Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: Jules on December 20, 2021, 11:04:46 AM
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I had one course of vagifem then had a short break then started another course of vagirux (apparently the new first line prescription brand). Towards the end of that course I have had a couple of small bleeds. Had an examination from the doctor. Everything fine. Referred for ultrasound. Has anyone else experienced this? I've had to stop which I'm disappointed about because it was helping
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Vagifem and Vagirux don't come as a course, but are intended to be used forever at whatever maintenance dose suits you. Symptoms will return if you stop using it. Local oestrogen is such a low dose, and is generally not absorbed systemically, so it seems unlikely that it would be implicated in unexpected bleeding. Good that you're getting checked out though.
JP x
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Vagifem and Vagirux don't come as a course, but are intended to be used forever at whatever maintenance dose suits you. Symptoms will return if you stop using it. Local oestrogen is such a low dose, and is generally not absorbed systemically, so it seems unlikely that it would be implicated in unexpected bleeding. Good that you're getting checked out though.
JP x
Vagifem and Vagirux don't come as a course, but are intended to be used forever at whatever maintenance dose suits you. Symptoms will return if you stop using it. Local oestrogen is such a low dose, and is generally not absorbed systemically, so it seems unlikely that it would be implicated in unexpected bleeding. Good that you're getting checked out though.
JP x
My GP only prescribes in courses eg a box then I have to take a break. She says in some women, vaginal estrogen can cause bleeding. I did see another doctor who said the same and I've read on the brand information that it's a side effect.
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Oh nooo,my vagifem has just been changed to vagirux,was put on it for vaginal bleeding too :(
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I wonder if it depends on the level of dryness? These seem strange trains of thought from gps as, if needed, they're needed continuously and for life. Otherwise symptoms just return. Perhaps that's what's "covered" with the leaflet. They're definitely never used as "courses". Vagirux loaders are coarser than Vagifem. Try to hold out for Vagifem and try coating the loader in YES VM or even request a cream like Ovestin to help. Good luck.
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Vagifem is for life as often as needed to feel comfortable. Could it be the change in your script? As others have mentioned, perhaps check Ovestin. It is a cream and may suit you better. Good luck. It is a difficult journey.
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"Course" is only my term not the GP and most things I've read suggest breaks inbetween. The vagirux I read is now the first line recommended prescription brand, I think it's cheaper but basically the same stuff though can't swear on that. I'm speaking to the doc this week so will update you if I learn anything more. Just slightly worrying when you see a bit of blood then Google!!
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I wonder if it depends on the level of dryness? These seem strange trains of thought from gps as, if needed, they're needed continuously and for life. Otherwise symptoms just return. Perhaps that's what's "covered" with the leaflet. They're definitely never used as "courses". Vagirux loaders are coarser than Vagifem. Try to hold out for Vagifem and try coating the loader in YES VM or even request a cream like Ovestin to help. Good luck.
vagirux preferred brand of estradiol vagina tablets (https://ggcmedicines.org.uk/blog/medicines-update/vagirux-is-now-the-nhsggc-preferred-brand-of-estradiol-vaginal-tablets/)
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Hi Jules. Could you post the link where it's mentioned that we need to take breaks from Vagifem/Vagirux please. As others have said it is to be used forever and continuously on whichever regime gives relief. I've never been advised to take a break and have been using it (along with full HRT) for the past 13 years. It's easy to miss changes in advice on usage.
Thanks for the Vagirux link.
Taz x :)
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My surgery texted me and said it was the same only cheaper but not sure exactly what the mean by "the same" I've never been told to take a break from it either,so that's concerning,my Dr basically gives me a free rein with it dosage wise.
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Hi Jules. Could you post the link where it's mentioned that we need to take breaks from Vagifem/Vagirux please. As others have said it is to be used forever and continuously on whichever regime gives relief. I've never been advised to take a break and have been using it (along with full HRT) for the past 13 years. It's easy to miss changes in advice on usage.
Thanks for the Vagirux link.
Taz x :)
I'll have a look, can't remember where it was written
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Hi Jules. Could you post the link where it's mentioned that we need to take breaks from Vagifem/Vagirux please. As others have said it is to be used forever and continuously on whichever regime gives relief. I've never been advised to take a break and have been using it (along with full HRT) for the past 13 years. It's easy to miss changes in advice on usage.
Thanks for the Vagirux link.
Taz x :)
Hi sorry but can't find it. The vagifem info does say that if your symptoms improve your health care practitioner might ask you to take a break. I suppose it depends on your symptoms. My GP says she has patients who have breaks. I have to say at present I'm reluctant to start again especially after the bleed albeit small and irregular.
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Have you thought of e-mailing Dr. Currie from this site so that you have a neutral, but highly knowledgeable opinion? You might feel more reassured that way about what's happening. You just tap on CONTACT at the very top of the page in black and send a small fee for some really great, professional recommendations. Good luck with it all anyway!
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Have you thought of e-mailing Dr. Currie from this site so that you have a neutral, but highly knowledgeable opinion? You might feel more reassured that way about what's happening. You just tap on CONTACT at the very top of the page in black and send a small fee for some really great, professional recommendations. Good luck with it all anyway!
Ok thanks