When is vaginal oestrogen therapy recommended for menopause?

Menopause-related hormone changes can make vaginal and vulval tissues drier and less elastic. This may cause burning, soreness, discomfort during sex, or urinary burning and urgency. Vaginal oestrogen is a local option used to support the affected tissues.

A diagnosis should not be assumed from symptoms alone. Infection, skin conditions, pelvic-floor muscle tension, and other causes can produce similar discomfort. Your clinician may ask about bleeding, discharge, pain, urinary changes, and medicines.

Tell your clinician about bleeding after menopause, breast or other cancers, blood clots, liver problems, and all medicines before starting. Follow the instructions for the product prescribed and report irritation, unusual discharge, or symptoms that do not improve.

A vaginal moisturiser can help regular dryness, while a lubricant may reduce friction during sex. These options do not replace assessment when pain, bleeding, or urinary symptoms are new or persistent.

Contact a healthcare professional about any bleeding after menopause, unexplained pelvic pain, sores, unusual discharge, or persistent urinary burning. Seek urgent care for heavy bleeding, severe pain, fever, or faintness.

Ask whether your symptoms fit menopause-related tissue changes, which local product is appropriate, how long to try it, what interactions or precautions apply, and how follow-up will be arranged.