Jane Lewis, author and Vaginal Atrophy expert talks to Dr Renee

Jane Lewis became an expert in the painful and debilitating subject of vaginal atrophy after suffering awfully as she approached and went through menopause. She has researched the problem, found solutions, collaborated with other experts and now guides other women. She not only describes her experience but shares the many solutions and tips that women just don't know about or often know how to access. Its a long VLOG this week but I guarantee its worth persevering through to the end, there is so much good stuff that I couldn't edit it down any more without losing gems. Here are the links to the things mentioned in the VLOG;
Nick Panay et a; Paper comparing different moisturisers
www.ncbi.nlm.nih.gov/pubmed/2...
Link to Jane's book:
www.amazon.co.uk/ME-MY-MENOPA...
Jane's hidden facebook page where you can share issues and listen to other women, ask questions and get advice, whatever the issue. Its a private group that you have to join so that Jane can ensure you get the privacy you need and it is women only (although men try hard to join!) :
/ 1505719029448248
A useful summary of symptoms and treatments from the Mayo Clinic:
www.mayoclinic.org/diseases-c...

[@OzarkGiGi]

I had a complete hysterectomy at age 40. I have not been intimate with anyone for 12 years. Yes I have experience dryness but did not know anything about vaginal atrophy. I purchased KY beads and attempting to insert 1 was a horrifying experience as I could only use my baby finger to get it where it belonged. Saw my doctor and she told me I had VA but gave me no hope or options for relief even though I told her I now have a gentleman friend. We aren't doing anything because this is not working for me. I am grateful to find KZbin videos that give me options to try and I hope I can reverse atrophy. Thank you for speaking out as no one in my family ever did. I'm here to listen and learn and I will try about anything at this point.

[@echase416]

💔

[@karenbaumgartel6077]

Educate yourself as much as you can. There’s an American doctor called Menopause Taylor who knows everything about all of these topics and has many videos on here, with the purpose of educating all women about the ins and outs of menopause. Too much material even, but soo very helpful. All of these women are trying to remove the stigma about this. Dr. Louise Newson is also very helpful. She has a clinic and a website with much information.

[@sylviaking8866]

kzbin.info/www/bejne/rWWbdmOuZpenjNU

[@ukcybersister]

I am curious to know how you are doing today? I went through the same complete hysterectomy and didnt have relations for 20 years, I met a man, i started with a product for vaginal dryness, we tried several times to no avail i then started taking vaginal estrogen and we have been fine since

[@kazbaz8645]

Hope you got some eastrogen cream

[@karengrosso5428]

Thank you soooooo much for this video, this needs to be spread around the world. Our generation ( 54) will be saving the generations behind us. Nobody older than me has EVER talked to me about this very real problem.

[@rachelc.5463]

@karengrosso5428...I'm baby boomer generation (70) I don't think my moms generation knew about this. My own mom had VA and didn't even know it. She was miserable for years and thought she had some kind of VD. She didn't! Mom was in tears as her doctor tried to open up her vigina. I've had Mona Lisa treatments from my urologist every 6 months to a year and these treatments works. I'm not on estrogen because that can cause cancer. My sister does use estrogen and she does not have VA.

[@jessicahitchens6926]

Can I see all the data to back that sweeping claim up? 🤔

[@kathys7996]

I was so happy to find this video, it’s very informative. Though I’m from the US and have to admit I found it difficult to understand your conversation. I replayed endlessly, pulled up the transcript and even slowed down the replay speed, but still missed a lot. I usually don’t have trouble with British accents (I understand everything Hugh Grant says, after all), so I think it’s mostly the echoes and muffled sounds caused by the distance between you and the microphone. Too bad, because this video should be watched by every woman suffering from vaginal atrophy, dryness, and pain - no matter where she lives.

[@katella]

You can't understand them? How strange. They are speaking clearly.

[@lynnecook6079]

Thank you so much for this. I've just found this group and requested to join. I have to say this made me cry. At last someone has explained what is happening to me

[@echase416]

I am using oral progesterone (Prometrium) and the estradiol patch (Estradot) but my HRT MD added vaginal Estradiol (Vagifem). She said that some women need vaginal estrogen locally, for optimal vaginal/bladder benefits, **in addition** to using systemic estradiol.

[@sylviaking8866]

exactly. kzbin.info/www/bejne/rWWbdmOuZpenjNU

[@nitiecandy]

Wow I thank god I found you guys I have been afraid to tell anyone, no one really understands the pain and hot flashes and swelling etc

[@mollyt4639]

In my late 40s early 50s went repeatedly to my GP for UTis. She never suggested it was due to low oestrogen! I did my own research & eventually asked for it. Why do we as patients have to find the solutions, why aren’t GPS proactive & prevention rather than repeated antibiotic cure ?

[@jessicahitchens6926]

Because it's a very lucrative industry with lots of useful idiots. Your health is your responsibility do not ever give it over to 3rd parties or institutions.

[@pattiroberts9544]

Thank you so much. I have been searching for answers for so long and now I will listen and follow your advice❤️

[@EleutheriaBeth]

Thank you so much for this video... I can't tell you how much it has helped me... I am on a journey to advocate for the correct treatment for myself.

[@vivianlott6563]

Thank you! I’ve just found you and am learning so much.

[@DrRenee]

Vivian Lott aww that’s lovely. It’s a pleasure. Renee

[@leilagarbouj9598]

I am so grateful for this interesting discussion, thanks for this courage and this willingness to help other women all over the world.

[@drpamelamozingo4079]

Thank you so much for this very-open and down to earth conversation. I’ve had this issue for years and have started working on it now. Bless you both 💖

[@capskibuttinski]

Thank you both

[@LadyMiner100]

Thanks, just ordered the book

[@Mabellucyanna]

Brilliant so interesting , found this so informative 👏🏼👏🏼👏🏼👏🏼👏🏼

[@DrRenee]

Thank you. xx

[@1965stockport]

Great video Just love Dr Renee. Love her on Talk TV

[@Godwinsjc]

Wow thank you!!!! I learned soo much

[@lindalilly1544]

Thanks for making this video.

[@evy684]

This was amazing ! Truly. I just ordered Jane’s book and subbed to Dr. Renee. I just started Vagifem and the leaflet scared me to death. I feel so much better knowing that this is not true. Thank You for this video !

[@jeanluby4636]

I haven't had a problem with dryness till now at 80 and nothing is working trying second round of compounded estro cream 6 wks later still no relief Everything else has been checked and tried. Good Luck

[@kazbaz8645]

@@jeanluby4636 You can get a non estro gel that you can moiturise with but its not that bril I think

[@karenbaumgartel6077]

This information NEEDS to be much more widely available and no longer so stigmatized in the western world - and I live in Germany where they tend to be less prudish about nakedness and the such. It makes me so angry that I’ve suffered unnecessarily for over 2 years. I’ve been to a urologist and various gynaecologists, using various creams, also cortisone cream, until finally the other day, I was was listening to an interview with an American doctor called Menopause Taylor (she’s on KZbin with many videos). She said the vagina shrinks and you are essentially losing an organ when it dries away. She said estrogen cream can make a world of difference. I called my latest gynaecologist this Friday morning and said I would like some estrogen cream before the weekend. I made sure I got it, and even just using it twice so far has made such a difference., thank god! However, in the package details, it says how this cream can cause all sorts of cancer, which I know to be untrue!

[@jeanluby4636]

Untrue is right they are in the process of removing this ridiculous literature it only took 30 yrs. of study and it's still on there. I am glad to hear of your successful treatment with estrogen. I wish I could say the same none of the compounds worked for me I'm still 2 yrs later suffering. I think it's time for me to stop with appointments and go back to cold cloths and a bit of relief with Lidocaine.

[@mtv4701]

Thank you so so much both of you. Working to inform us women. I am 43 and I'm noticing changes and symptoms of Peri menopause. Worried about being dismissed by my GP.

[@DrRenee]

Ah thank you. That is totally the aim. Don't be scared. Just avail yourself of all of the info re NICE guidance and preferred treatments etc and if you struggle to get treatment use this knowledge to ask for what you want and demand a referral if not making progress. But hopefully you won't get to that point! Good luck

[@DrRenee]

Ah thank you. That is totally the aim. Don't be scared. Just avail yourself of all of the info re NICE guidance and preferred treatments etc and if you struggle to get treatment use this knowledge to ask for what you want and demand a referral if not making progress. But hopefully you won't get to that point! Good luck

[@naturalnikki8675]

Thank you for this video!

[@bethguerrera6715]

Thank you so much for talking about the ingredients in things. I would even add any silicone based and any preservatives to avoid.

[@Angela-on6cd]

Thank you so much for this video.Watching in 2021.Entering perimenopause and hating the symptoms.Haven’t been for my routine smear test in three years because of this.The part you mentioned about the elderly women and in third world countries maybe not having options is upsetting to hear.

[@Mebbe308]

Thank you ladies for such a very useful discussion. I was diagnosed with lichen sclerosus after ages as 3 GP’s didn’t recognise the condition. This combined with vaginal atrophy was blue murder. Using Vagifem now and waiting to see a gynaecologist

[@LynetteLee-ro2ic]

Hi mebbe I just noticed your comment on the Jane Lewis podcast and wondered how you were feeling now ? Did the VAGIFEM help you in anyway?

[@SteveRichfield]

Talking was unclear and way too fast. The Closed Captions didn't help because they were FULL of errors. This looks important, but I didn't get much out of what little I understood. I suggest editing the Closed Captions to fix this video.

[@shirleywaddell4571]

How do we find your online group please Jane? And thank you for your book Jane so helpful

[@joanthomas6012]

Thank you 🙏🙏

[@donnabilbrey1048]

my Mom died from a septic UTI thank you for being so brave to get this out. I have suffered now for three years with AV

[@DrRenee]

Im so sorry to hear about your mum. This is a message that needs to get out there; women die of UTI's, its not 'just a UTI' and can be completely avoided. Thank you for watching and sharing.

[@jennifermorris833]

My mum died of the same thing at 89. She had UTI after UTI. She would go completely off the charts crazy with it, hallucinations, and delirious. With her last infection she finally slipped into a coma and she lingered for three days before she expired. She was on a daily antibiotic for many months but nothing helped. Wearing incontinence pants and failure to drink sufficient water was also an issue. I miss Mum.

[@DrRenee]

Oh I’m sorry Jennifer. Hopefully professionals are learning and this will stop.

[@echase416]

@@jennifermorris833 Delirium from UTIs can be deadly. My Mom is a vegetable in a wheelchair now from this. Her male GP took her off her systemic HRT and didn’t know to start her on vaginal estrogen. 😩 (Watching from Toronto, Canada.) 🇨🇦

[@karenbaumgartel6077]

@@echase416 as a fellow Canadian (living in Germany though) and myself suffering with these problems the last 2 years at least, my heart goes out to you and your mother!

[@dianapaloma3102]

Thank you 🙏❤️

[@nancyshookedoncrochet526]

I recently started having problems although I've been through the change for at least 10 years.

[@dainagregory]

Thank you so much for this video - I hope I can get the correct treatment from a gp and the info about dilators which I’d never heard of and seem to be very expensive but I now have some idea what they are!

[@juliapollitt8291]

Just been diagnosed with this condition it’s agony. It’s put me in A&E with un told misery. I was treated for thrush too because of the white discharge, and it wasn’t . I’ve just ordered Janes book.

[@sylviaking8866]

I found this one useful too. kzbin.info/www/bejne/rWWbdmOuZpenjNU

[@TheCelestialhealer]

Agony is the right word.

[@kinshowa17]

Can you comment on the effectiveness of using DHEA suppositories?

[@jenniferlumbra3853]

Have you ever done a video about Lichen Sclerosis? I do have this but truly don’t know much about it.

[@franklinstephen3268]

Hi 👋how are you doing?

[@dingydarla]

On April 30 2021 had my total hysterectomy. I had suffered from PMDD all my adult life, which was truly awful mentally. For years I begged my doctors to allow me the surgery. Now that I am suffering from VA I find myself wishing that this would have been something dr would have told me would happen without added hormones.

[@shaddup.yourface]

really seems like most doctors hate their female patients and love to send us away to suffer.

[@elizabethcomire6937]

TY

[@bernadette607]

Wonderful conservation. Where can I find Jane’s group?

[@bernadette607]

I found it! Thank You

[@mariathunberg4743]

Always been told hormones, but what about all ladies with Lipedema that should avoid just that - what should we do?

[@colleennelson4029]

I am living this dream. Ha! The whole gamut of problems are numerous and there is not enough discussion. Still experimenting, trying different things. It sucks.

[@maralfniqle5092]

It would be nost helpful for these women to actually answer some very valud questions from the viewers here

[@somewhereinthemidwest9827]

Taking probiotics for vaginal health. Still have a stronger scent down south that I never had. I’m 61 and haven’t had sex in a year and a half. Terrible atrophy of the vulva and vagina. Even the estrogen cream doesn’t help anymore. I am a breast cancer survivor since 2008. My oncologist approved of using a dab of etrace three times a week.. I would gladly have a period again to not be post menopausal.

[@maryjones1]

Dr. Renee, please give me your opinion. I just found this video today, and am very grateful for you and it. Until 4 years ago, I was taking HRT fir 11 years, and loved it, but had a heart attack. Since then, my doctor took me off if it, and will not ‘allow’ me to have it back. I am now 63, and apparently gave some atrophy. I did not have a heart attack due to blocked arteries, as I dad a SCAD, then a heart attack, and it has been discovered that I have ‘Fibromuscular Dysplasia’, which brought about the coronary artery dissection, and lots of clots. My doctor doesn’t want to chance me getting even a small clot again. However, I never had a clot while in HRT, or due to it. So, as a result, when I asked to at least if he will prescribe me some Estrogen Cream, he still says ‘no’! He feels that the Estrogen Cream can pass through into my blood system. I disagree. What do you think about this? What are my options? I am more than willing to chance using cream in my vagina to help make myself feel normalized. Please advise.

[@jessicahitchens6926]

Get another doctor or go online to get the cream or vagifem. There are loads of options and you don't need to rely on one GP nowadays.

[@sandramartin5316]

I am 55 and diabetic double whammy, miserable, glad to find your video, I am on vaginal estrogen, and with urine incontinent to boot. The answer per my gyno say this is all I need is estrogen. I hate that the second I have relationship it sparks up again a lot of “pain” dryness, itchy, raw and my labials feel like sandpaper. I wish my husband wouldn’t want sex anymore, I could live without it myself, but that’s not the case, sorry to be so somber. I thought I hated heavy periods and bad cramps growing up and thought that was the worst, I would take back a period and cramps for one day a month than this issue. I hate that after sex, even with extra Lubricants it absorbs fast anyway. Doesn’t last, I still need to run to restroom. I hate the smell and need to rinse or sit in lukewarm water to soothe😢Question; what is ok to wash with besides water? Question: Laser “Mona Lisa” treatment is recommended? What do you know of this ? Thank you.

[@jeanrichard9034]

Just found this channel it’s great. Is it ok to drink alchol on vagifem? I don’t mean get. Drunk but 2 glasses of wine with a meal ???

[@nrodmom]

What if the cervix was removed, can I still use the ring?

[@dianapaloma3102]

What about DHEA CREAM vs. Premarin??? Is DHEA safer ?

[@Mebbe308]

How about a discussion for ladies with lichen sclerosus AND vaginal atrophy. That would be great

[@anitaharris7626]

I'd like that now@54 that is where I am now

[@antog288]

Thank you for this post! I have been searching for a "menopause" group and somehow found this. I suffer from this and the thought of having an exam scares me. p.s. interesting that FB will not allow the word vagina yet allows porn and violence.

[@DrRenee]

Hi, I am so glad that you found this and it has directed you to Jane's amazing group. The other group for menopause generally is The menopause support Network run by the lovely Diane Danzebrink. Together both groups cover everything you need to know. I would ask your doctor for vaginal oestrogen for 3-4 weeks before any exam to make it tolerable. And yes, its fascinating about FB rules isn't it, we weer taking about just this evening over dinner. Thanks for watching. x

[@antog288]

@@DrRenee Thank you so much :)

[@panes840]

@@DrRenee can I please ask. Vaginal estrogen is it really safe? My mum had endometrial cancer and I am incredibly sensitive to added hormones such as the pill. I also had the contraception via injection and it gave me a breast lump. I'm looking at dilators too and there is vuva tech which uses magnets but incredibly expensive. Help.

[@DrRenee]

@@panes840 Hi. Yes, all evidence say they are safe life long. And actually could be safer than not. Women die of urine infections for example which can be avoided with topical oestrogen.

[@nanajane8497]

Your Amazing, I have suffered for 10 yrs. With the help of vagifem I'm getting there. Vulva external burning still very much a problem my gp just keeps giving me steroid cream

[@dorothybeveridge3133]

How do I find your videos.

[@lindalilly1544]

What is your group called please?

[@MYKEYCARD]

Thank You For Your Phenomenal GLOBAL Outreach People Support🍏🍎

[@lms2379]

Pot of gold info here (as a Yankee, I struggled a bit with the accents).

[@katella]

Good grief. They are perfectly understandable.

[@dianapaloma3102]

You had mentioned dementia and incontinence with constant UTIs. How can you help a person in the situation?

[@ljd3766]

What was the laser treatment like? Thanks 💕💕

[@DrRenee]

It was bearable and definitely worth it!

[@christineswanson6633]

I have vaginal atrophy and started estriol vaginally for terrible itching. After being on the estriol for a few months, I am now getting migraines as I slowly increase my dosage to the 2 grams twice a week prescribed. Happy about the itching decreasing, but bummed about the migraines. I am wondering if the migraines will be a temporary issue that I need to deal with, and what I can do to rid this problem. I definitely do not want to go off of the estriol since I am getting long needed relief for the itching that drove me insane.

[@DrRenee]

Christine Swanson Are you in the UK? That’s quite a big dose. In the UK we use 0.1% and we use a small applicator 3x a week. At this dose we do not usually see enough systematic absorption to affect symptoms such as migraines etc. I would suggest lowering the dose and seeing if it is definitely the vaginal oestrogen. It could be that your systemic hormone level is dropping simultaneously and that is actually the cause of the migraines and this could mean that you need HRT systemically to help. However, this is very generic information and you should have these discussions with your doctor and any changes made in conjunction with them.

[@christineswanson6633]

@@DrRenee I am in the U.S. This is .5 mg cream. I will be in contact with my OBG.

[@lindalilly1544]

What is the cream called please and will the doctor prescribe it for me?

[@DrRenee]

It’s topical oestrogen cream which g in the U.K. is called Ovestin

[@patriciascott4211]

I don’t understand the not washing part, is that just for the inside, the vagina or the outside also? I have IBS-D and some other fun issues that go along with that and I can’t see not washing. I have Bidet and must carry wipes with me. I’m on Estrogen 10 mg tablets and use Replense moisturizer but I still have pain with sex, it’s not as horrible as it was but it’s still uncomfortable sometimes I’m not sure what to do

[@maureenperez9999]

please add vaginal infections and yeast infections which is one of the reasons I have to go on Premarin. I am post-menopausal and also am experiencing other symptoms you are talking about.

[@echase416]

There are non-animal forms of Estrogen (Estradiol; Estriol; Bi-Est) available, iirc.

[@maureenperez9999]

@@echase416 Thank you Emma for that info. I have been on the lowest dose...recently cut in half... for 5 months since I posted. My gynecologist says the Premarin Cream which I use has less risk for side effects...ie. breast cancer and so far it's working fine. I just can't stand using it because it is messy for days(21 days plus2 once I stop)Then no premarin for 7 days.

[@juliemason6505]

I would be really grateful if you could differentiate between the dryness/tightness symptoms of Lichen sclerosis and what you speak of. Would vaginal oestrogen help (post menopause), taking into account that metastatic endometrial cancer is present?

[@claraaguilera945]

Great subject...I have been suffering with UTIs for the last 3yrs. I'm 55yrs old, had a hysterectomy 5 yrs ago, 3 yrs ago I started with these utis the 1st I had at least 5 in one year, last year 1, and so far this year 2. My labs come back as an infection but I am extremely clear I shower twice a day because I am so scared. I had some yellowish discharge as well my dr looked at it and started it was a ph imbalance recommended replens. In taking the probiotics and it went away..🙏 however the utis are the problem now. I take cranberry pills every single day.😔

[@DrRenee]

I am sorry to hear that. Perhaps you should ask your GP for vaginal oestrogen as this is the only thing that is really going to help.

[@claraaguilera945]

@@DrRenee thank you for replying so quickly..😊 will estrogen increase chances of cancer or cause to grow back fibroids? My hysterectomy was due to extreme case of fibroids which spread through out my bladder and intestines. It was really scary. Thank you.

[@drrenee1300]

Hi. No, the systemic absorption is negligible and not a risk. Women do get sepsis and can die from ITI’s so avoiding them is important for a healthy life.

[@claraaguilera945]

Thank you, I will certainly discuss this with my Dr. 😊

[@highbany]

How can I obtain book by Jane Lewis

[@ritabrophy3755]

Thank you so much for this video . It’s been so helpful. I didn’t realise there was so many things we could do to help with this problem. I’m 66 and have vaginal atrophy for years which can be very painful. I’ve been using Estriol cream prescribed from GP for about 3 years but still find sex painful. Would HRT help? My GP thinks I’m too old for it and I don’t think they fully understand the problem. Can you advise what else I can do?

[@drrenee1300]

Hi Rita. The first thin g i would do is add vagifem up to 5x a week to the oestriol cream. You could consider laser; mona lisa is very good but expensive. You are not too old for HRT but your GP. would need to do a risk assessment. HRT may help. If your GP doesn't help, ask to be referred to a menopause clinic. R

[@rachelc.5463]

@ritabrophy3755...I'm (70) been having Mona Lisa treatments by my urologist for couple of years every 6 months to a year. These treatments work wonderfully. My insurance covers all but around $20 for office visit otherwise cost would be $300 and doctor charges $250 for procedure I pay out of pocket and well worth it.

[@joannepigliavento7930]

Do you believe Progesterone is required if on vaginal estrogen alone?

[@riograndelily8344]

Hylouranic Acid works as well. Julva works for many woman.

[@taghiabiri3489]

Oh Sweethearts, so interesting! But so hard to understand because you talk so fast and sometimes together. 😢

[@deborahhebblethwaite1865]

I think as i have had troubles for some time you must first clean up your diet. Your gut microbiome is what needs the fix. So modern food and drink not good. Whole food, low sugar,carbs and no booze and fasting. Fixes your HBP, BG . and amazingly plumps up the area. Coconut oil stops the utis and itching and dryness. Very soothing and naturally antiseptic. A bidet works wonders for older people as well to get good and clean. Straight up water. Too many chemicals will cause trouble....

[@echase416]

Women’s vaginas/bladders need Estrogen...

[@pennyc7064]

What diet would you recommend? I've read about the keto diet ..low carb. No grains. Is it good long term?

[@deborahhebblethwaite1865]

@@pennyc7064 peoples bodies differ with particular foods. I cannot do wheat and most dairy. I wouldnt say i am keto, just not much starch. If you do grains they must be the whole grain sprouted preferably and cooked. So that leaves out breads, pastas as they are somewhat processed. Just try eating lots of vegetables, protein of choice, nuts, seeds, meat, fish, eggs. Fruit is good in moderation but not fruit juice. And the biggie sugar. I can do a bit of honey or maple syrup but not too much. Basically eat food minimally processed or not at all processed. Keto works for lots of people even long term but not everyone.... whole oats are good for me so i cook the groats adding seeds, nuts etc for a hearty meal. Again it is what your body tolerates as well.

[@joannepigliavento7930]

Progesterone rings the breast cancer risk?

[@brigidstapleton2716]

At this point I feeling very low as my oncologist does not think I should take estrogen cream but I’m so low I’m scared at what I should do

[@DrRenee]

Hi Bridget. I am sorry that you are low. I would advise reading up on oestrogen and i found Oestrogen Matters a good and well referenced book. You don't sy what cancer you had and so it is difficult to comment further. The systemic absorption of topical oestrogen is tiny and some oncologists are not up to date with data and so err on the side of caution. You do need a quality of life too.

[@abdullahhendricks7350]

It beautifully ameen ❤ 💖 🙏 💕

[@christinegale7434]

Can we have some opinion on mona lisa treatment and also Tenscare pelvic floor vaginal probes please.

[@DrRenee]

ooh yes, would love to... I have had it! Shall I do a whole vlog on it?

[@aleecewhite3919]

Yes!!!!!! Please do make a vlog on it. I’m a bc patient here newly married sexless marriage because of it

[@SaltLake180]

I am using Immvexy vaginal inserts for estrogen. Also vitamin E oil helps a lot as a lubricant. Both prescribed by my gynecologist.

[@janetwhite7786]

I am almost 70. I have made it thru until now au naturale. Is it too late for HRT? Vaginal atrophy is becoming a problem.

[@Kaagrant]

Yes. Listen to The video. Seek out Rachel Rubin MD, Kelly Casperson MD, Louise Newson MD. Vaginal estrogen is extremely safe and all women age 45 and over should be using (as well as younger women who’ve been through menopause or in perimenopause.)

[@whoahorseywhoa4685]

are you saying UTI's worsens dementia? confusion and hallucinations ??

[@janajanis9268]

Yes

[@chocoholly1524]

Can you use oestrogen on the vagina?

[@karenmcgroarty4187]

I had breast cancer 2019 started Tamoxifen and instantly experienced vaginal atrophy. I was given hyalo femme moisturing gel. I started bleeding while being intimate. I was given ovestin cream. This works well i use it twice a week.

[@jessicahitchens6926]

I don't recommend Tamoxifen for any woman. Shuts down your endocrine system.

[@maralfniqle5092]

Its not recommended lightly. It is given to women with hormone positive breadt cancer.​@jessicahitchens6926

[@helenhowell5413]

Hi had a break from using estrogen topical cream ,but need to use it again, do i have to take it for 2/3 week again at the start, or can i just use it when i need it .

[@JohnSmith-td6dn]

Vitamin E, works for me

[@jenniferhampton5171]

How do you apply it?

[@jessicahitchens6926]

Homeopathy is well worth trying as well. If you find the right practitioner.

[@dorothybeveridge3133]

Hi . I have a red ,sore, burning vulva . I can’t wear pants ,just pyjamas bottoms. When I walk I’m sore , £ my groins . Please advise me . I’m suffering . I now have anxiety because of it . Please help me . ❤️

[@kazbaz8645]

I had a small stroke so had to come off oral hrt

[@DrRenee]

There is no increased risk if people with a stroke history have transdermal HRT as a patch or gel.

[@kazbaz8645]

@@DrRenee Thank you for your reply and the information re transdermal patch - I am seeing my GP for the first time today in many years! so will ask. My Consultant man at the Hospital years ago when I had the small stroke said no more hrt for ever and I thought I was lucky a lady GP let me have the hormone atrophy cream. Could be life changing. I had emergency hyst at 33 sub total due to placenta accreta which was undiognosed though I was having detailed scans for past baby no kidneys so how they missed the placenta I dont know. Thank you

[@gardendaisy]

Gyno could not do a pelvic exam due to vaginal atrophy. Taking progesterine and estrodiol pills. Feeling really sexual as a side effect. Havent had intercourse for 38 yrs. Is there hope for me?

[@juliestreet8688]

My (female) GP has been saying for the past 10 years "Well, you're....(insert age here)...now, you may as well just ride it out".

[@DrRenee]

It’s difficult to know what to say; how compassionate! Tell her you don’t want to ride it out, or see someone else! Good luck. R

[@juliestreet8688]

@@DrRenee thank you, I managed to get Ovestin cream eventually, it has helped a bit but still being woken by hot flashes in the night (am 58 now and they started when I was 46-7). I will try the other female doc in the practice. Thankyou for everything you and Jane are doing, I really wouldnt have known otherwise x

[@karenbaumgartel6077]

Unbelievable! One would think a woman might have a bit more feeling and compassion for these specific to women problems! But none of my gynaecologists here in Germany have suggested estrogen cream! I finally had to insist on it just days ago, after watching a video interview on KZbin with an American doctor called Menopause Taylor. The lightbulb went on and I called right away and made sure I got that cream that day. Even just after a few days, the pain is less.

[@healingwisdomarts]

I cant walk !!!! or sit up straight 🥵

[@seeifficare]

M ,

[@mariemcloughlin1684]

Homeopathy does actually work, just saying🤣 I wouldn't waste 4 years of college and 25 years of clinical practice on something that didn't work.

[@franklinstephen3268]

Hello 👋how are you doing?

[@IrishTextileCraftsandMore]

What about a person who has catamenial epilepsy. So you can not do any hormones or cream at all. It will trigger seizures. Having that is bad enough now this. 🙄

[@rachelc.5463]

@IrishTextileCraftsandMore...Maybe you can have Mona Lisa laser treatments. I have this done by my urologist every 6 months to a year. My insurance covers all but about $20 for office visit or else would cost $300 doctor charges me $250 for procedure I pay out of my own pocket. Well worth the cost not to be misable.

[@Lynny1651]

Thank you for your Chanel, I need all the information and support, I not only suffer from dryness but my vagina won’t open up when I’ve been trying to have penetrative sex with my partner,

[@whoahorseywhoa4685]

so you can or cant have sex with the ring ? you talked to fast

[@melody1096]

Sex is painful for me, I always have loved sex and orgasms but now I’m 60 sex is painful. My doctor wont give me any hormone therapy due to me having a heart attack due to a blood clot after a botched operation where I also ended up with asphyxia pneumonia

[@DrRenee]

Hi. I’m so sorry to hear this. Your doctor needs to refer you to a menopause clinic and you should demand this. Not only is it safe for someone who has had a provoked blood clot to have vaginal oestrogen, with careful risk evaluation, transdermal oestrogen could be considered. A menopause clinic will do this. You could also consider laser (expensive but works) and the Linton are Jane is so well versed in. Yes OB is very good. Good luck x

[@kazbaz8645]

Oh wow i had a past small stroke and was taken off oral hrt but was allowed vaginal cream. I did like the patches prior to this. I had hysterectomy at at 33 and am now 59. Stroke 2013