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Author Topic: Help with Vagifem  (Read 7311 times)

Pinkprincess

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Re: Help with Vagifem
« Reply #15 on: September 15, 2017, 12:12:52 PM »

She has referred me I have to ring to book. I have a phobia about hospitals and when I said that she basically said it's only an out patients appt and rather that than be at risk of getting cancer. She said she has to get the hospitals say so before prescribing long term
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Tinkerbell

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  • Posts: 1690
Re: Help with Vagifem
« Reply #16 on: September 15, 2017, 01:44:41 PM »

She is talking absolute rubbish, even using Vagifem every day for a year is equivalent to just one oral HRT tablet a year...told that by the gynaecologist I saw.
I would either see another GP or keep your hospital appointment, VA gets worse and you need regular long term treatment.
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JaneinPen

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Re: Help with Vagifem
« Reply #17 on: September 15, 2017, 03:55:45 PM »

Can't believe what you have been through. To have a GP saying things like that to you Pinkprincess is awful.  My GP was much more understanding and was the one to suggest VA because of repeated UTI's and recommended this site to see what other ladies were saying. The urologist who did my cystoscopy also said he would have recommended the VA. I hope your Appointment goes okay and you get a more positive outcome
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Pinkprincess

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Re: Help with Vagifem
« Reply #18 on: September 15, 2017, 05:28:14 PM »

Thank you all. She has made me scared of taking it now as she said it goes into your system. She didn't like the fact I mentioned looking on this site and having people give me info. I took no HRT through the menopause at all. She made it sound like giving oestrogen only was the work of the devil! So, I will have to get the courage up to go to the hospital, I have a bit of a phobia and am not looking forward to being examined  :-\

Pat
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Hurdity

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Re: Help with Vagifem
« Reply #19 on: September 15, 2017, 05:41:27 PM »

This sounds terrible - yet another ignorant doctor! I realise she has your best interests at heart but she sounds like my GP who said I shouldn't be on HRT at my age (over 60) as it can only lead to cancer - and as I was consulting her about pelvic pain she said " Let's hope it hasn't already" !!!!! Needless to say I never went to her again!

I agree with Tinkerbell - I would find out which doctor at the practice knows about HRT and menopause and then go to that one before making the hospital appointment. If you have had no bleeding nor anything (in your medical history or symptoms) that suggests you need a specialist referral then I would resist this.  Although normally I would say why not just go - as it's always better to take up the offer of a check-up when offered - in your position and with your phobia - if it is really unnecessary then you don't need to go through this.

If you would like the information we can point you to the NICE Guidelines and all the recommendations which say that long term vaginal oestrogen is fine without progestogenic opposition. I am shocked that a GP does not know this when it must be prescribed daily to thousands of women! In any case local oestrogen doesn't count as hRT - however the warnings on the prescribing information are sadly the same as for full systemic HRT - which is part of the problem for doctors who know very little about it and if they read it as gospel....

As a start the information on this website (written by Dr Heather Currie, leading gynaecologist and former Chair of British Menopause Society) says this:

Low dose vaginal estrogen preparations can be used long term without causing any known systemic effect, and without needing any progestogenic protection of the lining of the womb.

https://www.menopausematters.co.uk/dryness.php

Hurdity x


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Pinkprincess

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Re: Help with Vagifem
« Reply #20 on: September 15, 2017, 06:16:01 PM »

Thank you Hurdity. I am going to look into maybe finding a menopause clinic or a well woman clinic before making the appointment. Someone kindly messaged me and asked about being checked for lichen sclerosis but I assume that the symptoms of that wouldn't go away with Vagifem  as mine did? Looking at the symptoms of vaginal atrophy it is me to a T. I took no HRT through the menopause, I haven't had a period for at least 5 years and have no history of pain/bleeding etc. I just assumed the Vagifem would just be prescribed.
Pat x
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