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[CLKD]

hydrosalpinx - I had to look that up!

Vagifem is unlikely to cause any problems 'higher up' as it's inserted very locally.  Once U feel VA symptoms are improving U can use less each week, although some require nightly insertion.  A bit Trial and Error!

Will U need surgery for the hydrosalpinx? 

[Northerngirl]

hydrosalpinx - I had to look that up!

Vagifem is unlikely to cause any problems 'higher up' as it's inserted very locally.  Once U feel VA symptoms are improving U can use less each week, although some require nightly insertion.  A bit Trial and Error!

Will U need surgery for the hydrosalpinx?

I only know what it is because they explained it. This was actually found 14 months ago when I had the ultrasound/tvs and they said they'd monitor it  but they never have 🤦‍♀️ keyhole surgery was mentioned at the time but I really don't want to be having more abdominal surgery so as long as it isn't causing too much pain I just get on with life. Thank you CLKD

[MrsMitch]

Just to mention Ayesha,  I realise you say a tiny amount of Estriol is all you need, but when I saw my GP recently,  she told me to make sure to fill the applicator as you would if you were using it internally and then put that amount onto the external area. I'd only ever used a small amount externally and it never occurred to me to use that much on the outside. I've been doing that few a few weeks now and it's made a huge difference. Mine is prescribed twice a day, too.
Thought I'd pop that info in, incase it helps someone.

[SundayGirl]

The amount you need is dependant on what stage you're at I suppose.

I look on it like looking after my houseplants. If you let them really dry out it takes a lot of water to plump up the soil again, but if you then water regularly, you don't need as much at a time.

My Estriol prescription just reads "to be applied to the area" 

[Ayesha]

Just to mention Ayesha,  I realise you say a tiny amount of Estriol is all you need, but when I saw my GP recently,  she told me to make sure to fill the applicator as you would if you were using it internally and then put that amount onto the external area. I'd only ever used a small amount externally and it never occurred to me to use that much on the outside. I've been doing that few a few weeks now and it's made a huge difference. Mine is prescribed twice a day, too.
Thought I'd pop that info in, incase it helps someone.

Well I do keep saying we are all different with this condition and having to treat it accordingly, I have only ever needed half a pea sized amount twice daily.
When I experimented recently leaving out the Estriol after four years of use I thought perhaps the Vagifem would be enough but it soon became apparent that Estriol is also needed even with such a small amount.

[MrsMitch]

Absolutely Ayesha, we all are and there is no one size fits all, that's so apparent reading on this site! It just didn't occur to me (but I am a bit dim 😆) to put that much on. It's logical but has made a big difference to me. Hope you don't think I was questioning what you said,  my comment was just in case anyone else was as dim as me - unlikely, I know

[Ayesha]

Not at all, my first thoughts where wow, that's a lot but what a great GP you have who understands what it takes to control symptoms.

[CLKD]

I've got so that I experiment with meds until I find something that works, then go and explain 2 the GP 

[kathie22]

Slightly different issue
I have vagifem which comes in a skinny blue applicator I have the worst issue in trying to get it out and now transfer it to another applicator from another med I find it impossible to eject it smoothly it takes two hands and a lot of force Don’t know if I’ve just got a dodgy batch of applicator’s Please don’t suggest not using  the applicator I have a real issue with poking about since surgery last year

[MrsMitch]

Have you always had it in those applicators kathie22? My current box of estradiol is in those and mine are easy. They aren't as easy, I will admit, as the applicators that come with the blister packs of the pessaries, but not as hard as yours sounds.

[CLKD]

I thought that vagifem is a pessary inserted by the finger like a tampon  ?

[kathie22]

Hi MrsMitch Only been using for a short while so only had one prescription so far It’s a pre-filled applicator in a sealed pack
 
CLKD only had this sort as I’ve said to MrsMitch
 Maybe next prescription will be different?

[MrsMitch]

Kathie have you thought about taking the applicator apart - pulling the plunger out from the bottom (remove the pessaries first) and then shove the plunger in and out a few times to loosen it? Then maybe if you can get one loose enough for easier application, sterilise that one after each use and transfer each pessary to that one each night. Faffy, I know, but if you get the blister packs, you have to re-use the applicator inside and they do get very loose.
I must admit, I did think last night, using mine, that the blue ones are a bit harder.

[CLKD]

Is the tablet already loaded into the blue tube thingy ? 

[Ayesha]

I've only ever used Vagifem and the brand name Gina. They both come in a box of 24 pessaries and all individually packed into plastic applicators.
I've never had a problem with inserting the applicators apart from being clumsy when first using them but no problems since.