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[CLKD]

VA is treated totally differently to other HRT medications.  It's a different area so treated 'lcoally'.  Do read the various threads about vaginal atrophy on here!

[Ljp]

Thanks CLKD but from what I have read it definitely seems a lot of VA sufferers need both local and systemic oestrogen

[Taz2]

Yep - it is fairly common to need both as your oestrogen level drops.

Taz x

[Tinkerbell]

Ljp.....54, two years post meno.
Started Estrogel 10 months ago, but have been using topical estrogen for about 4 years now. I have a Mirena for the progesterone element.

[Tinkerbell]

I did try to drop to two pumps of Estrogel but the VA starts to flare up, really can't manage with less than three.
What are your worries over using more Estrogel, if you don't mind me asking?
VA makes me so miserable, effects every area of my life, so am happy to throw every thing at it!
Got a mini flare up at the moment...I think the heat of last week made the Estrogel dry before I absorbed it properly...well my theory anyway!

[Maryjane]

As tinkerbell , live for now no one knows what's round the corner , I no of ladies who have been on local oestrogen for years.

Believe me when VA takes hold it's the devils own work.

[Ljp]

Thank you tinkerbell and maryjane,
Regarding my hesitation to use more oestrogel, I'm worried about too much oestrogen and breast cancer scares, and effects on uterus lining, don't want to end up having more bleeds.
Plus doesn't more oestrogen cause jitteriness?
I'm still learning, and the VA soreness/burning/irritation is all new since March this year, prior to that it was predominantly bladder related, frequency and urgency.

[CLKD]

It's local so the up-take risk is very low otherwise I wouldn't be allowed to use Ovestin, however, Quality of Life is far more important than worrying about a repeat of breast disease - that bus might be along later