Gina 10 microgram vaginal tablets (containing estradiol) are used for the treatment of vaginal symptoms such as dryness, soreness, itching, burning and uncomfortable sex caused by oestrogen deficiency in postmenopausal women aged 50 years and above who have not had a period for at least 1 year. This product is locally-applied, meaning it is inserted into the vagina and not taken orally”.

• “Nonhormone 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…
  • Government-approved low-dose vaginal estrogen products…
  • Standard doses of estrogen therapy…
• Other Prescription Therapies…
  • Ospemifene …
  • Dehydroepiandrosterone (DHEA)”.

• “Water-based lubricants. These lubricants (Astroglide, K-Y Jelly, Sliquid, others) are applied just before sexual activity and can reduce discomfort during intercourse. Choose products that don’t contain glycerin or warming properties because women who are sensitive to these substances may experience irritation. Avoid petroleum jelly or other petroleum-based products for lubrication if you’re also using condoms, because petroleum can break down latex condoms on contact”.

• “May be water, silicone, hyaluronic acid or oil based
• Are usually used prior to intercourse
• Provide temporary relief of symptoms
• Can be used alone or with systemic or topical menopausal hormone therapy”.

• “Vaginal moisturizers. Try a vaginal moisturizer (K-Y Liquibeads, Replens, Sliquid, others) to restore some moisture to your vaginal area. You may have to apply the moisturizer every few days. The effects of a moisturizer generally last a bit longer than those of a lubricant”.

• “May contain a bioadhesive polycarbophil-based polymer
• Are usually used on a regular basis, typically two or three times per week
• Can be effective for mild symptoms
• May cause local irritation
• Can be used alone or with systemic or topical menopausal hormone therapy”.

• “Vaginal estrogen cream (Estrace, Premarin). You insert this cream directly into your vagina with an applicator, usually at bedtime. Typically women use it daily for one to three weeks and then one to three times a week thereafter, but your doctor will let you know how much cream to use and how often to insert it
• Vaginal estrogen suppositories (Imvexxy). These low-dose estrogen suppositories are inserted about 2 inches into the vaginal canal daily for weeks. Then, the suppositories only need to be inserted twice a week
• Vaginal estrogen ring (Estring, Femring). You or your doctor inserts a soft, flexible ring into the upper part of the vagina. The ring releases a consistent dose of estrogen while in place and needs to be replaced about every three months. Many women like the convenience this offers. A different, higher dose ring is considered a systemic rather than topical treatment
• Vaginal estrogen tablet (Vagifem). You use a disposable applicator to place a vaginal estrogen tablet in your vagina. Your doctor will let you know how often to insert the tablet. You might, for instance, use it daily for the first two weeks and then twice a week thereafter”.

• “If you’ve had breast cancer, talk with your doctor about the risks of vaginal estrogen therapy”.

• “Ospemifene (Osphena), a selective estrogen receptor modulator (SERM) medication taken by mouth is used to treat painful intercourse associated with vaginal atrophy. This medication isn’t recommended for women who have had breast cancer or who are at high risk of breast cancer”.

• “Dehydroepiandrosterone (DHEA), in the form of a nightly vaginal suppository is a treatment that may ease painful intercourse in menopausal women”.

• “2. For intercourse, use a good-quality lubricant. Natural lubricants include oils such as olive oil or sweet almond oil; however, if using condoms, note that these oils can cause them to break or tear”.

• “Eating 2 tablespoons of freshly ground linseed (also known as flaxseed), a plant-based oestrogen or phytoestrogen, each day may also help with vaginal dryness. You can add this food to your cereal, in salads or smoothies”.

• Avoid bath soaps, lotions or gels that contain perfumes
• Avoid all bubble baths, bath salts and scented oils
• Do not use hot water while bathing or showering
• Avoid all feminine hygiene sprays and perfumes
• Do not use adult or baby wipes on the area
• Avoid tight-fitting clothing and pantyhose. Wear white, 100% cotton underwear
• Avoid all over-the-counter creams and ointments, except A&D Ointment. But do not use A&D Ointment if you have a wool allergy.”

• “Unlike some menopausal symptoms, such as hot flushes, which may disappear as time passes; genito-urinary problems often persist and may progress with time. Genito-urinary symptoms are associated both with menopause and with aging”.