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Who can and cannot use vaginal oestrogen - Brand names: Vagifem, Gina, Ovestin, Vagirux

Who can use vaginal oestrogen

If you're approaching the menopause and have symptoms (perimenopause) or have already gone through the menopause (post-menopause) you can usually use vaginal oestrogen.

Who may not be able to use vaginal oestrogen

Vaginal oestrogen is not suitable for everyone. To make sure it's safe for you, tell a doctor or specialist nurse if you:

  • have ever had an allergic reaction to oestrogen or any other medicine
  • have ever had breast cancer, are having tests for breast cancer, or are at high risk due to family history
  • have ever had any other type of cancer
  • have vaginal bleeding with no known cause
  • have ever had a blood clot in a vein (thrombosis), such as in the legs (deep vein thrombosis) or the lungs (pulmonary embolism)
  • have or have recently had a problem caused by blood clots blocking the arteries, such as a heart attack, stroke or angina
  • have liver problems
  • could be pregnant
  • have a rare inherited condition called porphyria
  • have diabetes
  • have high blood pressure
  • have migraines or severe headaches

Page last reviewed: 27 January 2023
Next review due: 27 January 2026