Menopause Discussion > Other Health Discussion

Constant Urethra burning & IC

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Wrensong:
Yvonne, there are a couple of links here about GSM you may not have seen that might be helpful.

https://bssm.org.uk/wp-content/uploads/2024/03/BSSM-Position-statement-for-management-of-genitourinary-syndrome-of-the-menopause-GSM.pdf

https://thebms.org.uk/wp-content/uploads/2024/04/09-BMS-ConsensusStatement-Urogenital-atrophy-MARCH2024-A.pdf

Just to be clear, if you need to speak to a medic about the 2 creams, the form of oestrogen they contain is Estriol which is weaker than the Estradiol in Vagifem & its equivalents.  :)  A lot of new terminology we all wish we'd never needed to get to grips with in menopause!  Do push to have the cream reinstated if there's any resistance to your having both cream & pessaries.  I find it makes such a difference to comfort.

W x

P.S. stress that you need the cream for external use as sometimes it's declined under the mistaken belief patients are doubling up using it internally in the same way as estradiol pessaries.  Not surprising, given the creams come with applicators for internal use as an alternative to estradiol pessaries.

YvonneW:
Hi Wrensong,

thank you again so much for your long and detailed reply, I really appreciate it! I’m so glad I came across this forum, for some reason I have a lot of hope now…that it can get sorted! I have saved those links and I will have a read.  I will definitely stress about the cream for external use, the gynaecologist at the hospital said to use both - pessary and cream - long term. Thank you for clarifying the names as well, I did muddle it up earlier (still so new to this, even though I’ve been suffering for 4.5 years with this now).

So just to confirm, my pessary says Estradiol 10micrograms on the packet and the cream is called Estriol? I haven’t got the old tube anymore and currently waiting for the doctor to prescribe it, but it was a small purple tube with white writing on it saying Estriol 1mg/15mg tube?

Ayesha:
Don't stress or overthink the two treatments, just make good use of them. The pessary is Estradiol and the cream Estriol, both common treatments for GSM.

YvonneW:
Hi Ayesha,

thank you so much for your response. So grateful for this place. I felt so alone with this for 4.5 long years and no one understood what this is and now I come here and read so many similar posts! Phew! 🥺

Wrensong:
Dr Louise Newson has recently done another good podcast on Youtube.  It's called hormones and urinary symptoms in women.  She covers IC, UTIs, pelvic floor health & more & mentions that it can take months for vaginal HRT to take full effect.  Well worth a listen.

https://www.youtube.com/watch?v=epMwOzhdBLA
W x

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