Vaginal oestrogen 2 ways?

[Flowertrees]

My gp will only prescribe cream or tablets not both. She also won’t advise to use more than the twice weekly dose. This just isn’t enough for me. I’ve seen people on here say they use both and or increase the dose but I can’t find anything online to say it is ok to exceed the twice weekly dose.
can anyone tell me if a doctor has advised them at all that it’s ok to increase the dose?
thank you

Yes. My private gynae. Told me to use it often and liberally.

GP therefore gives me four tubes with every repeat.

If I don't use it, my scar tissue gets very sore.

I use my fingers and shove a load in and massage it in then all over my vulva. I wouldn't like a pessary, very happy with the cream. I also keep some in my handbag on the off chance I'm sore when away from the house.

I find if you rub it in, it's not messy.

It's £20 a tube to buy Ovesse at Boots so that might be one option.

There is nothing online to say it can be used more as the product licence is based on 2 x a week.

She is following the licensing guidance but that is not always right for every woman.

It's disappointing she won't allow both.
Cream can be applied outside, Vagifem internally.
You could stick with cream and use it both ways.

Another cream on the finger user here, I didn't get along with the pessary. Every second or third day now, and more if I feel the need. I apply at night.

Thanks. I have been nervous about using more than the recommended dose (or two different products which will also be more than the recommended dose) but I definitely need more than twice a week

Can I ask which cream you use please? Is it Ovestin?

It used to be called ovestin but it's now just estriol which is the actual cream. Exact same thing.

I use tons of it. Makes me feel so much better.

Thank you for posting this. I'm having the same problem and actually using vagirux as well as ovesse/estriol (same thing) most days and I'm still having symptoms.
I've just written to my GP to ask what to do next as it's becoming intolerable. They don't want me to exceed the normal dose but I can't get by without using it every day.
I am wondering if systemic HRT would be more effective. The problem goes away when I have a few months of regular periods, but I haven't had one for several months now and I can't imagine having to deal with this for ever.

Standard hrt did nothing for me with these specific symptoms and my go told me it doesn’t, it doesn’t impact on vagunal dryness/ itchiness / discomfort apparently. So I have vagunal oestrogen in addition to the standard HRt

I'm not a doctor but I'm sure I remember reading (it might even have been on this forum) that even using the pessaries every single day for the rest of your life would only give you the tiniest dose of hormones, nothing to be alarmed about (unless, presumably, you had some health issues that precluded it). I use the pessaries twice a week and the cream three or four times a week, because I find the pessaries are great for internal issues but the thinning and itching around my vulva needed something a little bit more topical.

I take my Utrogestan vaginally (rather than orally) and that has made a big difference. Is that an option for you?