Which specialist performs vaginal oestrogen therapy?

Vaginal oestrogen is local hormone treatment used for symptoms such as dryness, irritation, discomfort with sex, or urinary symptoms linked with low oestrogen. It may come as a cream, tablet, or ring, depending on the prescription and local availability. The specialist checks your symptoms, menopause status, bleeding history, medicines, and relevant medical conditions before recommending a form and schedule.

Write down when symptoms began, whether there is bleeding, and any treatments already tried. Tell the specialist about current medicines, past hormone treatment, breast or womb conditions, and unexplained vaginal bleeding. Use the product only as prescribed, and ask how to apply it, what to do after a missed dose, and when a review is needed.

Arrange medical review for new or unexplained vaginal bleeding, pelvic pain, a new lump, unusual discharge, or symptoms that persist despite treatment. Seek prompt advice for heavy bleeding, severe pain, breathing difficulty, facial swelling, or a sudden widespread rash. Do not restart or change hormone treatment without discussing the reason with your prescriber.

Is local oestrogen appropriate for my symptoms and history? Which preparation suits me? How long should I try it before review, and which bleeding or side effects should I report?