Menopause Matters Forum
Menopause Discussion => Other Health Discussion => Topic started by: Blot on August 29, 2018, 01:21:39 PM
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Hi. Sorry this might be a long story.
I am currently having some issues with my bladder I think. Four weeks ago I had a tiny little leak on my way to the toilet, had left it too long I think, and I was mortified as I was not at home. This had happened a couple of times a few months previously but on those occasions I was out, having had drinks (quite a few) etc and was literally bursting, so I understood why that had happened.
So I immediately made an appointment with the doctor, for the following week, started frantic pelvic floor exercises, and from the very next day, I felt like I needed to wee all the time but no pain, stinging or any usual uti symptoms. Doc did a dip test and said I had an infection, which surprised me, issued antibiotics and asked me to come back for a pelvic exam in 2 weeks. She didn't send off sample for testing at lab. Finished meds, no difference and still felt like I needed to wee constantly so I dropped off another sample which she said was clear, again not sent for testing.
Since then, I've been back for my pelvic exam, all ok, had my urine tested again as it showed up nitrates, but that was sent to the lab and came back negative. So next step is an internal ultrasound.
I haven't a clue what's going on. I've had a couple of days when I've felt mostly fine, and other days when I've been desperate with this constant pressure. However, I do suffer from anxiety, and I'm thinking that I am bringing these sensations on as I'm thinking about it 24/7.
I am really hoping that they find something in the scan to explain all this as it's driving me mad. Could the pelvic floor exercises be making things worse? I darent stop doing them as I'm terrified of any accidents.
Anyway, I'm a mess and thanks for reading this long rant. Any experiences and advice would be appreciated.
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Sadly. GPs still insist on a dip urine test which can not show infection unless it's the more modern, up to date test! The way for your GP to prescribe anti-biotic therapy is to send a fresh urine sample to a Lab. to be grown so that if necessary, the correct AB can be given.
They do relief symptoms though. As does appropriate HRT - that is treatment for vaginal atrophy which is delivered into the vagina. Some ladies find that using Sylc and Yes products help too. Maybe put those into the search box here and see what is suggested?
Pelvic floor exercises need to be done 'correctly' apparently I am sure someone will be along to give advice.
I replied on your other thread too ........
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Thanks CLKD. I think our posts crossed.
Funny but the only sample the doc sent to the lab came back clear of infection, although the dip test indicated nitrates.
Not sure if I have vaginal atrophy. I don't have dryness. Would that necessarily be the case?
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Ask your Practice Nurse for an exam or simply ask for appropriate treatment. The idea is to use the product every night for 2 weeks then 'as necessary' though the leaflet suggests every 4th and 6/7th night. Vagifem was initially given in 25 but is no 10 so some ladies have to use every night and sometimes a double dose in order to keep symptoms at bay.
I find Ovestin suits me, similar product delivered differently.
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Here is the info on Vaginal treatments and symptoms:
https://www.menopausematters.co.uk/vaginalsymptoms.php
https://www.menopausematters.co.uk/dryness.php
https://www.menopausematters.co.uk/vaginalresources.php
https://www.menopausematters.co.uk/local.php
Website about the bladder:
https://www.menopausematters.co.uk/bladdermatters.php
Dr Currie's blog:
https://www.menopausematters.co.uk/blogpost-vaginal-dryness.php
https://www.menopausematters.co.uk/blogpost-lube-or-hormones.php
Just to clarify - the starting dose is as CLKD says - every night for a fortnight AT LEAST and the maintenance dose is twice a week thereafter MINIMUM, and NOT as necessary. The idea is you don't wait for symptoms to come back or when you feel you need it - you have to keep the (minimum) maintenance dose up for ever as it doesn't go away (ie vaginal atrophy). You can go higher but not recommended to go lower. However if you have no other vaginal problems (dryness, thinning tissues) it may well be just a bladder issue - but I'm not an expert on this - others are!
Hurdity x
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I personally find 'as necessary' works for me, after 5 years of regular VA treatment. I now recognise the symptoms and use it for 3/4 nights. It really is Trial and Error.
Have a read round. Be aware that this condition may be continuous. As oestrogen levels drop the body may become dry, inside and out!
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Sparkle, my other post was just an introduction on the new members bit, nothing much on there other than that I had my last period 8 years ago and didn't really suffer badly with hot flushes.
My gp did do a pelvic exam and all looked ok but I have been referred for an internal ultrasound in case there is anything else going on there. I've stopped drinking tea and coffee, not that I drank much of that anyway, but the alcohol is going to be harder. I do like a glass of wine, too much tbh.
I will have a proper read of those links Hurdity. Thank you. However, the only symptom I've got is the pressure and feeling of needing to wee which is very uncomfortable. Nothing else really but I suppose this could be the start of VA. Never had a uti before in my life.
I can hold it and I'm not going every 5 minutes, although I feel like I could at times. It's odd, when I am distracted, the symptoms almost disappear and at other times the feeling is intense. Usually gets worse later in the day as well, when I'm at home and stressing about it maybe? The more I think about it, the worse it is which has me thinking it's anxiety related. I am quite obsessed with this and think about it non stop but that's the problem I have in general. Another different topic!
When I get the scan results, and go back to gp, I will definitely discuss estrogen deficiency. I am desperate to find a reason for this, whatever that may be, so I can get this sorted out. Going to stop the pelvic floor exercises for now till I find out what's going on.
I'm very grateful for all your comments.
P.s forgot to mention gp also did a full blood test, including CA125, and it came back normal.
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Your GP is being thorough.
We take on more liquid during the day so not surprising that you need to pee more often. Don't stop drinking. The kidneys work harder when empty! I find that Nurofen can ease symptoms.
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Hello Blot,
I'm having similar issues. Have a look at this and see if it rings any bells.
https://www.womenshealthnetwork.com/womenshealth/interstitialcystitis.aspx (https://www.womenshealthnetwork.com/womenshealth/interstitialcystitis.aspx)
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I'm really hoping its not IC Connolly. Seems like a nightmare but i always assume the worst.
Don't know if I can cope with this much longer. Its getting me down but being able to chat about it is helping. Can't do it in real life.
Would my gp prescribe the estrogen without being referred to a urogynae consultant? And am i too many years since my last period for this to be related to the menopsuse? My head is a mush which I'm sure is half the problem.
I tried taking some cystitis sachets yesterday to see if they might help but they didn't make any difference and I've ordered some d mannose supplements to try as well.
I have so many questions. Hope you can bear with me.
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Thanks Sparkle. I'm certainly going to mention this when I see my gp after the scan. Don't want to tell her how to do her job though. Is this something you have investigated by a gynaecologist or urologist before being prescribed vagifem or similar?
Is it wise to stop the pelvic floor exercises until I am diagnosed? I'm terrified of leaking, which was what started this whole thing off. Not sure what to do.
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Hello Blot,
I have just been diagnosed with a big kidney stone!
I don't think the pelvic floor exercises can do any harm.
Hope you find some answers and relief soon!
Conolly X
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Hello sparkle,
Not yet, because it's inside the kidney. It's too big to go to the ureter so it has no symptoms!
Conolly X
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How did they find a kidney stone Connolly if you have no symptoms? I hope you are ok and are getting it sorted.
Had a read of the links regarding VA. Could this really apply to me? I don't seem to have any of the symptoms apart from the bladder/uretha pressure? But i will bear this in mind if the scan shows nothing up. However, I think it will be wise to get other possible reasons investigated first but all this waiting around for tests does my nut in.
Please excuse me ladies, I'm just fed up and this is helping.
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Hello Blot,
I had a kidney US scan done after my blood tests results showed high calcium and high white blood cells levels in urine, but no UTI.
I agree with sparkle, not everything is down to menopause.
Better be safe than sorry 💕
Conolly X
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I had a good read of the bladder etc thread yesterday which was very interesting.
However, I'm not sure if VA fits with my symptoms. Mine can be intermittent and definitely seem to spike late afternoon/evening which is weird. Eg yesterday was at work, didn't eat breakfast and just sipped water all morning, didn't notice any pressure or need to go to toilet, but I was busy and distracted. Had lunch then a few hours later started feeling a few niggles, got home and it started again, feeling desperate to go for a few hours then it subsided a bit but the feeling of pressure and uncomfortableness was still there.
I've no idea what's going on. I am so anxious and focused on my bladder and all the associated feelings that I'm not sure if this is psychological. My husband thinks a lot of it is, he knows me too well!
Still no word about scan date. If the doc didn't notice a prolapse of some sort, is this something the scan would pick up? Desperate for answers as to what's going on.
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Your bladder is being neglected! The most important meal of any day is BREAKFAST!!! plus remaining hydrated. If 1 denies the kidneys they will work harder .......... reproducing VA symptoms and is actually, dangerous. Unless 1 has kidney disease, when the sufferer has to restrict fluids.
You need to take care of your over-all diet and health. The body to a certain extent heals itself, often as we age it needs help. Why no breakfast? At least have plenty of liquids, buy a bottle with levels on it so that you can see what you are actually drinking. Fluids are of course, squeezed from the diet too.
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This isn't a new thing. I hardly ever eat breakfast and been this way since I was a kid. Unless I'm on holiday and can somehow wolf down a full English every day lol.
I sometimes have some milk but not much more. Just the way I am.
I also know how much liquids I am drinking. Had to measure all going in and out for the doc so know how much everything holds so I know I am drinking more than enough.
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I hate that input and output scenario ::). However, with the more recent hot weather it's wise to keep a close eye ......... not literally of course
;-).
However ill I feel in the morning I have to eat. Otherwise by 9.00 a.m. I would be flat out. Not a pretty sight :D
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I had a good read of the bladder etc thread yesterday which was very interesting.
However, I'm not sure if VA fits with my symptoms. Mine can be intermittent and definitely seem to spike late afternoon/evening which is weird. Eg yesterday was at work, didn't eat breakfast and just sipped water all morning, didn't notice any pressure or need to go to toilet, but I was busy and distracted. Had lunch then a few hours later started feeling a few niggles, got home and it started again, feeling desperate to go for a few hours then it subsided a bit but the feeling of pressure and uncomfortableness was still there.
I've no idea what's going on. I am so anxious and focused on my bladder and all the associated feelings that I'm not sure if this is psychological. My husband thinks a lot of it is, he knows me too well!
Still no word about scan date. If the doc didn't notice a prolapse of some sort, is this something the scan would pick up? Desperate for answers as to what's going on.
I am replying because of your comment about psychological effects. I regularly get UTI/cystitis symptoms just before I am due to go on holiday. Part of the problem is that these symptoms crop up so suddenly and it is impossible to get a GP appointment at short notice or to get the urine tested. I think that some of it is in the mind. On 1 occasion i had discomfort on the plane and was sure it had come back but it cleared up all of a sudden. On my holiday in june, i had the same problem just before I went but it cleared up. I am going away on saturday and my symptoms returned this weekend. I had a spare 3 day course of Trimethroprim so i started taking it. It has improved but not completely gone yet.
Another MM member mentioned that anti histamines can help with bladder irritation a little while ago. I looked this up myself then and remembered it yesterday so I am trying it again now. Too early to say if it is working but i would rather use anti histamine than take a lot of Nurofen so it is worth a go.
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Thanks. I just don't know what's going on or what exactly I'm feeling down there.
Yesterday I was great in the morning, virtually no symptoms then again late afternoon it started again. Today I've been bad all day.
Its hard to describe the feeling. Sort of like a pressure/ need to wee and also a sort of soreness in the vagina, but I'm not sure about that. I'm definitely irritated down there but not itchy and if I go to the gp, I'm not sure what I would say. Is it pain or pressure? Aaaargh!!!
Going to be at least another 3 weeks till my scan so I'll have to tough it out then.
I find it hard to forget about it as I'm so uncomfortable :'(
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Get some VA treatment, what's to lose :-\. After 6 months of regular use you can then decided which symptoms continue.
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Thanks. I just don't know what's going on or what exactly I'm feeling down there.
Yesterday I was great in the morning, virtually no symptoms then again late afternoon it started again. Today I've been bad all day.
Its hard to describe the feeling. Sort of like a pressure/ need to wee and also a sort of soreness in the vagina, but I'm not sure about that. I'm definitely irritated down there but not itchy and if I go to the gp, I'm not sure what I would say. Is it pain or pressure? Aaaargh!!!
Going to be at least another 3 weeks till my scan so I'll have to tough it out then.
I find it hard to forget about it as I'm so uncomfortable :'(
My problem is still ongoing and I have just about decided to cancel my holiday. The trimethroprim failed to work this time and the GP took a sample from me, tested it in the surgery and sent one away for analysis. She then gave me amoxycillin but it hasn't worked and the side effects have been really bad. I have slept really badly the past 2 nights and I won't get the test result until next week. I am really uncomfortable and won't enjoy my trip when i don't know if it is an infection or not. I think it is though because I have been a bit feverish on and off.
I did ask at the end of the appt. about trying Vagifem but will have to make another GP appt to discuss it further. The GP had never heard the name. She looked it up on her database and then recognised Estradiol.
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Sorry you are feeling like this Katejo. Maybe it is an infection if you've been s bit feverish?
I understand about the holiday too. I was supposed to be going away at end of October but don't want to now as I can think of nothing else but this. Haven't booked anything yet though.
I'm concerned about going back to my gp and asking for vagifem before I get my scan. Firstly she might refuse to do anything until other things are ruled out and secondly why didn't she think of this in the first place? Has she never heard of vagifem etc? Or does she think my symptoms dont fit with V,A. Could be my mentioning weight loss sent her on a diffrrent track.
I also don't want to tell her how to do her job, I don't want to appear like a know it all clever ****. And what if its not that at all and there is no explanation for my symptoms?
Totally fed up and as you can see I'm tying myself in knots stressing about this.
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Sorry you are feeling like this Katejo. Maybe it is an infection if you've been s bit feverish?
I understand about the holiday too. I was supposed to be going away at end of October but don't want to now as I can think of nothing else but this. Haven't booked anything yet though.
I'm concerned about going back to my gp and asking for vagifem before I get my scan. Firstly she might refuse to do anything until other things are ruled out and secondly why didn't she think of this in the first place? Has she never heard of vagifem etc? Or does she think my symptoms dont fit with V,A. Could be my mentioning weight loss sent her on a diffrrent track.
I also don't want to tell her how to do her job, I don't want to appear like a know it all clever ****. And what if its not that at all and there is no explanation for my symptoms?
Totally fed up and as you can see I'm tying myself in knots stressing about this.
I think i understand how you are feeling. I am fed up about cancelling my Bologna trip but when I was there 3 years ago I had the same problem and ended up going to the hospital. They gave me a better AB but then decided to admit me overnight for gynaecological tests. I don't know what they were expecting to find but nothing came of it. I didn't want a similar experience this time!
I managed to see the GP again today. She didn't yet have my urine test result but will let me know on Monday. However she did agree to let me try Vagifem and has given me a first prescription. She wants me to wait before starting it until this episode is out of the way. In the past my practice has seemed to resist prescribing HRT so I was pleasantly surprised today.
I hope that things get better for you soon.
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NNNOOOOO - start the 'vagifem' it will ease symptoms. Otherwise 'this' is unlikely to pass ::)
Vaginal atrophy does not have to have any visible signs on examination. Symptoms mimic urine infection-type feelings really well. For me it's a feeling of a heavy belly below the button, the need to pee; often, spasm when the urine stops which nips - repeated anti-biotic treatment does nowt, particularly if the urine sample hasn't grown any bugs.
I have used Ovestin with success. Now if symptoms begin between treatments I use it even in the day, along with Nurofen to relax the muscles.
Have a look at 'sylc' and 'yes' products - put the names into the search box to see what pops up.
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NNNOOOOO - start the 'vagifem' it will ease symptoms. Otherwise 'this' is unlikely to pass ::)
Vaginal atrophy does not have to have any visible signs on examination. Symptoms mimic urine infection-type feelings really well. For me it's a feeling of a heavy belly below the button, the need to pee; often, spasm when the urine stops which nips - repeated anti-biotic treatment does nowt, particularly if the urine sample hasn't grown any bugs.
I have used Ovestin with success. Now if symptoms begin between treatments I use it even in the day, along with Nurofen to relax the muscles.
Have a look at 'sylc' and 'yes' products - put the names into the search box to see what pops up.
I like your description of 'spasm when the urine stops'. That fits. I have 2 further questions for you. 1. As well as having the need to pee, do you find that little comes out and the feeling doesn't clear? That is relieved if I take Nurofen or paracetamol and then I pee normally.
2. I have also had a slightly raised temperature (similar to what I might have with a mild cold). This is what makes me think that it is still an infection. Do you ever get that as well?
I will look at 'sylc' and 'yes' products but I assume that they are prescription only as well?
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Hi katejo CLKD is spot on with her advice,start the vagifem immediately and you will see results within a matter of days.do a two week load,one tablet each night for two weeks,then use them 2 or 3 times a week you will get so much relief from these symtoms if you do this.
Try and avoid any further antibiotic treatments unless you have conclusive proof you have an infection.Look on any of the bladder sites and you'll see how full of horror stories they are re overuse and inappropriate use of antibiotics.
Make sure your hygiene is spot on by washing after every bowel movement as ecoli is a tricky wee sod at travelling to your bladder and urethra so bottle wash everytime you go to the loo.
Cut out caffeine and fizzy drinks no coffee or acidic foods for a while and see how it goes but avoid those antibiotics as I said and go and enjoy your holiday day,Europe is much better equipt at dealing with these things than we are from my experience of living there so don't worry about anything.😘
No I won't be taking any new AB's but I will continue the current one until tomorrow and then stop (GP advice to continue for 5 days). The irritation is milder than earlier in the week which felt like an old style period pain. I didn't have a positive experience of treatment in Italy at all (long saga).
It is too late to go ahead with this trip now. I have already cancelled everything. Maybe I would have risked it if I had waited until today but I am not 100% sure about that. On a previous holiday several years ago I had this problem and had very frequent loo visits during the night. It was really hard because my local host had given me her bedroom and she was sleeping on the sofa in the living room. I had to disturb her each time I went to the bathroom. Very embarrassing! I was due to have a new host this time and I didn't want to be a nuisance.
I only have 1 small coffee a day max and that is caffeine free/low. i would find it very hard to cut that completely but I never drink fizzy drinks.
I do have a further mini 4 day Italy trip to Turin booked in October. I am determined to go on that one.
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MayB Katejo it's anxiety led? The body gets tense, maybe you pass more urine which increases the feelings? When I have had a bad panic attack I pee: every 10 mins.: LOTS of urine passed 4 about 2 hours after. Nurofen does ease my symptoms. How is it today? Sorry about having to cancel the trip, Italy is on my Bucket List :'( .....
until this episode is out of the way. I would be asking how long I need to wait! Without treatment symptoms may continue to niggle. Obviously your GP ain't ever suffered ;)
I really don't know how much food and drink impacts on the bladder, I can't cope with coffee: Love the smell but it makes me queasy :D
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MayB Katejo it's anxiety led? The body gets tense, maybe you pass more urine which increases the feelings? When I have had a bad panic attack I pee: every 10 mins.: LOTS of urine passed 4 about 2 hours after. Nurofen does ease my symptoms. How is it today? Sorry about having to cancel the trip, Italy is on my Bucket List :'( .....
until this episode is out of the way. I would be asking how long I need to wait! Without treatment symptoms may continue to niggle. Obviously your GP ain't ever suffered ;)
I really don't know how much food and drink impacts on the bladder, I can't cope with coffee: Love the smell but it makes me queasy :D
I am sure that it is at least partly anxiety led. I need the loo more frequently when I am nervous about something on a particular day (but without persistent discomfort over a period). These symptoms always come back just before i am due to go away! I am feeling a lot better today though the symptoms haven't gone completely. If i hadn't cancelled my flight yesterday, I might have gone today..... However I felt that I had to let the language school in Italy know by yesterday because of an email about the teaching programme which I got during the week. Also I didn't want to keep my friend waiting until the last minute. Next time i will ignore it and go... Anyway I have found something else positive to get done this coming week so I will think about that now.
I highly recommend Italy for trips and don't just concentrate on the really big tourist towns like Florence and Rome. Bologna is excellent for a short break and also places like Siena , the Cinqua Terra and the Amalfi coast. Plenty more. I haven't been everywhere. I want to see Puglia but it isn't good for public transport and that is why I still haven't been there as I don't drive.
I will continue the AB until Monday when I see the GP. As things have now improved, it might be doing some good and the awful side effects which I had on Wed-Friday have worn off now. The GP only meant for me to wait until i get my urine test result and finish the AB to start the Vagifem. I am happy to do that now because the symptoms are so much better today.
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The AB will certainly help but unless there is growth in the urine sample is unlikely to keep symptoms at bay. Some ladies have required long-term treatments for bladder problems but meno-brain here, can't remember the title of the thread :-\
Appropriate treatment for vaginal atrophy are essential. Long-term if not Life-long ......... because urine infection-type symptoms mimic VA really well. Fortunately my GP recognised my repeated symptoms :-*
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The AB will certainly help but unless there is growth in the urine sample is unlikely to keep symptoms at bay. Some ladies have required long-term treatments for bladder problems but meno-brain here, can't remember the title of the thread :-\
Appropriate treatment for vaginal atrophy are essential. Long-term if not Life-long ......... because urine infection-type symptoms mimic VA really well. Fortunately my GP recognised my repeated symptoms :-*
Do you mean that VA symptoms mimic UTI symptoms? Is VA actually supposed to prevent you getting a UTI or is it just that having VA is mistaken for a UTI? I would have thought that an AB would not work at all if the cause was VA.
Just out of curiosity, would you declare VA when buying travel insurance? When I bought my current policy, I did declare UTI's.
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That's it. VA is very good at mimicking apparent UTIs. Which is why GPs still don't 'get it' :bang: so continued anti-biotic therapy is prescribed. Un-necessarily.
The two conditions are totally different. VA is due to a lack of oestrogen which can cause thinning of the tissues. Which causes itching. Urine infections are caused by a bug which is found when a urine sample is sent to a Lab..
Nope. I wouldn't declare something that is in general, treatable and that I was unlikely to need to approach a professional with, either home or abroad. I would have a copy of any prescriptions with me and a covering letter from my GP. I wouldn't consider claiming for VA treatment.
How R U today?
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That's it. VA is very good at mimicking apparent UTIs. Which is why GPs still don't 'get it' :bang: so continued anti-biotic therapy is prescribed. Un-necessarily.
The two conditions are totally different. VA is due to a lack of oestrogen which can cause thinning of the tissues. Which causes itching. Urine infections are caused by a bug which is found when a urine sample is sent to a Lab..
Nope. I wouldn't declare something that is in general, treatable and that I was unlikely to need to approach a professional with, either home or abroad. I would have a copy of any prescriptions with me and a covering letter from my GP. I wouldn't consider claiming for VA treatment.
How R U today?
I haven't had any itching. More like irritation. Today hasn't been bad except that I may be getting a cold. I did feel the irritation earlier this morning but it has now calmed down. That might be because I also took an anti histamine today to see if it might help. I will get a call from the GP tomorrow. When i go abroad, i don't take copies of the prescription. i just make sure that I have medication in original labelled boxes. I have never been asked about it in all the trips which I have done.
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Don't know if this is if any help but I've been doing a Vagifem reload i.e every night for two weeks as I had a constant feeling of needing to pee and a twitchy nerve feeling in my bladder. It's taken 9 consecutive doses but I can notice a definite improvement when two days ago I didn't think it was making any difference.
Thanks sparkle. My measure of success would be to go a year without any UTI infections (particularly just as I am supposed to be going on holiday. I don't have a twitchy nerve feeling.
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Do you mean that VA symptoms mimic UTI symptoms? Is VA actually supposed to prevent you getting a UTI or is it just that having VA is mistaken for a UTI? I would have thought that an AB would not work at all if the cause was VA.
Just out of curiosity, would you declare VA when buying travel insurance? When I bought my current policy, I did declare UTI's.
Both! (I presume you meant treating VA is supposed to prevent you getting a UTI?) Yes VA can mimic UTI symptoms (itching, irritation, urgency, frequency, spasms) but also treating VA will plump up the vaginal tissues so the tissues are less fragile and also lowers the pH in the vagina so making you less susceptible to infection - (eg higher ph allows growth of unhealthy bacteria).
Sorry to hear about your trip - I think I mentioned on another thread that Bologna is a place I have promised myself to do a short visit to sometime!
Hope you are on the mend soon.
Hurdity x
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MayB Katejo it's anxiety led? The body gets tense, maybe you pass more urine which increases the feelings? When I have had a bad panic attack I pee: every 10 mins.: LOTS of urine passed 4 about 2 hours after. Nurofen does ease my symptoms. How is it today? Sorry about having to cancel the trip, Italy is on my Bucket List :'( .....
until this episode is out of the way. I would be asking how long I need to wait! Without treatment symptoms may continue to niggle. Obviously your GP ain't ever suffered ;)
I really don't know how much food and drink impacts on the bladder, I can't cope with coffee: Love the smell but it makes me queasy :D
I am sure that it is at least partly anxiety led. I need the loo more frequently when I am nervous about something on a particular day (but without persistent discomfort over a period). These symptoms always come back just before i am due to go away! I am feeling a lot better today though the symptoms haven't gone completely. If i hadn't cancelled my flight yesterday, I might have gone today..... However I felt that I had to let the language school in Italy know by yesterday because of an email about the teaching programme which I got during the week. Also I didn't want to keep my friend waiting until the last minute. Next time i will ignore it and go... Anyway I have found something else positive to get done this coming week so I will think about that now.
I highly recommend Italy for trips and don't just concentrate on the really big tourist towns like Florence and Rome. Bologna is excellent for a short break and also places like Siena , the Cinqua Terra and the Amalfi coast. Plenty more. I haven't been everywhere. I want to see Puglia but it isn't good for public transport and that is why I still haven't been there as I don't drive.
I will continue the AB until Monday when I see the GP. As things have now improved, it might be doing some good and the awful side effects which I had on Wed-Friday have worn off now. The GP only meant for me to wait until i get my urine test result and finish the AB to start the Vagifem. I am happy to do that now because the symptoms are so much better today.
Here is an update on this. I have just heard from the GP. Apparently the urine test from last week does indicate that there was still infection and that the microbes are resistant both to Trimethroprim and Amoxycillin which I have been taking but which haven't really worked. However that test was done only 24 hours after I had finished the Trimethroprim. The GP is sending over a prescription for Augmentin to the pharmacy but I have asked to do another urine test first (48 hours after stopping the Amoxycillin) to be sure that I really do still need it as the symptoms are mild at the moment.
She has also given me the go ahead to start trying the Vagifem now. Maybe that will sort the problem and I won't need the AB!
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Well at least there is an explanation as to what's been going on with you Katejo. And hopefully the vagifem will sort out any future problems.
Strange goings on here. 3 good days, then symptoms worse today. What's going on?
I'm so sorry to be bleating on about this all the time but I'm confused. I've got no itching just feel like everything is being squashed down below. I don't know if its pressure or soreness but its very low down in my uretha but it dosent hurt/ sting to pee. Bit of soreness in the vagina. Not weeing constantly but the feeling is there. Does this sound familiar to anyone?
Still no news on my scan date but should be in the next 2 weeks. No doctors appointments with my gp either in the near future (can book online).
Anxiety sure is making things worse. Rant over.
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Well at least there is an explanation as to what's been going on with you Katejo. And hopefully the vagifem will sort out any future problems.
Strange goings on here. 3 good days, then symptoms worse today. What's going on?
I'm so sorry to be bleating on about this all the time but I'm confused. I've got no itching just feel like everything is being squashed down below. I don't know if its pressure or soreness but its very low down in my uretha but it dosent hurt/ sting to pee. Bit of soreness in the vagina. Not weeing constantly but the feeling is there. Does this sound familiar to anyone?
Still no news on my scan date but should be in the next 2 weeks. No doctors appointments with my gp either in the near future (can book online).
Anxiety sure is making things worse. Rant over.
Really hope that you get things resolved soon. I have had a combination of frequently needing the loo but no relief from doing so and discomfort. At its worst, it was rather like the old bad period pain which I haven't had for years (at least 5).
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I'm almost hoping for fibroids or cysts tbh. Not sure if fibroids are possible post menopause though. Anything that might explain this, mad as it sounds.
Just had a nice bath - no bubbles - to try and sooth things x
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Hello Blot,
I have fibroids and polyps. Fibroids are supposed to shrink with menopause, but mine are still there. They could affect the bladder if big enough to exert some pressure but I think cysts are more likely to be the culprit or as I said before, cystitis or VA. I am trying to drink water as much as possible and avoid thinking about it, it's amazing how the brain can focus on something and make it happen. The opposite must be true so try to distract your mind with other stuff.
Conolly X
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Thank you.
I have been wallowing in it today so that's probably why its been so bad :'(
Been stressing about it for 6 weeks now so its time to get a grip and sort myself out.
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Hopefully not wallowing in wee ;-).
Have you tried a pain relief medication? I find that helps ease symptoms 4 me.
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Ha ha wallowing in doom and gloom CLKD. But yes I took a couple of ibuprofen last night and things did calm down thank you.
Today working on distracting myself. Not quite working as I'm on here again :o
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You join in when you like. Have you read round, we have a 'funny' room too ;)
Don't forget to keep your eye out for that strange woman ........ as well as 'doing stupid things' - all in here somewhere.
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Latest thing in my saga, just rang hospital to chase up my scan and apparently they haven't received the referral!!
Just waiting for my gp practice to ring me back to find out what's happening. I suspect they forgot to do it but that doesn't help me in that X-ray won't care. They will just process the referral as normal when they get it so will have to wait another 6 weeks or so.
Currently having a good cry :'(
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Oh why can't they have joined up thinking? A few months ago DH needed a an X-ray, the Locum GP said he would be contacted by the Dept., however: no one had explained that in this County the patient rings the X-ray Dept for an appt. >:(. After 2 weeks, his referral would have been null and void so that the process would have started all over again: wasting yet more time!
The GP sent the referral whilst we sat in the Surgery directly to the X-ray Dept..
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I know. Thing is I work at the hospital and went into xray last week to find out about waiting times. Didn't think to ask if they'd actually received the referral.
Still no phone call from doctors. I shall be straight on the phone after lunch to find out what's going on. I hate making a nuisance of myself but have learnt from experience that the only way to get things sorted is to be a proper pain in the backside.
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Years ago one got fast tracked if one worked for the NHS!
What would you advise a friend Blot?
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Well my gp forgot to do the referral and apologises. Well she apologised via her secretary. Its been done now, I've checked, but just as routine so I'll have to wait. I can ring up every day to see if there are any cancellations but I probably won't. Too much hassle.
I tried all the "I work in the hospital" stuff CLKD and it got me nowhere. No perks of the job lol. Don't know what I'd advise a friend. Go private probably.
I'm annoyed but people make mistakes.
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Maybe when you go for the results make the suggestion that the referral is done whilst the patient is in the Surgery. That way every one is on the same page!
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She didn't do referral because she wanted blood results back first then she forgot.
I've made an appointment with another gp as mine is away, for 26th, and I'm going to discuss going on vagifem etc. (she's got training in women's issues so she might be a better bet). I'll see what she says anyway.
Thanks ladies for this. I feel so much better talking to you all :)
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I would ask. Put foot down with firm hand where possible ;).
Once the results came back it should have jogged her mind: not menopausal is she ;)
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Had a most excellent day yesterday after my meltdown on Friday. Symptoms hardly noticeable but I was busy and I suppose distracted. This is making me doubt whether I have VA.
I shall see how I get on this coming week then decide whether to cancel my appointment with the gp. I'm still thinking I should wait for scan results before going back as well. Confused.
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Update. I've been for my scan and all looks as it should be.
They scanned me again after I'd been for a wee and said there was still a bit left in my bladder, but they said my bladder was very full before so that might be why and it might also be normal for me. Should I be concerned about that? Is that indeed normal?
Anxiety getting to me :-\
Still going to go and discuss VA next week
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Not emptying out properly can cause UTIs.
Try altering your posture on the loo. Sit leaning back slightly as this is supposed to help. Also don't get up straight away. Wait for a minute or two and you may get, what I call, after wee.
I have the same problem and did a lot of research after a kidney infection.
Hope that helps.
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Hi Blot - I would advise the opposite - leaning forward not back! I have retroverted uterus and this affects position of bladder so I always lean forward to empty properly and sometimes slightly rock backwards and forwards until it's all out!!!
Hurdity x
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Thanks. I will try both.
Strange but ive never had the feeling that i havent emptied my bladder fully. How would you even know?
Last lab test was clear of infection so haven't got a uti.
Is this something serious? I dare not google this as I'll scare myself silly. In fact I'm a bit scared already :(
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And another thing. Seems like I might be constipated. The past 3 weeks or so I've been pooing pebbles/ small bits instead of the usual.
I'm going regularly, no straining or blood or anything. My diet is a bit all over the place but I am drinking plenty of fluids. So I'm worrying about that too because its been going on for a while :'(
Its probably anxiety related but is it a menopause thing too?
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Yes, yes and ........ HORMONES >:(
10 mins. prior to a bleed I would get 'the runs' even if a period wasn't due! Needed the loo and I needed it fast!
Also in recent weeks I've had after wee ......... I do a good amount then if I stand up too soon, I'm still dribbling. So I press on my lower abdomen gently to release any wee left behind. Sometimes I lean forwards, sometimes backwards, sometimes rocking releases the remainder. As oestrogen levels drop so muscles may become lax!
Your scan is clear. Do ask for vaginal atrophy treatment, it won't do any harm and may give some relief! What's to lose? As for the diet: mine gets active if I eat lots of roasted veg. which I love, maybe not the next morning but during the next day ::). "A Good Clear Out" my Granny used to say :D. I also feel constipated sometimes which does impact on my bladder and VA symptoms. The feeling of needing to 'go' is always present except when I've had the veggies ::).
I would think that 4 U it is 'within normal limits'. Do you keep a mood/food/symptom diary?
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Could you suggest a 24 hour wee collection, my mum did one once they can test for other things.
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That's a real phaff! Input and output can be important to make sure the kidneys are working correctly. However, do not deprive the body of liquids or the kidneys need to work harder.
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Thank you ladies. I flippin love this site, you are all so supportive and fabulous.
I'm taking note of all your comments and will discuss with gp next week.
I've done the measuring input and output thing already for two lots of 3 days. Yes peeing into a jug was fun, especially at work! If I remember correctly I was weeing out slightly more than I was drinking.
Symptoms quite mild today but I'm still going for the VA explanation. I will update after my appointment but no doubt i will be back again before that with more questions.
Cheers x
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What do you think ladies? I hope you can make sense of this.
I made an appointment for next week with a different gp than the one I originally saw for my bladder problems. I did this because mine had no appointments for 3 weeks and this new one has letters after her name that say she's got qualifications in women's health etc. So might be a bit more clued up. And also I was a bit annoyed because she forgot to to my referral.
However, the docs surgery have just been on the phone with my scan results (clear which I already knew) and they said new doc thinks I should see original doc to discuss the results seeing as she referred me. That will be a further 2 weeks away.
Given that I am going to ask for vagifem, is it inappropriate to go to this new doc next week? I've kept the one with the new doc but don't know if I should.
I'm totally overthinking this aren't I?
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Ring the surgery and explain that you would like to try treatment for Vaginal Atrophy at once. Explain that you have read information on here and point out, that if you try the product now and chart relief you will have something to discuss with the GP. The GP could maybe ring you about this, or is there a Practice Nurse you would see sooner? It is nice to keep with the same GP for the same condition and obviously, holidays, days off, Conferences can all interrupt their shedlues. If this is the request of the new GP then it is protocol.
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Well my original gp is away till the week after next so someone else would have to prescribe the vagifem anyway so I'm thinking I could see the new gp and get started on it, if she's agreeable. If not, I'll just wait.
My appointment with the old one is for two weeks after that so I could be on it for 2 weeks when I go back. I don't know whether she's supportive Sparkle, I've never seen her before this, but she's very nice.
I made this appointment with the new gp because I thought I was going to have to wait 6 weeks for my scan, but I got it straight away - right place right time as it happened. I'll see how I feel over the weekend. Tbh I feel a bit uncomfortable seeing the new gp now. Hubby thinks I should go to new one as planned.
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Make up your mind so that the appt. can be given, the new GP suggested that you have a continuity. Ask to see a Practice Nurse who can ask a GP on duty to prescribe appropriate VA treatment.
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You know I was feeling a lot better and my symptoms were improving until this "question" about whether to see the new gp. Its ridiculous but I have started worrying so much about it, which in turn has made my symptoms much worse. Been awake since 2 am and can't sleep. I have a big problem with anxiety but that's a whole different story.
My gp practice is so busy, the nurse doesn't prescribe and I'm not strong enough to insist on phone consultation or to denand they give me the treatment, so I'm going to keep the appointment. If the new gp isn't happy or prepared to help then I'll just wait to see the original gp. My mum and husband agree I should keep it as well.
This thing is taking over my life and I want it sorted asap.
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Hi a Blot. Only just caught up with posts and saw yours. I too had a lot of investigations last year and also had a bit of urine in my bladder on the second scan and the lady doing the scan said as far as she was concerned I almost certainly wouldn't get called back as it is very common to have around 10% left and nothing to be concerned about. She was right I didn't get called back. One thing the consultant said was that after I think I have peed enough then cough and some more will come out if not properly emptied and he was right so as I can't rock backwards and forwards due to a bad back this is what I do now and it works. You just need to take your time. He did also say that if I am at home and need the loo again very soon after going then just go because better out than in. Decafe drinks really make a difference as well
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Thanks Sparkle. I'm changing my mind every 5 mins about what to do ???.
Its so true about the link between the mind and body. My symptoms have been awful overnight, purely because I'm so stressed about this.
Thanks also Herdwick. That's a relief to hear that. I was in quite a flap about the urine retention but I can live with it. I'll try the coughing thing.
Anyway, I'll shut up now and try and calm down. Who would have thought you could get so stressed about a doctors appointment :(
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And me, BP through the roof when checked by 'them' but OK when I do it myself. I've got white coat syndrome in spades.
When I had women's physio, I was told that you can't really expect to empty the bladder fully. Leaning forward helps for me, but they don't advise bearing down, which was what I used to do. Coughing sounds like a good tip, and taking plenty of time.
I expect your GP appointment will be fine Blot, these things are often easier than you anticipate, and as CLKD said earlier, it's much better to start the Vagifem asap. You will be doing the right thing by keeping the appointment.
Good luck!
JP x
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AW thanks Sparkle and Joaniepat.
I'm worried because the new doc doesn't really want to see me because I'm not her patient. Protocol etc as CLKD said. And what will old doc say if I then go back to her and she sees I've been to someone else in between? Aaaargggh!
I've changed my mind 15 times today. I have managed to get the original docs appt brought forward to the week after so if I cancel this one I won't have too long to wait. Hubby thinks I'm nuts and should just go next week.
I'm not right in the head, as they say in these parts.
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Why worry about what your usual GP thinks? The 'new' Practitioner suggests that you keep a continuity with him. I suggest that you ring to see if there is a Practice Nurse you could chat with about vagifem. They can then pop into see the GP on Duty to see if a prescription can be issued there and then, we have Nurse Practitioners in our Surgery who do prescribe.
Let us know what you decide. What is the real problem that is causing the indecision?
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There is 8 days between the appointments Sparkle. Still deciding but if I cancel I will do it in good time so somebody else can have it.
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Just one more question before I go demanding vagifem about the symptoms.
I've got the feeling of needing to wee and soreness/ feeling uncomfortable in the vagina and uretha pressure. Is this enough to justify VA treatment?
As for pain having sex, couldn't say, its been so long :o
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Just one more question before I go demanding vagifem about the symptoms.
I've got the feeling of needing to wee and soreness/ feeling uncomfortable in the vagina and uretha pressure. Is this enough to justify VA treatment?
As for pain having sex, couldn't say, its been so long :o
I asked for it based on similar symptoms (not soreness but irritation mimicking UTI infections). I have it to try for a first month. 1 week in and pleased so far. I just hope that, after the 1st month, the GP won't try to restrict it to a limited period (3 months or so). I need to print something out which indicates that this restriction is not needed. This one is much better to apply than Estriol cream.
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It certainly is enough! It won't do any harm and at the least you will get relief ;-)
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Absolutely, you have described VA exactly!
JP x
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Thanks friends. I wish you lot were prescribing for me x
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Giving you a little encouragement : :kick: let us know how you get on.
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Well ladies I'm off to the docs tomorrow to discuss my scan etc.
I must say that my symptoms have become a lot less noticeable. Not totally gone but better than they were and hopefully will continue to improve.
I'll update once I've been tomorrow but just a question, does VA change from day to day? Some days feel good, others symptoms are there. Still got a bit of soreness in the V but don't feel the intense need to wee constantly.
Bloody hubby not helping things by telling me to do some exercise then I'll feel better. Nearly planted him one!
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I'll hold him, you hit him >:( :D
Let us know how you get on. VA can vary in symptoms until the treatment kicks in.
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Just back from docs and got a prescription for vagifem to try. So here goes.
I'm not going to look at side effects as I'm too anxious so I'll no doubt be back with more questions.
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Use it every night for 2 weeks. Then 'as necessary' until you feel comfortable, the advice is to use it every 4th and 6/7th night I think but initially the product was 25 and is now 10. Some ladies find that occasionally they need 2 doses at night to keep comfy. Let us know how you get on. Also remember that a pain relief medication can also ease symptoms, the night after I use Ovestin I get niggles which goes away with Nurofen.
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Just back from docs and got a prescription for vagifem to try. So here goes.
I'm not going to look at side effects as I'm too anxious so I'll no doubt be back with more questions.
After about 3 weeks I haven't noticed any side effects.
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Thanks. Hopefully you've noticed some benefits Katejo.
Tbh I'm not totally convinced I need it. I was prepared to wait and see if things settled further but gp shuffled me out without much discussion.
I'll give it a go. Can't do any harm.
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You may have vaginal atrophy. Appropriate treatment should ease symptoms. What's to lose? If you are hungry, do you not eat :-\