7.6.3 Vaginal Atrophy

For Kent and Medway Hormone Replacement Therapy (HRT) Prescribing Guidelines click here (pdf)

From September 2022, Gina® (estradiol) 10 microgram vaginal tablets (low-dose oestrogen) can be purchased over the counter (OTC) without a prescription after consultation with a pharmacist; following an MHRA consultation resulting in reclassification. They can be used by postmenopausal women (who have not had a period for >1 year) aged 50 years and above. Other brands of estradiol vaginal tablets remain prescription-only (see below for brands/formulary status).

OTC non-hormonal vaginal moisturisers and lubricants can be purchased OTC at pharmacies and supermarkets (e.g., Replens MD®, Yes VM®) and are not recommended for prescribing on an NHS FP10 prescription in Kent and Medway.