HRT Preparations: Vaginal Treatments
Please note: Patients should consult a health professional to decide on the appropriate treatment option to be prescribed.
Local estrogen can be used for vaginal and bladder symptoms, when systemic treatment is not desired or appropriate. For some women, vaginal estrogen may be required along with systemic HRT.
|Gynest - Estriol - 0.01% cream.||£4.67 per 80g|
|Ovestin - Estriol - 0.1% cream||£4.45 per 15g|
ESTROGEN VAGINAL TABLET
|Vagifem 10--Estradiol 10mcg||£16.72 for 24 applicators|
|Vagirux 10-Estradiol 10mcg, reusable applicator||Price tbc|
|ESTROGEN VAGINAL RING|
|Estring--Estradiol --3 month's treatment||£10.97--£31.42 per ring|
|ESTROGEN VAGINAL PESSARY|
|Imvaggis-Estriol 0.03mg||Price tbc|
|ESTROGEN VAGINAL GEL|
|Blissel -- Estriol50 micrograms/g vaginal gel||Price tbc|
|Senshio - Ospemifene 60mg daily||£39.50 for 28 tablets|
|NON HORMONAL VAGINAL TREATMENTS WHICH CAN BE PRESCRIBED|
|Hyalofemme||£4.60 for 30g tube with reusable applicator|
|Regelle||3 dose pack (9 day supply) £3.29
6 dose pack (18 day supply) £5.41
12 dose pack (36 day supply) £8.32
£6.01 for 6 dose pack£6.01 for 35g pack
(up to 12 applications) + applicator
|Sylk||£5.16 for 40gms, sufficient for 75 to 100 applications|
|Yes||Yes water based in 5ml applicators. 6 pre-filled applicators. Price: tbc|
|Yes||Yes water based in 75ml single tube. Dose: 1 application intravaginally every 2-3 days. Price: tbc|
- Estrogen creams and tablets - initial dose is nightly for 2 weeks, followed by twice weekly applications for maintenance.
- Estrogen pessary and gel --nightly for 3 weeks then twice weekly.
- Vaginal ring should be replaced every 3 months.
- Replens – 1 application 3 times weekly in the morning.
- Sylk - use as required.
- Hyalofemme - once every 3 days.
Laser treatment applied to the vaginal wall is believed to increase vascularity and lead to rejuvenation of vaginal tissues. Limited data is available on effect and safety but preliminary data is encouraging. This treatment is not yet available in NHS clinics.
See this news article: Laser treatment helpful for genitourinary syndrome of menopause (GSM) (10 May 2021)