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News:

Menopause Matters magazine ISSUE 82 out now. (Winter issue, November 2025)

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Author Topic: NHS no longer prescribing Vagifem  (Read 3332 times)

Minusminnie

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Re: NHS no longer prescribing Vagifem
« Reply #15 on: December 25, 2025, 11:18:53 AM »

Yep.  Each box of ovestin has a long plastic applicator

I just use boiled water in a beaker to clean each end then leave to dry.

Been trying to think of a use for the old applicators as I start a new box. Any ideas ?
I saw Covid test kits broken appropriately in half for plant labels.
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CLKD

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Re: NHS no longer prescribing Vagifem
« Reply #16 on: December 25, 2025, 11:33:55 AM »

Mine go into recycling.  It's what to do with the tubes of product  ???
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sheila99

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Re: NHS no longer prescribing Vagifem
« Reply #17 on: December 25, 2025, 03:24:06 PM »

🤣 ….maybe it should be !
Dip it in boiling water? 😂
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Wrensong

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Re: NHS no longer prescribing Vagifem
« Reply #18 on: December 25, 2025, 03:53:04 PM »

I was prescribed Vagifem for best part of a decade & got on fine with them.  Along with a little estriol cream applied externally (& systemic HRT), they have been a Godsend, keeping me in comfortably good condition in the absence of ovaries, uterus & cervix, for which I'm very grateful.  In the past year or so, Vagirux or generic estradiol pessaries have been dispensed instead, no prior notice, no explanation & I haven't felt the need to question that.  I have been fine with all of them in terms of effect, but find I do have to be careful not to drop the tiny pessaries while trying to fit them into the applicator, which can be a bit fiddly.  I also prefer the blue Vagifem applicators as I've found the slightly spindlier white ones sometimes stick into the soft vaginal wall if I'm not completely attentive with insertion & I never have that problem with Vagifem.  I also preferred Vagifem because of not having the faff of washing & drying the repeat use applicators at the end of the day when I barely have the energy to stagger into bed, but that's offset by the virtue of not wasting so much plastic.  I kept one Vagifem applicator out of my last ever box (wish I had thought to keep more) & now reuse that in preference to the white ones to avoid the discomfort of an accidental stabbing to wake me right up before I go to bed  :o.

See how you get on with them; I think very likely you'll be fine.
W x
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Minusminnie

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Re: NHS no longer prescribing Vagifem
« Reply #19 on: December 25, 2025, 05:21:54 PM »

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Minusminnie

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Re: NHS no longer prescribing Vagifem
« Reply #20 on: December 25, 2025, 05:28:36 PM »

Has anyone tried using an Estriol applicator to push out an Estradiol pessary ? Possibly for those using both estriol and estradiol.
I've not tried it but at least the pessary would be sat inside the top of the Estriol tube maybe with a bit of estriol cream to help adherence.
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Wrensong

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Re: NHS no longer prescribing Vagifem
« Reply #21 on: December 25, 2025, 06:08:09 PM »

Good suggestion.  I just tried it for size, Minusminnie.  The Estriol applicator (at least for the weaker, 0.01% variant), unfortunately isn't compatible with the Vagirux pessary though.  The tablet/pessary just lies flat in a shallow depression slightly below the top of the applicator tube with the plunger fully depressed, so that there's nothing to push the pessary out.  Sorry, not a very clear explanation. The plunger doesn't extend far enough to expel the pessary is what I'm trying to say.  The pessary just sort of sits, as if in a nest in the top of the applicator.  Good idea though, as the Estriol applicators are nicely rounded, sturdy & blunt, easy to use, with little chance of a cack-handed, skewed spearing of the sort I somehow managed to inflict!
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Wrensong

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Re: NHS no longer prescribing Vagifem
« Reply #22 on: December 25, 2025, 06:34:28 PM »

I'm thinking of buying a box of Gina for a supply of the blue applicators to keep & reuse with the Vagirux/generic estradiol pessaries I'm now routinely prescribed.  Thank you Witches Cat - I hadn't realised Gina had individual applicators like Vagifem.
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Minusminnie

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Re: NHS no longer prescribing Vagifem
« Reply #23 on: December 25, 2025, 07:54:07 PM »

Good suggestion.  I just tried it for size, Minusminnie.  The Estriol applicator (at least for the weaker, 0.01% variant), unfortunately isn't compatible with the Vagirux pessary though.  The tablet/pessary just lies flat in a shallow depression slightly below the top of the applicator tube with the plunger fully depressed, so that there's nothing to push the pessary out.  Sorry, not a very clear explanation. The plunger doesn't extend far enough to expel the pessary is what I'm trying to say.  The pessary just sort of sits, as if in a nest in the top of the applicator.  Good idea though, as the Estriol applicators are nicely rounded, sturdy & blunt, easy to use, with little chance of a cack-handed, skewed spearing of the sort I somehow managed to inflict!

Thanks for experimenting just sorry that hasn't worked.
I've just looked at my Estriol 0.1% applicator and the white plunger pushed down does reach the end.  If i had a estradiol pessary i would experiment myself with that one but i'm just using estriol for now.
It's all fiddly i've annoyingly shot the cream out before time somehow on occasion.  ::)
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Joaniepat

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Re: NHS no longer prescribing Vagifem
« Reply #24 on: December 25, 2025, 07:55:26 PM »

For those who don't like having just the one applicator, there is a "generic" version of the estradiol tablets that comes with single use applicators. Sometimes I am given these instead of Vagirux. It is made by Sun Pharmaceuticals. I should think it is possible for a GP to specify "estradiol tablets with single use applicators" as  anyone with dexterity problems wouldn't be able to use Vagirux. Even I end up dropping the occasional one on the bathroom floor. I would imagine these Sun Pharmaceuticals ones are way cheaper than Vagifem. I'd suggest asking your GP to prescribe as suggested above, or speaking to the pharmacist.
JP x

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