Vaginal oestrogen: What is Vagirux and how do I use it?

Vagirux is a pessary that is inserted into your vagina. It’s used to treat changes in and around the vagina that commonly occur when levels of oestrogen begin to decline during the perimenopause and menopause.

This includes symptoms of vaginal dryness, such as soreness, itching and pain during sex. Declining levels of oestrogen can also cause urinary symptoms such urinary tract infections, urgency or occasional leaks.

How does Vagirux work?

Vagirux works by replacing lost estrogen directly to the affected area. As the pessary dissolves it releases estrogen into your vaginal wall and surrounding tissues, which often helps to relieve symptoms such as dryness, soreness and itching. Over time, this will help to restore elasticity and lubrication, which can protect your vagina, vulva and urinary tract.

RELATED: What is Vagifem and how do I use it?

When and how do I use Vagirux?

Vagirux comes with a single reusable applicator in each pack, which should be cleaned after each use.

Simply load the pessary into the applicator before use, then insert it in the same way that you would when using a tampon, either standing up or lying down.

It’s best to use Vagirux before you go to bed, so the pessary stays in place for several hours. For the first two weeks of treatment you’ll need to use Vagirux every evening. After that, you usually only need to use it twice a week, although your healthcare professional may recommend using it more frequently if your symptoms don’t improve. 

What doses does Vagirux come in?

Each Vagirux pessary contains 10mcg of oestradiol, which is the same type of estrogen that is made naturally in your ovaries.

What are the benefits?

The Vagirux pessaries aren’t as messy to use as some other creams and pessaries and don’t leave a sticky residue. The main downside is that Vagirux can only be used internally, unlike creams and gels which can be used around the vaginal opening and vulva. If your symptoms do not improve after a few months of using Vagirux then it is worth talking to your healthcare professional about using an alternative.

RELATED: Vaginal oestrogens: what is Ovestin and how do I use it?

Who is Vagirux suitable for?

Vagirux is safe to use alongside HRT including gels, sprays and patches, and may also be suitable for people who are unable or don’t want to take HRT.

Can I expect any side effects?

You may experience soreness or irritation when you first start using Vagirux, especially if you’ve been experiencing symptoms for some time before you start treatment.

Resources

British National Formulary: Estradiol