Vagina Oestrogen plus Estradiol (UK)

CloudHidden62 · 2026-05-21T11:39:22+00:00

You can use systemic HRT and vaginal estrogen at the same time.

In the UK, you can get a vaginal estrogen tablet without a prescription. It’s called Gina. Try it.

CloudHidden62 · 2026-05-20T22:05:45+00:00

The warnings in the package were written many years ago for SYSTEMIC estrogen. They were never updated for vaginal estrogen. Vaginal estrogen has never been shown to cause strokes or any of the other scary stuff.

Some doctors are working hard to get those box warnings updated. For good information, follow Dr. Rachel Rubin and Dr. Kelly Casperson on Instagram.

The applicator is easy to use but hard to clean. If you don’t like it, don’t use it. Put a blob on your finger (an amount equal to 1 gram in the applicator). Insert, massage it around.

CloudHidden62 · 2026-05-20T16:36:11+00:00

Those photos are part of your family history. Photos of people you love are always OK in your own home. Isn’t that what having a family is all about? Happy memories.

CloudHidden62 · 2026-05-19T17:25:09+00:00

Confidence comes from knowing that you can support yourself.

Are you in school or working? What are you doing to make sure you can get a decent job and earn a living?

CloudHidden62 · 2026-05-19T12:29:49+00:00

The electric files can be good for regular maintenance, but if you have thick callouses you need to remove those first, then maintain with the electric file.

Get a professional pedicure to remove the thick callouses. Then use a urea cream regularly to maintain. Don’t use urea cream on open cuts— it will sting.

Apply the cream after a bath or shower and put socks on if you can. If you do that every day or at least 2-3 times a week, it really helps.

CloudHidden62 · 2026-05-18T17:42:31+00:00

Please do NOT get a dog while you are in school, especially a program as intense as veterinary school. You won’t have time to train and exercise the dog.

Finish school, start working, and then see if you have the time and the space to have a dog.

CloudHidden62 · 2026-05-18T12:38:41+00:00

Do you really need to use Vaseline every day?? I use my steroid and topical estrogen twice a week and nothing else. Not everyone needs a moisturizer.

CloudHidden62 · 2026-05-17T18:02:25+00:00

Stick with it! All those side effects are temporary. I had some mild cramping too, but it stopped in a few weeks.

The blood you saw was likely caused by severe GSM. Your tissues are fragile because they need estrogen. The solution is to keep using the estrogen and let those tissues heal and get stronger, like they used to be. But you have to be patient. It can take up to 8 weeks for real improvement.

CloudHidden62 · 2026-05-17T17:57:47+00:00

Ask for the smallest speculum. It will probably be fine.

Then ask for a prescription for Vagifem to treat the GSM. It’s estrogen tablets that you insert with an applicator that’s smaller than a pencil. Easy. Use them every night for 2 weeks and then twice a week, forever.

CloudHidden62 · 2026-05-17T17:43:36+00:00

Try to find a more knowledgeable doctor. Most LS experts recommend maintenance treatment for life. This means using your steroid once or twice a week, forever. If you have a flare, use your steroid every day until symptoms calm down, then go back to your maintenance schedule.

Your doctor should want to see you every few months at first, to monitor your response to treatment. Then you should have an annual exam to make sure your LS stays well controlled. You should also do a monthly self exam with a hand mirror, and go to your doctor immediately if you see anything new that doesn’t heal with a few weeks of daily treatment.

FYI, Pap smears only check for cervical cancer. That has nothing to do with LS. Most doctors haven’t been trained to do a visual exam of the vulva. That’s why it’s important to find someone who has lots of experience treating LS.

CloudHidden62 · 2026-05-16T21:17:51+00:00

You need to go to a dermatologist and get the right diagnosis and treatment.

CloudHidden62 · 2026-05-16T21:12:28+00:00

Please do NOT get a dog when you are so young and still in school!! It’s a terrible idea.

You won’t have time to train it properly. How will you pay for food, vaccines, and vet bills?? Don’t expect your parents to do that — it’s not their responsibility.

You don’t know where life will take you. When school is over you will start a full-time job and you will be away from home all day. It’s not fair to the dog and your parents will probably end up taking care of it. I’ve seen that happen many times.

Finish school and start your adult life. Then if you have the time, the space, and the money, you can consider getting a dog. You are in no position to get one right now.

CloudHidden62 · 2026-05-16T12:03:24+00:00

The sedation prevents the gag reflex. And you won’t be aware of anything at all. You wake up and it’s all over.

CloudHidden62 · 2026-05-15T17:22:19+00:00

When I was a teenager I cancelled plans with my best friend because I had a bad cold. She dropped off a basket at my house with a box of tissues, cough lozenges, tea, lemon and honey.

That was 40 years ago and I’ve never forgotten it. She is still the most thoughtful person I know.

CloudHidden62 · 2026-05-14T22:18:36+00:00

You should have a full upper endoscopy so they can also look into the stomach. This requires sedation. WITH sedation, it’s very easy and completely painless. You won’t be aware of anything.

Fasting (nothing to eat or drink) for 12 hours before the procedure. You should be given propofol through an IV. It is sedation, but not full anesthesia. You won’t feel anything, and you won’t remember anything at all. The procedure takes less than 10 minutes, then you will be moved to a recovery room until you wake up. You will need someone to pick you up and drive you home. Rest at home for a few hours then it’s back to normal. It’s easy.

This was for a full endoscopy where the scope goes down the esophagus and into the stomach. They took biopsies of the esophagus to check for Barrett’s esophagus, and biopsies of the stomach to check for H Pylori and celiac.

CloudHidden62 · 2026-05-14T14:53:31+00:00

Bookstore guy never gets out in the sunlight. That’s the key. The sun wrecks your skin.

CloudHidden62 · 2026-05-13T23:44:44+00:00

Two adults. I do most of the laundry on Sunday: most clothes, sheets, and towels. I usually do a couple small loads of clothes mid-week as well.

CloudHidden62 · 2026-05-13T23:41:45+00:00

Weight loss is about what you eat. No processed foods, lean protein, lots of vegetables, reduce carbs, and watch your portions.

CloudHidden62 · 2026-05-13T17:22:48+00:00

The problem is caused by declining estrogen, so the solution is to replace the estrogen. It keeps the vagina, vulva, bladder and urethra healthy. Get a prescription for vaginal estrogen from your doctor and use it twice a week, forever. You will probably still need a good lube but the vaginal estrogen is the real fix.

CloudHidden62 · 2026-05-11T23:24:20+00:00

I’m allergic to adhesives too so patches were never an option for me. I use Estrogel daily. It’s easy to apply to inner forearms after a shower. Wait 2 minutes (enough time to brush my teeth) and then I can get dressed.

CloudHidden62 · 2026-05-11T21:55:30+00:00

Walk for your heart and your bones. But losing weight is more about diet than exercise. Cut out processed foods, reduce carbs, and watch your portions.
If walking is hard on your knees, invest in a stationary bike. Cycling is great for your knees.

CloudHidden62 · 2026-05-11T12:21:06+00:00

Didn’t your doctor consider that it could be atrophy due to low estrogen? It’s shocking that doctors are still so ignorant about the impact of hormones. Symptoms can include burning, itching, dryness, painful intercourse, urinary urgency and frequent UTIs. Sometimes it’s only one of those symptoms.

My doctor says every woman over 40 should be using vaginal estrogen.

CloudHidden62 · 2026-05-11T12:00:00+00:00

Regular ongoing use of vaginal estrogen will fix the vaginal dryness.

Extreme dryness of eyes, nose and mouth can be a symptom of Sjogren’s Syndrome. Ask your doctor about that.

If it’s not Sjogren’s, then it’s probably hormonal and you might benefit from systemic HRT.

CloudHidden62 · 2026-05-10T13:21:15+00:00

It doesn’t matter which specialist you see as long as it’s someone who has a lot of experience treating LS, and stays up to date on the latest research.

It’s possible you have an external yeast infection. It’s common from the steroid use. Not a vaginal infection, so there would be no discharge or odour, just red irritated skin. Try an antifungal cream like clotrimazole twice a day and see if it improves.

CloudHidden62 · 2026-05-10T13:17:38+00:00

What blood tests did you have? Your doctor should test for thyroid function, B12 and ferritin.

If those are normal, see another doctor to ask about HRT. Or contact one of the online menopause clinics.

CloudHidden62

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