This was on twitter on Dr Renees account re vagifem ( local oestrogen).
British Menopause Society Women's Health Update 27th March 2019. Management of urogenital atrophy Professor Linda Cordozo, Professor is urogynacology & consultant gynaecologist, King's College London.
This is what was said
The licensed dose for vagifem ( and be default other vaginal oestrogens ) is too low. In order to work and keep vaginal atrophy at bay we can safely instruct use every other day, not twice a week. ( even 5 Xs a week is acceptable dose ).
Discussion carried on, someone asking why not 7 a week , & the answer was the BMS/ RCGP there is always an element of erring on the side of caution.
So basically if you need it 7'xs a week which many do, well the amount extra is like a grain of salt on your roast. This is IMO not tweeted, although lots of ladies in my VA group use it daily anyway. 😊