I have recently changed from twice a week to once every 3 days - to coincide with my patch change which I've also recently changed - but I'm often late with the Vagifem.
The amount you need to be comfortable is very variable!! It depends on the individual woman, and also whether you are also on systemic HRT as well and the oestrogen dose. In the week leading up to the Utro cycle I try to remember to do it weekly or every other day for a week but as I've just shortened my cycle I keep forgetting this too!
The absolute minimum dose is daily for a fortnight and twice weekly thereafter. This will be fine for many women but of course needs to be individualised as Maryjane says - the trials showed this was effectve only for a proportion of women so the rest will need more! This must be done under medical supervision.
Maryjane I can't find anything about actual dosing on the BMS website - it just gives this summary statement:
https://thebms.org.uk/publications/consensus-statements/urogenital-atrophy/ . Have they issued an updated advice recnetly that hasn't been put on the website?
I know the NICE Guidelines say that if the standard dose is insufficient it can be increased under medical supervision but I don't think it's specific.
The dose I take (which is pretty much the licensed dose of 10 mcg twice weekly) works fine for me, but along with systemic HRT of approx 62.5 mcg patch. If I didn't take HRT as well - it would be totally rubbish on that dose!!!
Estring gives a higher dose which is why it's absurd that the Vagifem higher dose was discontinued - by a different company! Lanzalaover - would be interested to hear how you get on with the Estring - another thread?!
Let us know how you get with the doc Turkish Delight!
Hurdity x