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Menopause - Management
Vaginal oestrogens
Age from 40 years onwards
Estriol 0.1% cream (500mcg estriol per application)
Ovestin 0.1% cream
Insert one applicatorful into the vagina each evening until improvement occurs. Then reduce to one applicatorful twice a week.
Supply 15 grams.
Estriol 500microgram pessaries
Ortho-Gynest 500microgram pessaries
Insert one pessary into the vagina each evening, until improvement occurs. Then reduce to one pessary twice a week.
Supply 30 pessaries.
Estradiol 25microgram m/r pessaries
Vagifem 25microgram vaginal tablets
Insert one pessary into the vagina each evening for 2 weeks, then reduce to one pessary twice a week.
Supply 30 pessaries.
Estradiol 2mg vaginal ring (7.5mcg estradiol/24 hours)
Estring 2mg vaginal ring
Insert one ring high into the vagina and wear continuously for 3 months.
Supply 1 vaginal ring.
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