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Author Topic: Vaginal Atrophy or not, confused  (Read 2966 times)

Woodsview

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Re: Vaginal Atrophy or not, confused
« Reply #30 on: October 31, 2023, 05:43:11 PM »

Hi
I just thought I would post an update of my menopause clinic as promised.  many thanks to everyone who has given advice and support over the recent postings.  I hope that this can also give some guidance to anyone who has similar symptoms.

I met with a doctor who specialises in vulvar  issues as well as being a menopause expert, she went through all of my medical history, my experiences with HRT and then moved onto the main cause of concern, she then examined me and advised that she thought it was vaginal atrophy but in addition I had what you could call dermatitis, she said something had triggered this, when I mentioned the canestan and continued 3 courses of antibiotics over recent months she said that was possible but also as we age the skin on our vulva get more sensitive and we need to care for it more.

So my new regimen is:
Wash with e45 or something similar.
Use hydromel ointment, she said that as we age this is a daily necessity to rehydrate, she said put itI everywhere and drew me a picture.
She then prescribed a steroid cream to use a small amount over 4 weeks at night for the dermatitis,
Continue with the vagifem or switch to the estriol cream, my choice and it was ok to continue with a small amount of the estriol cream, pea sized amount if using the vagifem.

I asked if it was LS as I had read up on this, she believed I did not have this or LP but the skin was irritated and needed something extra to get it sorted.

She did not seem concerned with the discharge but took a swab to be on the safe side, she said she would test but she believed that as long as it shows no infection it will diminish with vaginal tablet treatment.

She wrote out all of the above and explained how much of each thing to use and when and gave me a letter for the GP advising them to put on prescription.

Got to say I felt reassured and left happy with a plan of action.

I’m to go back in a few months to discuss to see how it has all gone.
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Jules

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Re: Vaginal Atrophy or not, confused
« Reply #31 on: November 01, 2023, 07:22:13 AM »

How frequently did she tell you to use vagifem and ovestin? I'm worried I'm using too much
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Jules

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Re: Vaginal Atrophy or not, confused
« Reply #32 on: November 01, 2023, 07:23:36 AM »

Sorry, and also what is hydromel ointment and is it prescription only?
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Joaniepat

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Re: Vaginal Atrophy or not, confused
« Reply #33 on: November 01, 2023, 07:34:43 AM »

Sorry, and also what is hydromel ointment and is it prescription only?
Hydromol is an emollient. You can buy it over the counter in Boots.
JP x
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Woodsview

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Re: Vaginal Atrophy or not, confused
« Reply #34 on: November 01, 2023, 01:20:31 PM »

hi Jules
To be honest we didn’t go into the detail of the vagifem, I am on twice a week but I got the impression when she said use the cream as you need it that it was not a big issue.  The amount of hormone in both the tablet and the cream are very low.  I’m more concerned at the moment with the vulva but no doubt the minute that is sorted I will be onto the rest lol.  I was in there 45 minutes and just forgot to ask - we covered so much.

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Jules

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Re: Vaginal Atrophy or not, confused
« Reply #35 on: November 01, 2023, 01:59:22 PM »

hi Jules
To be honest we didn’t go into the detail of the vagifem, I am on twice a week but I got the impression when she said use the cream as you need it that it was not a big issue.  The amount of hormone in both the tablet and the cream are very low.  I’m more concerned at the moment with the vulva but no doubt the minute that is sorted I will be onto the rest lol.  I was in there 45 minutes and just forgot to ask - we covered so much.

Yes we're all different and have to find the balance.
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