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[Ayesha]

Such a positive outcome today from my first review with the GP at my new surgery, previously it was with the nurse. He mentioned the fact I am using treatment every day, did a gynaecologist recommend this, I replied yes my previous GP was a gynaecologist and she used it daily herself. I did mention I have tried to reduce but the symptoms quickly come back and its definite now I need daily treatment. 
I told him I don’t follow the NICE guidelines but the recommendations of the BSSM. He laughed and said I  know exactly what you mean and was happy for me to continue with daily treatment and he actually put my meds on a three monthly basis going forwards.
This is so positive coming from a very young male GP who understood everything I was saying regarding topical oestrogen and I hope this means that things will get better for women who have to put up a fight when its obvious extra treatment is needed.

Its important to be armed with all the information if you do come across resistance to dosages of topical HRT, researching the subject is paramount and you will soon know yourself if you need more than the out of date instructions in the Vagifem leaflet of two per week, a leaflet that is so alarmist and scare mongering and relates more to systemic oestrogen and not topical, two completely different medications.

https://bssm.org.uk/wp-content/uploads/2023/02/GSM-BSSM.pdf

[CLKD]

   mayB he has a mother or wife ;-)

[Ayesha]

Probably more to do with the fact they have a brilliant Nurse Practitioner who from my past experience with her is so up to date with all things menopause including all the faff that surrounds topical treatments and dosage.
That’s the impression I got when in conversation with him, he was so understanding that I felt perhaps it came up in meetings, I assume they have meetings!

Anyways, I would always suggest women suffering with GSM symptoms make an appointment with the surgery Nurse Practitioner first, she may know much more than a GP on the subject.

[SundayGirl]

That GP needs a gold star ✨ and a huge round of applause.

Hang on to him Ayesha.

[CLKD]

Don't share, many will be rushing to make appts.  . He deserves a free copy of 'me and my menopausal vagina' ;-)

[fiftyplus]

Such a positive outcome today from my first review with the GP at my new surgery, previously it was with the nurse. He mentioned the fact I am using treatment every day, did a gynaecologist recommend this, I replied yes my previous GP was a gynaecologist and she used it daily herself. I did mention I have tried to reduce but the symptoms quickly come back and its definite now I need daily treatment. 
I told him I don’t follow the NICE guidelines but the recommendations of the BSSM. He laughed and said I  know exactly what you mean and was happy for me to continue with daily treatment and he actually put my meds on a three monthly basis going forwards.
This is so positive coming from a very young male GP who understood everything I was saying regarding topical oestrogen and I hope this means that things will get better for women who have to put up a fight when its obvious extra treatment is needed.

Its important to be armed with all the information if you do come across resistance to dosages of topical HRT, researching the subject is paramount and you will soon know yourself if you need more than the out of date instructions in the Vagifem leaflet of two per week, a leaflet that is so alarmist and scare mongering and relates more to systemic oestrogen and not topical, two completely different medications.

https://bssm.org.uk/wp-content/uploads/2023/02/GSM-BSSM.pdf

  Thanks for sharing Ayesha, great to hear a positive outcome, I second keep him - I wish more GP's and nurses were as good as yours ... mine are not even as good as useless ...