrasound of bladder and blood tests. Not sure what they’re looking for, possibly checking that ovaries and bladder are clear of anything ‘nasty’ or serious?? The whole of this started two years ago when I had some recurrent UTIs and eventually I found out about VA/GSM and local oestrogen! It’s been a journey - loading dose was great but then I started systemic and had a bleed so had to stop as they investigated and that lead to another return of symptoms and UTI.  Then had to reload - they changed HRT and that also had an impact. So many little things can change the balance. Speaking to my menopause specialist tomorrow and will see what she says. Have returned to daily internal ovestin (estriol) and now added it in externally too. May even ask about using it twice a day while in this flare up. Antibiotics have worked - all of the UTIs tested positive for leukocytes- so hoping I can get back on track. My worry is if the do a transvaginal ultrasound it’ll set off VA again and I don’t need that.
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Jules

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Re: Vaginal Atrophy - Again
« Reply #47 on: June 03, 2024, 11:05:16 PM »

I've had TV scan and hysteroscopy recently and worried about that. I took one of my ABs after the hysteroscopy.  The TV scan was very gentle. I think you'll be ok.  I'm paranoid about UTIs, I had such a bad run of them, hospitalised once because it wasn't diagnosed so I don't take any chances
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Bunny lady

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Re: Vaginal Atrophy - Again
« Reply #48 on: June 07, 2024, 06:08:22 PM »

Jules I don’t have any prophylactic ABs but my specialist has suggested Hiprex to help with recurrent UTIs to ensure all bacteria gone. Will continue with vaginal oestrogen just need to persuade GP to issue it for daily use.
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CLKD

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Re: Vaginal Atrophy - Again
« Reply #49 on: June 07, 2024, 07:08:09 PM »

There is of course good and bad bacteria.  VA treatment will help get rid of any urine infection-type symptoms.    When I get the need2P feelings I take 2 nurofen 3 times a day to ease the hip feelings as urine flow shuts off.
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Bunny lady

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Re: Vaginal Atrophy - Again
« Reply #50 on: June 07, 2024, 07:18:42 PM »

Thanks CLKD I’m just trying to learn how to live with this - been two years now and mostly ok it’s just when things flare up it feels like you’re back to square 1 but I know I’m not. Just trying to manage it so I can live the ‘best’ life possible despite VA
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CLKD

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Re: Vaginal Atrophy - Again
« Reply #51 on: June 07, 2024, 07:38:10 PM »

Use treatment every night if necessary. 
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Jules

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Re: Vaginal Atrophy - Again
« Reply #52 on: June 08, 2024, 12:47:46 PM »

Jules I don’t have any prophylactic ABs but my specialist has suggested Hiprex to help with recurrent UTIs to ensure all bacteria gone. Will continue with vaginal oestrogen just need to persuade GP to issue it for daily use.
I think I need it more often but last time I increased I got side effects.
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CLKD

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Re: Vaginal Atrophy - Again
« Reply #53 on: June 08, 2024, 02:48:28 PM »

Which may well happen - if I stop for a week then restart, I get bounce back symptoms for 24 hours; until the vagina soaks up what it requires.
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BermudaQueen

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Re: Vaginal Atrophy - Again
« Reply #54 on: June 10, 2024, 02:20:56 PM »

I know your pain, literally!  I've suffered from severe dryness for 3/4yrs now.

It was also causing cystitis, so ended up having an internal bladder scan just to make sure there was nothing sinister going on, all clear (apart from a fibroid pushing in to my bladder!).

The lovely Pratice Nurse said that being so dry can cause bladder issues, everything needs moisturising!  She prescribed 2 x week Vagifem pessary, which has helped 'puff me' up, if you get what I mean!  And the bladder issues have resolved.

But I don't find Vagifem brilliant, it works, but I still need something more, tried a few other vaginal moisturisers, but the best one I've discovered is the YES YES vaginal moisturiser - it's non sticky and is supposed to help your body moisturise when it needs it - it is well worth a try, it's the best so far I've found!
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Jules

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Re: Vaginal Atrophy - Again
« Reply #55 on: June 10, 2024, 02:29:32 PM »

Bermuda Queen, how do you use that? On days you don't use vagifem?
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CLKD

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Re: Vaginal Atrophy - Again
« Reply #56 on: June 10, 2024, 03:15:08 PM »

As mentioned in your thread BermudaQueen, U need to use the 'vagifem' every night!  2 simply doesn't help and some require 'ovestin' as well or a moisturiser every night.  'yes' or 'sylc' products get good Press on here ;-)


Your Nurse isn't keeping up!
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BermudaQueen

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Re: Vaginal Atrophy - Again
« Reply #57 on: June 10, 2024, 04:04:58 PM »

Well I am going with the prescribed dosage they gave me, one pessary 2 x a week!

I had a Hysteorscopy yesterday with biopsies for post-menopausal bleeding, waiting on the results now - my womb is now also 'atrophic' so once I get the results (fingers crossed no abnormal cells), I'll ask them to review my treatment.

But finding the YES products really helpful.
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Jules

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Re: Vaginal Atrophy - Again
« Reply #58 on: June 10, 2024, 06:13:19 PM »

Where do you buy Yes ftom? I use vagisil prohydrate but now wondering if I need to try something different
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Bunny lady

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Re: Vaginal Atrophy - Again
« Reply #59 on: June 10, 2024, 06:42:23 PM »

I’m looking for a good moisturiser- I use Vaseline to help with soreness and protection during the day. I’ve used Yes VM which can sometimes sting a little - depending on if I’m in a flare. Sudocrem also helps for healing. It’s a management thing!
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