Would you like to try vaginal estrogen for the relief of menopause symptoms “down there” but you’re not sure what’s what and what’s not?

In a New Study Demonstrated Effectiveness and Safety of Vaginal Estrogen published 19 December 2018, the North American Menopause Society (NAMS) elaborate on:

“A new study that followed women from the Nurses’ Health Study for more than 18 years, however, concluded that vaginal estrogen was not associated with a higher risk of cardiovascular disease, cancer, or hip fractures. This included risks for myocardial infarction, stroke and pulmonary embolism, as well as breast, endometrial, ovarian, and colorectal cancers”.

Depending on the Source the definition of genitourinary syndrome of menopause (GSM) may vary. In Vulvovaginal Symptoms After Menopause the Australasian Menopause Society’s definition is:

  • “Changes, which may cause dryness, irritation, itching and pain with intercourse are known as the genito-urinary syndrome of menopause (GSM) and can affect up to 50% of postmenopausal women. GSM was previously known as atrophic vaginitis or vulvovaginal atrophy (VVA)”.

Endorsed by seven menopause-related organizations, one of the points of consensus about menopausal hormone therapy (MHT) in the Global Consensus Statement on Revised Menopausal Hormone Therapy: Section A: Benefit/Risk Profile of MHT, published online 20 June 2016, is:

  • “MHT, including tibolone, is effective in the treatment of vulvovaginal atrophy (VVA), now also considered as a component of the genitourinary syndrome of menopause (GSM). Local low-dose estrogen therapy is preferred for women whose symptoms are limited to vaginal dryness or associated discomfort with intercourse or for the prevention of recurrent urinary tract infections”.

The NAMS also note in a New Study Demonstrated Effectiveness and Safety of Vaginal Estrogen:

“Unlike hot flashes, which often accompany menopause, GSM symptoms do not resolve over time, are chronic, and can become progressively worse without treatment”.

In Vaginal Dryness the NAMS elaborate on:

Meno Martha, Vaginal Estrogen

“The good news is that effective treatment options, such as nonhormone remedies or different forms of low-dose estrogen applied directly to the vagina, are available. These can be combined for optimal symptom relief:

  • Non Hormone Remedies
    • Vaginal Lubricants…
    • Vaginal Moisturizers…
    • Regular Sexual Stimulation…
    • Expanding Your Views of Sexual Pleasure…
    • Vaginal Dilators…
    • Pelvic Floor Exercises…
  • Vaginal Estrogen Therapy
    • An effective and safe treatment, low-dose local estrogen is applied directly to the vagina…
    • Government-approved low-dose vaginal estrogen products are available by prescription as vaginal creams…
    • Standard doses of estrogen therapy provided to treat hot flashes also treat vaginal dryness…
  • Other Prescription Therapies
    • Ospemifene is an oral tablet taken daily for the treatment of painful intercourse caused by vaginal atrophy…
    • Dehydroepiandrosterone (DHEA) is a hormone-containing insert placed into the vagina nightly for…”.

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Last Updated: 28 December 2018 – Last Revised: 24 December 2018
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