Vagifem solves a very specific and common menopausal problem with elegant precision. As estrogen falls, the vaginal tissues can become thin, dry and uncomfortable, making everyday life and intimacy painful. Vagifem places a small, measured dose of estrogen exactly where it is needed, restoring comfort to the tissue itself.

Because the dose is low and acts locally, very little estrogen reaches the rest of the body, which is reassuring for women who want to treat this one symptom without broader hormone therapy. It comes as a small tablet inserted with a simple applicator, used daily for a short starting period and then just twice a week.

• Treats vaginal dryness and discomfort at the source
• Low dose and local, so little reaches the rest of the body
• A simple applicator, daily at first then twice a week

It is a prescription treatment, well suited to targeting this symptom on its own.

Insert one tablet into the vagina using the applicator, once daily for the first two weeks, then twice a week thereafter, or as directed. Use it at a consistent time, ideally in the evening, and continue for as long as your clinician advises.

Estradiol 10 micrograms per vaginal tablet.

Mild vaginal discharge or local irritation can occur early on. Because so little reaches the bloodstream, the wider effects of systemic hormones are much less of a concern.

Although absorption is low, share your full history, as local estrogen is still not suitable for everyone. Report any unexpected vaginal bleeding. Use the lowest effective routine.