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[Jan1976]

For the last month I have had consistent itchy below which is unbearable, have a doctors appt for a smear test so will mention it then but am so embarrassed, is both areas below is this common ? was hoping this would clear up but no joy have tried creams but not healing up.  I have suffered with bladder issues for ages, always needing to pee and can suffer incontinent.  I have recently started 25mg patch and have a coil fitted as hoping this might help but not so far but only been a few weeks.  Any advice welcome for what I should request to help

[VioletAquarius]

 Could it be thrush or lichen sclerosus?

[Ayesha]

It might be Vaginal Atrophy, the link below will explain all.
https://bssm.org.uk/wp-content/uploads/2023/02/GSM-BSSM.pdf

[Dierdre]

Ask for a swab to be taken to rule out thrush etc then if all clear you would benefit from local estrogen as well as the patch. Some Estriol cream could help as systemic HRT doesn't always reach down below and can take a few weeks to feel the full benefit.
A short course of Dermovate could help with the itching and heals fast.

[Jan1976]

Thank you for replies

[CLKD]

Let us know how you get on.

[bombsh3ll]

As you are only on 25mcg estradiol this is almost certainly genitourinary syndrome of menopause.

I would contact your GP practice and request a prescription for vaginal estrogen - using this in the run up to your smear test will also make this more comfortable.

Don't wait for your appointment, if it is a smear it will likely be the practice nurse who is unlikely to be able to address your HRT.

I would also consider whether your systemic treatment is adequate.

If estrogen treatment doesn't improve your symptoms, you should see your GP to exclude other conditions.