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[Abba Fan]

Hi, I'm 51(tomorrow  ) 5 years postmenopausal, using 4 pumps estrogel, mirena and testim since June 2016. My problem is I'm very itchy down below, I see a private GP so I need to find out what to ask him for. It's not thrush or a urine infection, what's the best thing to ask him to prescribe? Many thanks in advance.

[Dancinggirl]

Multi Gyn Actigel will sort this out - your can get this online.  You probably also need local oestrogen to use regularly e.g. Vagifem and vaginal moisturiser e.g. SYLK or the YES products, will also maintain the flora balance so prevent the itching, soreness, UTI symptoms etc.  DG x

[Abba Fan]

Many thanks Dancinggirl.

[Hurdity]

If you specifically want estriol rather than Vagifem ( which contains estradiol - the same as your HRT) as your local oestrogen (in addition to Dancinggirl's other suggestions) then ask for Estriol cream (generic at 0.01 %) or Ovestin which is stronger so you use less (0.1%). Some women - like me - use vagifem (internally) AND estriol cream (for the external bits). I have never used mositurisers but they sound really helpful!

Hurdity x

[Abba Fan]

Many thanks Hurdity, can I ask why there's different strengths of the estriol? I don't have any discomfort during intercourse, I'm just extremely itchy on the outside.