I was on vagifem for over 10 years prescribed by the GP. 2 years ago I went onto Estradot and Utrogestan with a private prescription (I was 68 so didn't consider trying the GP) this was for flushes/nightsweats. A few months after this the VA flared up, a reload of Vagifem didn't touch it, and the meno specialist thought the tablet wasn't melting and put me on Imvaggis which I paid for. It took a while but the Imvaggis was effective so at my next GP review I asked if the Vagifem could be replaced by Imvaggis but was turned down as it was off licence so I continued to pay for it privately. Forward a year to my next review and a lovely GP agreed straight away (she did know my specialist) and then asked me to spell it! Unfortunately this GP was retiring 3 weeks later so my delight at finding a lovely GP was short lived.

So, in summary I am on systemic HRT privately and Imvaggis (x3 a week) on the NHS.