Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: Lily35 on July 07, 2023, 05:57:42 PM
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Hello all
After 2 long years of trying to get my VA under control I am now finally comfortable. Feels like I have my life back.
My lovely menopause prescriber has left the practice however and my GP has been putting me in for hrt reviews every 3 months now and took meds off repeat.
Was using Vagifem daily and ovestin a tiny bit outside 3 x a week.
Following changing from Lenzetto to Sandrena for my systemic I am finally feeling better and managed to reduce to every other day Vagifem then 3 x weekly.
I tried twice a week and had a flare up so back on 3 x however GP is refusing to give me them.
I have complained and spoken to the prescribing team and had another gp appointment but they still say I can only have 2 a week.
I have booked in with another gp next week but does anyone have any suggestions! I have mentioned Nice Guidelines etc but deaf ears.
I simply cannot go through all this again.
Thanks :'(
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Your GPs are wrong. Although the leaflet in the VA treatment boxes does suggest that we can 'manage' with 2 doses a week, many of us know that may be impossible.
I would contact Dr Louise Newsom or look on her web-site. They're maybe advice there as well as on MM. It may be worth your while sending an e-mail to Dr Currie for the small charge, asking the question: you can tell her who the GP is and which Practice is involved, her reply should be positive and inform the GP what is actually required.
There is a VA product to buy from BOOTS which might be worth a try. 'gina' I think.
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I am so sorry this is happening to you. :( It really is unfair and frustrating how ignorant some GPs are. Twice a week of VA treatment would not be enough for me either.
Is it possible to gather written information and send it to the practice manager and tell them this policy needs to be changed?
Having HRT reviews every three months sounds too much. It is almost like they do not know anything about HRT and it scares them.
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U could ring to ask for a referral to a dedicated menopause clinic, not a gynae ;-)
U could also ask the Practice Manager where the GPs are getting their idea that 2 days a week is 'enough'. Point out that what is suggested in the leaflet in the box is out of date.
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Have you ever tried the Estring? That would give you the equivalent of 5 Vagifem a week, although I appreciate that isn't really the point and of course you should get whatever you need. It's ridiculous the way your presciber is behaving.
JP x
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Hi
My doctor’s surgery refuses to give me any more than 3 a week. I requested more and the pharmacist refused, claiming it was unsafe.
I told them it was a load of rubbish, but they won’t prescribe me anymore.
I’m with Newson health and I have to buy on a private prescription for the extra needed.
Best wishes
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Peanut - that should't be necessary. Time that Louise had a stern word with your GP Practice and the Pharmacist involved.
'dangerous' >:(. Let a man get VA and see how quickly he rushes for treatment?
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Hi Lily35, I've a similar problem, my GP and also the menopause clinic here say 2 a week is my max and it's not enough.
Luckily they usually let me order it early so I have enough to keep symptoms at bay at the moment.
Like CLKD says it can be bought OTC now, called Gina, so why they restrict it on prescription is a mystery. They just like telling women what to do or think we can't be trusted to be sensible, can't think of another reason. One oral oestrogen HRT pill is equivalent to a whole year of daily vagifem, that's what Dr Newson said on a video I watched.
Does anyone know how easily it's bought OTC? Do you need to get a pharmacy prescription for it or is it on the shelves?
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Hello all
After 2 long years of trying to get my VA under control I am now finally comfortable. Feels like I have my life back.
My lovely menopause prescriber has left the practice however and my GP has been putting me in for hrt reviews every 3 months now and took meds off repeat.
Was using Vagifem daily and ovestin a tiny bit outside 3 x a week.
Following changing from Lenzetto to Sandrena for my systemic I am finally feeling better and managed to reduce to every other day Vagifem then 3 x weekly.
I tried twice a week and had a flare up so back on 3 x however GP is refusing to give me them.
I have complained and spoken to the prescribing team and had another gp appointment but they still say I can only have 2 a week.
I have booked in with another gp next week but does anyone have any suggestions! I have mentioned Nice Guidelines etc but deaf ears.
I simply cannot go through all this again.
Thanks :'(
You can get round this by either buying a box of Gina from the chemist to supplement the extra one, I know they're expensive (£29.99) but a box would last 24 weeks if you used one a week. Sorry not sure if you're eligible? You could order Vagifem online with Superdrug also. Just a few questions and then they deliver for about £40. I've done this when needed a extra box for a long holiday and didn't have time to order an extra prescription.
The other alternative is to use the Ovestin internally once a week so you're back to 3xweek with a local estrogen.
I'm prescribed Vagifem 5 times a week and Ovestin externally every night so if I need to I use the Ovestin internally for 2 nights.
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I spoke to Newson clinic about my GP surgery refusing anymore than 3 a week.
They offered to send a letter, but said that it is up to the surgery and they often will not overrule their own staff (pharmacists).
Best wishes
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I know how you feel. Its frustrating. I had this problem. They would only prescribe 8 weeks and made me take a break. That didn't even allow enough time to take effect. The first time I tried vagifem I got slight bleeding after a while so had to stop and have an exam and an ultrasound so it put me off. The next time I tried I got breast pain so stopped again for a break as advised. This next time I've been okay and I told my GP the advice given here and this particular one prescribed and told me to use it how I needed to. She sounded more as though she couldn't be bothered to argue. My symptoms aren't as bad as some on here. Twice a week is enough. I'm still a bit nervous of it's continuing use though. My sister is 20 months younger and has none of these problems.
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Does anyone know how easily it's bought OTC? Do you need to get a pharmacy prescription for it or is it on the shelves?
If you are over 50 and already being prescribed Vagifem from your GP its very easy to buy over the counter without questions asked.
I had no problem with my prescribing pharmacy in asking for a back up box of Gina/Vagifem as I have to take one every day.
They did have to order it in for me but they were happy to do that.
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I think I read on here about being able to buy systemic HRT over the counter in Spain without a prescription, now that is something that would never happen here in the UK as the regulations are so strict.
Someone somewhere came to the conclusion that it's totally safe for women to buy Vaginal Atrophy treatment over the counter, that someone obviously came to the conclusion that it's a safe treatment, I think we should stop worrying about it and use at will, as they say! :)
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Apart from the fact that GPs don't seem to 'get it' >:(
Gina will be prescribed by BOOTS to women over 55 whop haven't had a period for 12 months. Dr Louise must be so frustrated when women pay for her advice but GPs won't take it on board. Many GPs however won't prescribe when a patient has been to a private consult especially if the GP didn't refer them.
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I think I read on here about being able to buy systemic HRT over the counter in Spain without a prescription, now that is something that would never happen here in the UK as the regulations are so strict.
Someone somewhere came to the conclusion that it's totally safe for women to buy Vaginal Atrophy treatment over the counter, that someone obviously came to the conclusion that it's a safe treatment, I think we should stop worrying about it and use at will, as they say! :)
You can buy a lot of other meds OTC too. My SIL lived there and bought her blood pressure pills OTC.
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Write or email your Gp and politely ask on what medical grounds and basis are they are refusing treatment? Inform them that you are aware of the risks and benefits and would like vagifem to be prescribed however many weekly you need .
Explain that them refusing treatment is effecting your quality of life.
Add some links :
https://thebms.org.uk/wp-content/uploads/2022/12/16-BMS-TfC-Menopause-Guidance-Top-Ten-Tips-01-original-NOV2022-A.pdf
https://www.chelwest.nhs.uk/professionals/gp-hrt-advice-guidance
- write saying something like "may I draw your attention to page bla bla and paragraph so and so. Even copy and paste the relevant bits stating I have copied the most pertinent points for ease. Finish with I appreciate your time and support in this matter and look forward to you considering prescribing the vaginal estrogen that i require to live a pain free life etc etc
Gp's are only human and sometimes need a prod in the right direction - politely of course- they should be looking after and working with us .
PMXX
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Too many read the leaflets in the boxes >:(
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Thank you all for your supportive responses.
I have actually kept some back so it’s not an urgent issue but I can’t see me ever getting down to 2 x weekly so I really need to get it sorted.
I shouldn’t have to pay for OTC meds just because my doctors are clueless.
I will see how it goes with this other doctor next week and then I will put in a complaint and ask for them to take advice from a menopause clinic.
I have a mirena for my systemic so not sure what their issue is. I guess I could ask to increase my Sandrena instead.
I could use the ovestin internally but I find that I get bladder urgency issues if I use that rather than the Vagifem. I don’t particularly want Estring.
I really struggled to get this under control - it has literally taken 2 years and the thought of going backwards is frankly distressing.
Bloody doctors! :(
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I agree. If you have found a regime, stick to it. We shouldn't have to fight for what works, after all - if we find something that suits, it saves, in the long run, continued drain on NHS time with all the visits to the GP! ??? :-\
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Perhaps buy a copy of "Me and My Menopausal Vagina" written by a Member of the Forum to hand to your GP Practice ;-).
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Hi
My doctor’s surgery refuses to give me any more than 3 a week. I requested more and the pharmacist refused, claiming it was unsafe.
I told them it was a load of rubbish, but they won’t prescribe me anymore.
I’m with Newson health and I have to buy on a private prescription for the extra needed.
Best wishes
Have you tried pointing out that the 2/3 a week rule is based on the previous version when each Vagifem was 25mcg not 10 mcg as they are now? I had a problem with my GP trying to restrict me to 2 a week until an NHS urogynaecologist told me that 5/6 a week was fine and wrote to them to say so.
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Did your GP agree to prescribing on that advice Katejo?
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Did your GP agree to prescribing on that advice Katejo?
Yes they did. I haven't had any supply problems since then.
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I wonder what these GPs and pharmacists think will happen if you have more than 2 or 3 doses a week. Bearing in mind it's a minuscule dose and not absorbed systemically, just what is their problem? I suppose they are just jobsworths.
JP x
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I'm just catching up with this thread. Are they just following NICE guidelines? My GP looked them up at my last consultation as she described things as 'very poor down here' mid examination. They do say 2 a week but she also discovered that there should be a break annually to check if treatment is still needed! Luckily she discounted that. I am issued with a full box every month on repeat so she obviously ignored the rest too thank goodness. https://cks.nice.org.uk/topics/incontinence-urinary-in-women/prescribing-information/intravaginal-oestrogen/#:~:text=Vaginal%20tablets%3A,vaginal%20tablet%20twice%20a%20week.
Taz x
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Ladies know whether treatment is still required. I don't need ovestin as often as previously, I recognise the symptoms.
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I'm just catching up with this thread. Are they just following NICE guidelines? My GP looked them up at my last consultation as she described things as 'very poor down here' mid examination. They do say 2 a week but she also discovered that there should be a break annually to check if treatment is still needed! Luckily she discounted that. I am issued with a full box every month on repeat so she obviously ignored the rest too thank goodness. https://cks.nice.org.uk/topics/incontinence-urinary-in-women/prescribing-information/intravaginal-oestrogen/#:~:text=Vaginal%20tablets%3A,vaginal%20tablet%20twice%20a%20week.
Taz x
I'm confused, what would the annual break test for?
We're not going to stop having a deficiency in hormones post menopause, asking whether you still have sex is verbal and no break is needed to ask that, I wonder what other changes they expect?
ie what actual checks do they make during the break?
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No idea meno-mel. I just found the guidelines.
Taz
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Ladies know whether treatment is still required. I don't need ovestin as often as previously, I recognise the symptoms.
That's interesting CLKD, I wonder what's happened that you no longer need ovestin as often?
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Ladies know whether treatment is still required. I don't need ovestin as often as previously, I recognise the symptoms.
That's interesting CLKD, I wonder what's happened that you no longer need ovestin as often?
:-\ interesting but for benefit of others any explanation ?
Only my own experience but reducing becomes “risky”. The one time I got fed up with all of it & stopped using ovestin the burning & itching was pretty bad probably worse than when I started out. One doc told me that it is stimulating the muscle tissues.
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Well I'm older and probably been on regular treatment longer as well as being sexually active with a DH :-* 8). So lubricated naturally rather an adding a hormone.
My symptoms begin with a fullness in the lower region below the belly button, I immediately being 'ovestin' plus 2 Nurofen to ease the need2P symptoms. It never gets like the razor blades :o feelings of years ago.
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I'm a similar age to you CLKD :) and been on some sort of treatment for over 10 years now i guess.
To me VA is not entirely about lubrication and consistent use of some sort of hormone is needed otherwise you can quickly go backwards.
If using less ovestin is okay for your individual symptoms then well and good.
Reduction of ovestin may not work for those with the classic VA symptoms of burning and itching.
It may give some reading your post
Ladies know whether treatment is still required. I don't need ovestin as often as previously, I recognise the symptoms.
a sense of false hope. Maybe if you had said that you recognise your symptoms rather than 'the' symptoms.
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a sense of false hope. Maybe if you had said that you recognise your symptoms rather than 'the' symptoms.
That is actually the difference between signs and symptoms. Signs are detected from the outside looking in while symptoms are from the inside looking out. So by definition CLKD could only have been describing her own symptoms.
Unless I misunderstood...
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I wonder what these GPs and pharmacists think will happen if you have more than 2 or 3 doses a week. Bearing in mind it's a minuscule dose and not absorbed systemically, just what is their problem? I suppose they are just jobsworths.
JP x
I came across 1 woman who had been told by a doctor that it was only safe to use 1 Vagifem once a fortnight!
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WHAT! Katejo .......... so much mis-information around. Still.
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Well I'm older and probably been on regular treatment longer as well as being sexually active with a DH :-* 8). So lubricated naturally rather an adding a hormone.
My symptoms begin with a fullness in the lower region below the belly button, I immediately being 'ovestin' plus 2 Nurofen to ease the need2P symptoms. It never gets like the razor blades :o feelings of years ago.
I've been on treatment 8 years now but still unable to reduce and still getting flare ups if something interferes with the treatment (just had a particularly bad one lasting 2 months). I'm ready for my dose each day and sometimes have needed 2 in a day.
I'm not sexually active but have always been told this is not a factor and the "use it or lose it" saying is a myth? I don't have any natural lubrication, if I did have sex it would have to be with a lot of lube out the tube. ;D
Is age a factor and the length of time on treatment? I was told it's for life. It would be nice if this changes as we age.
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I think that it may be individual. Perhaps some ladies who don't post here may treat 'as necessary'.
It's about finding a regime that works enough to keep the vulval area comfy.
As for GPs refusing >:( :kick:
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I still don't understand why some women don't get VA at all.
What do they have that we don't?
Is it genectic? My mum doesn't suffer with this and she's 93.
I had very few meno symptoms, sailed through I suppose, to then have VA. I would like to know why, is there any research on this?
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I still don't understand why some women don't get VA at all.
What do they have that we don't?
Is it genectic? My mum doesn't suffer with this and she's 93.
I had very few meno symptoms, sailed through I suppose, to then have VA. I would like to know why, is there any research on this?
Im 65. My sister is 20 months younger, doesn't have any of these problems but she did have severe hot flushes, panic etc and was on HRT for quite a while. I didn't have bad menopause problems but the down below ones I do have. So I'm not sure about genes. I manage sex without pain but with vagifem and a bit of lube. I'm expecting it to become more difficult though. I imagine in the past, women of my age were viewed as old and were probably in a care home😊
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I think that it may be individual. Perhaps some ladies who don't post here may treat 'as necessary'.
Would be good if some could post to support the ‘as necessary’ when most are advised to use continually.
I would like to know why, is there any research on this?
I’d be happy to put myself forward if it helped others in the future.
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When VA began for me it was like razor blades :o up there. Intermittent urine infection-type symptoms, initially treated with ABs. Whilst these eased symptoms I had no idea about VA. Then my GP sent a sample to a Lab for testing which came back 'no growth'.
I was started on pessaries initially which were removed from the market. 'ovestin' as been my go-to - every night initially followed by every 3rd and 6/7th night, unless symptoms irritated. 4 me that is a feeling of pressure below my belly button so I immediately put a treatment into the vagina, the swallow 2 Nurofen to ease the need2P feelings. 3 times a day usually helps. When I was away on holiday about 2 years ago without any medication ::) I noted that symptoms weren't problematic. 4 me it's about managing the VA.
Both my sister and Mum 'can't remember' how they were in menopause - my sister "I'm through all that." :-\
It has been suggested that I should continue with a couple of times insertion every week ...... however, if the body doesn't require medication of any type, I'm not keen to use any. I wouldn't take pain relief for example on an 'in case' basis.
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I still don't understand why some women don't get VA at all.
What do they have that we don't?
Is it genectic? My mum doesn't suffer with this and she's 93.
I had very few meno symptoms, sailed through I suppose, to then have VA. I would like to know why, is there any research on this?
Found this online:
After menopause (post-menopause), monthly menstrual periods stop. The body still makes small amounts of oestrogen by changing hormones called androgens into oestrogen. Androgens are produced by the adrenal glands, which are above the kidneys. A hormone called aromatase changes androgens into oestrogen.
Androgens. Could this be the the missing link that causes variations of symptoms when postmenopausal, how well your adrenal glands produce androgens and how well they are then changed into oestrogen by aromatase?
Anyone heard of Androgens and Aromatase? Maybe we should be looking how to produce more of these as well as taking estrogens.
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Found this online:
After menopause (post-menopause), monthly menstrual periods stop. The body still makes small amounts of oestrogen by changing hormones called androgens into oestrogen. Androgens are produced by the adrenal glands, which are above the kidneys. A hormone called aromatase changes androgens into oestrogen.
Androgens. Could this be the the missing link that causes variations of symptoms when postmenopausal, how well your adrenal glands produce androgens and how well they are then changed into oestrogen by aromatase?
Anyone heard of Androgens and Aromatase? Maybe we should be looking how to produce more of these as well as taking estrogens.
That's interesting Dierdre, the main androgen is testosterone I suppose, which does vary a lot between women. A few weeks ago, I was reading that healthy menstruating women have three times more testosterone than they have oestrogen, and the body converts testosterone into oestrogen when needed.
Google isn't sure about the above, I had to look through a lot of results to get a sensible answer about women that doesn't simply dismiss our testosterone levels as being "less than men", I'm inclined to think, "So what? menopause isn't about men, so why obsess on how much we have compared to men?
I found the quote below online this morning, I can't wait for this to happen!!!
What Happens After Menopause?
Postmenopause is everyday after you reach your official menopause moment 12 months after your final period. The signs and symptoms experienced in perimenopause may persist for a few years into postmenopause, but women overwhelmingly report feeling much better in postmenopause. Boundless energy, laser focus, and increased libido are all waiting on the other side of menopause. Sleep problems will subside. Your body will begin operating more smoothly. The greatest sign of menopause being ‘over’ is when you begin to intuitively feel that your disruptive symptoms are easing. This means your body is adjusting to the “new normal” of your hormone levels.
Why do I think this wasn't written by a mature lady? ;D
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Menopause is never ' over ' though, it's the state we arrive at once periods stop.
'laser focus'. ?? American ?? ::)
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I'm 13 years postmenopause! Still waiting ;D ;D
Maybe we should all be taking testosterone not estrogen?
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Look out men ......... :o :whist:
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Hi all and thanks for the replies.
Just had my phone appointment with the GP standing in for mine. She FLATLY refused to give me more than 2 Vagifem and has now taken the ovestin away too. She said I am risking breast cancer. I said was she quite happy for me to buy from Superdrug and she said yes. Ffs.
I got a bit annoyed and upset and said she didn’t know what she was talking about. I asked for a referral to a menopause specialist.
I have rung the practice manager to complain and they are calling me back Monday.
I could cry I’m just so sick of fighting for this as I cannot go back to how I was.
:'(
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I really am so sorry you have had to go through this. You did so well to stand your ground and I am glad the practice manager is calling you on Monday.
I know how upset and shaken you must feel. I am sending you a virtual hug. 🤗
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I really am so sorry you have had to go through this. You did so well to stand your ground and I am glad the practice manager is calling you on Monday.
I know how upset and shaken you must feel. I am sending you a virtual hug. 🤗
Thanks Flossie,
I’m just gutted - feel like I’m banging my head on a brick wall. Wish I could afford a private consultation/prescription.
I asked what it is she suggests and she said - 2 a week works. Arghhh how come it’s taken 2 years to get comfy then!
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I am so sorry and I thought my battle to get treatment for VA was bad!
Until you walk in the shoes of someone suffering VA you have no clue what it feels like. Not being able to walk, sit or sleep without being in discomfort is horrendous.
I have never been able to manage on just two Vagifem a week.
I haven't read all the thread, but I guess you have tried to get appointment with another GP?
My GP wanted to stick to the twice week dosage and refused to allow me any for 3 months as I had exceeded my dosage allowance. Fortunately the receptionist took mercy on me and got me appointment with another GP who just asked me what i needed to keep myself comfy. I dread the day he retires!
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This is totally outrageous what you're going through, your GP is clueless about VA treatment. My own GP is on Vagifem every day, I know because I asked two years ago when the two a week dose was not working she said to use it every day, I said WHAT, are you sure its ok to do that, she said yes it's what I do, its so low dose it doesn't even reach the blood stream. Now everyone will have their own opinion on this but I am happy to lead a normal life again using VA treatment every day.
You are suffering vile symptoms when you don't have to, that's bordering on negligence by your health provider.
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@Lily35 I've been with my surgery for nearly 40 years and I didn't know until the other day that my surgery has a menopause specialist. I searched here;
https://thebms.org.uk/find-a-menopause-specialist/
Make sure you tick the NHS box or it will list private ones.
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I've not had such an extreme problem but only ever been prescribed it in blocks and twice a week however a different GP yesterday told me the regulations have changed and its now sold over the counter so tried to reassure me. She didn't tell me to use it every day though but didn't tell me not to either and she did tell me it's for life
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Hi all and thanks for the replies.
Just had my phone appointment with the GP standing in for mine. She FLATLY refused to give me more than 2 Vagifem and has now taken the ovestin away too. She said I am risking breast cancer. I said was she quite happy for me to buy from Superdrug and she said yes. Ffs.
I got a bit annoyed and upset and said she didn’t know what she was talking about. I asked for a referral to a menopause specialist.
I have rung the practice manager to complain and they are calling me back Monday.
I could cry I’m just so sick of fighting for this as I cannot go back to how I was.
:'(
Ah Lily35, I'm sorry you're having this problem too.
I don't know why they treat HRT like a controlled substance, it maybe has its roots in the idea women always need to be told what to do, so patient involvement is minimal in decision taking. It's a real shame but too many doctors now just are protecting their licenses and refusing to be complicit in giving a patient sufficient meds if it's not the recommended dose! Or in my case the doctor wouldn't prescribe me hrt at all because she didn't think it was safe and it is her decision as a prescriber to be useless if she feels like it! ;D
I get morphine on prescription and gabapentin too which is also controlled, both those are far easier to order early than any of the three HRT meds I get!
Yes, really! I ordered Estradot, gabapentin and morphine a week early due to the doctors being closed two days when I was meant to order it. I got the morphine and gabapentin, but Estadot was refused. They sent a text saying to talk to the pharmacy if I was running out but under no circumstances could I get it early!
Not a clue how the pharmacy were supposed to help me from that text.
I reordered as soon as they opened but I'm going to run out on Monday, that's before I can get it on Tuesday, even if the first pharmacy I try has it. :(
P.S. I admire you standing up to them, you shouldn't have to buy the rest of your pills in Boots at £30 a box.
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Your GP needs her head sticking down a loo and the flush pulled. A LOT >:(
Do write to the Practice Manager with your experience - copy and paste what you have written to us: as well as writing to the GP to ask her to justify the omments about 'risking cancer'. She has probably read the very old now discredited research, if so she needs to go on a Course. I would be letting Dr Currie and the British Menopause Society who she is too.
We can only wish that Her Time Will Come >:(
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Lily35, did the GP make the referral to the menopause specialist?
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Hi guys and thanks for the support with this.
The practice manager rang me Monday and I had a little rant. She said she actually does sympathise and that the practice are struggling to replace the menopause nurse who left. She agreed that menopause nurse was more up to date with treatments but that she cannot overrule the gp’s if they won’t prescribe.
A referral has gone into a menopause clinic - she wasn’t sure if that was for the gp to get some email advice or if I’d have to wait (probably months) to be seen.
They have prescribed 24 in the meantime with the next date to order in 12 weeks.
I do have some put to one side so not needing any urgently but obviously this issue needs to be resolved. They have also prescribed 45g of ovestin for external which is 3 tubes so I guess I could try using 2 x Vagifem then 1 x internal ovestin.
I’m really shocked how out of date they are x
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Nothing shocks me. I would be sending an e-mail to Dr Curry who runs the Forum asking the question as well as reporting this practice and to the British Menopause Society. Unless GPs are named and shamed, this situation won't be improving any time soon. >:(
If all else fails, mayB looking at BOOTS for 'gina' VA treatment might help?
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Further update….
My docs just rang saying they have had a response to the gynaecology referral.
They don’t need to see me and advised the docs that as long as the GP explains the risks then they are happy for me to use more than 2 Vagifem a week. They have made a phone apt next week to discuss the ‘risks’ before they update my prescription but at least it’s a step forward!
Symptoms wise things are so much better. I feel like I have finally got on top of this awful VA.
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Finally! What a relief this is. I am so happy to hear your symptoms are improving too. :)
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Finally! What a relief this is. I am so happy to hear your symptoms are improving too. :)
Thank you! For the first time in 2 years I sometimes go days without thinking about it! ;D
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Finally! What a relief this is. I am so happy to hear your symptoms are improving too. :)
Thank you! For the first time in 2 years I sometimes go days without thinking about it! ;D
That really is amazing! :)
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I wonder what 'risks' they will cook up so that they don't lose face >:(. 'more than 2 a week' will turn out to be ? cynic? Moi :-\
Let us know how you get on. Did I suggest buying a c copy of 'me and my menopausal vagina' written by a Forum Member : read and pass to the Practice manager etc. ;-)
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Ohh the GP already advised me that did I know I was risking breast cancer by using Sandrena, Vagifem and ovestin!
I did say to the practice manager that the gynae info should be shared with the other GP’s in the practice so that no other women have to jump through these hoops!
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Well done on putting your point across. Next question to your practice is for them to print off the Research that this particular GP is quoting! Did she also tell you that women are more at risk from breast cancer, heart disease and bone problems without taking HRT?
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After advice from here I repeated the loading dose and went to my gp who told me using more than two a week caused bleeding! She usually very good but she was looking it up online and I think was only checking the manufacturers leaflet. Needless to say I will be using more, I think she's just scared.
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That isn't good enough :bang: Refer your Practice Manager, GP and Nurse Practitioner to MM ;-). She's ignorant.
I would be sending an e-mail asking her where she gets the info about more than twice a week use will cause bleeding :-\. I am spitting bricks!