Varirux is for vaginal atrophy not for other meno symptoms. It's a low dose that doesn't get much further than 'down there'. You need systemic oestrogen for other meno symptoms (patch, gel, pill or spray). If you only want the VA treatment there is no need to take utro. If you want to treat the other symptoms you need oestrogen. I agree with the above, better to rectify your oestrogen deficiency rather than take ads.