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[Annie58]

Hi, it's been several years since I posted. My doctor (Women's Hub) has prescribed estriol pessaries and also the cream for exterior use for atrophy. Things got extremely painful a few weeks ago. The leaflet with the cream says use vaginally but she definitely said use this externally and the pessary obviously internally. Her guidance says apply to vulva area. I think the area needs to heal.  Has anyone else used the cream this way?

I previously was on HRT for 5 years until the GP stopped this when I was 60. A few weeks later I was diagnosed with DCIS and had a lumpectomy and radiotherapy. I am now 5 years clear of breast cancer and was using Replense and also tried Yes cream when Replense stopped helping.  My night sweats and hot flushes are improving a little so I didn't want to risk the oral HRT. 

If anyone has a similar experience I would love to hear from you. Thank you!

[CLKD]

Yep.  Using VA treatment internally with a smear around the labia/vulval area works for many of us.  I find KY Jelly helps too.  My regime is 'ovestin' inside with a smear where it is dry on the outer area when necessary.

It is a small amount so should not impact on any other health issues.  Quality of Life ;-)

[Dierdre]

Yes, i use estriol cream externally all around the vulva area every night and also  Vagifem pessary every night internally.

[Annie58]

Thank you so much, that's good to know.