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[Ffsnotagain]

Hi all, first post and hoping for some insight from others with VA. First symptoms I realise now were 5/6 years ago, finally got a diagnosis in 2020, prescribed vagifem & used yes VM, got into a routine and all fine. So fine in fact I got a bit lax with my routine, only used occasionally over last 12 months

2 months ago i started to get what feels like a UTI with a dull ache in bladder area, urinating more and now in last 3 weeks external itching how routined. Have a basically ruined 3 years worth of effort with vagifem?

[CLKD]

Many of us do the same  .  Get some treatment up there now and again this evening, take some pain relief to ease the nip as the urine flow shuts off.  Then use again tomorrow morning and evening, then into at least 3 weeks every night.

[Ffsnotagain]

Thanks CLKD

I’m so cross with myself for getting lax with it!

At first I thought I had a UTI but then the itching started

[Jules]

I've started with the same. I got some steroid cream from my GP which has helped plus increasing my topical estrogen and using moisturiser and getting some air to the area!!

[Ayesha]

You have obviously been doing well to only need it occasionally but age is catching up with you and your body is telling you you need more treatment and on a constant basis. Its for life, might as well get yourself into a routine because it will come back to bite if you let it.

[Ffsnotagain]

Thank you - yes I keep forgetting that I’m 4 years older & even with systemic HRT my oestrogen levels are lower

[Ffsnotagain]

I like the idea of getting air to it

[CLKD]

Of skinny dipping then ?   

[Jules]

I think that is my issue Ayesha.  My dosage wasn't enough as I aged. Is there a point when you just can't keep on top of it due to age?

[CLKD]

Age shouldn't make any difference if a regime already works because the vaginal walls will be plumped up.  Important to keep up with treatment. 

[Ayesha]

Its the treatment that keeps the tissues healthy, I can't see how the aging process would make a difference as long as treatment is continued.
It reverses the aging process, magical really!

[CLKD]

Certainly that's how my vagina has improved: the rest of me toddles on, vagina with regular TLC >tick<. 

[Jules]

Well my regime was working but is now no longer enough so obviously the aging process does have an effect and you have to adjust your regime accordingly. I had 2 vagifem a week only which was fine, then I needed it alternate nights then I needed ovestin nightly and now that isnt enough.  If it's a deteriorating condition, its possible that the rate of deterioration increases with age just as it does on your face. I am concerned that increasing my treatment will cause side effects again and I will be told to take a break and sent packing to the scan lady and the hysteroscopy place! But Im using both nightly and an extra dose of estriol externally in the morning to try to plump up as you say and hopefull I can then drop a bit. I wish mine was under control as yours seems to be. Sorry to hijack the lady's query

[Ffsnotagain]

Not feeling hi jacked at all Jules just sorry you’re having so much trouble as well xx

[CLKD]

Occasionally Jules 1 needs to add extra treatment for 5 days, mayB twice .  When I get niggling symptoms I add an extra 'ovestin' internally, plus pain relief then continue  for 3-5 nights.  Smearing product on the outer labia/vulval areas.  And KY Jelly B4  -;).  VA treatment shouldn't cause 'side effects' to require investigations unless it's heavy bleeding or cramping.