Where is oestrogen produced?

Oestrogen is made primarily in the ovaries. Smaller amounts are also produced by the adrenal glands and fat tissue, especially after menopause. As oestrogen levels naturally decline during perimenopause and menopause, many women begin to notice a wide range of symptoms. When symptoms start, HRT can help, so don’t wait to seek advice.

Does vaginal treatment cause weight gain?

It’s a common fear — but vaginal treatment does not cause weight gain.

Is estrogen the same as oestrogen?

Yes. “Oestrogen” is the UK spelling, while “estrogen” is the US version. Both refer to the same group of hormones that play a key role in female health.

What are the side effects of having 'too much' oestrogen?

If oestrogen levels are too high, or not well balanced with progesterone, you might notice:Breast tendernessBloatingMood swings or anxietyHeavier or irregular bleeding (if you still have periods)Our clinicians work with you — and your symptoms, history, and tests — to find the right hormonal balance.

Can you take vaginal oestrogen without progesterone?

Yes, vaginal oestrogen is a low dose treatment. Progesterone is not needed alongside it.

What is vaginal oestrogen?

Vaginal oestrogen is a low-dose treatment that’s applied directly to the vagina — usually as a cream, tablet, ring, or gel. It’s used to treat local symptoms like dryness, discomfort, itching, or pain during sex. It stays local (not absorbed into the bloodstream), so it can be used safely by many women — even alongside or instead of systemic HRT.

Vaginal treatments

TrustScore4.7⧸5

Our personalised plans include vaginal treatments with ongoing support throughout. You’ll start with an appointment, where you speak to one of our clinicians and build your treatment plan together

Included in each plan

3 months of treatment delivered to you

Monthly 10min check-ins

Unlimited clinical WhatsApp messaging

Learn about vaginal oestrogen

Why is vaginal treatment used?

Levels of oestrogen in the body naturally reduce after menopause. This can affect vaginal tissue and mean it receives less blood flow, making it thinner and drier. In turn, this can cause discomfort and irritation as well as making sex feel painful.

Vaginal oestrogen treatment helps restore vaginal tissue to make it thicker, more elastic and more hydrated. This type of treatment can also help improve blood flow, supporting tissue repair and natural moisture.

1 Vaginal dryness

2 Pain or discomfort during sex

3 Burning or itching sensations

4 Recurrent urinary tract infections (UTIs)

5 Needing to pass urine more often

The benefits of vaginal treatments

Treatment is applied directly to where it needs to work and there is a very low risk of side effects

Restores natural moisture and elasticity, helping to reduce pain during sex

Reduces itching, burning and irritation

87%

of women felt the benefits of vaginal oestrogen within 12 weeks, from our treatment study of 372 women.

Explore different types of vaginal treatments

If topical treatments are a fit, you can choose between these plans:

Vagirux

A tablet that is inserted into the vagina using a pessary device, helping to target vaginal tissue without significantly affecting your hormone levels

3 months of treatment

Delivered to you

Check-ins & support

Monthly check-ins & WhatsApp messaging

Treatment review

At month 3 (30min)

Optional

Monthly nutritionist appointment, & blood test

Vagifem

Comes in a pessary form - Insert directly inside the vagina, it works locally to restore moisture and tissue health — without raising hormone levels

3 months of treatment

Delivered to you

Check-ins & support

Monthly check-ins & WhatsApp messaging

Treatment review

At month 3 (30min)

Optional

Monthly nutritionist appointment, & blood test

Estriol

Comes in a cream form - applied directly to the vaginal area and works locally to restore moisture and tissue health

3 months of treatment

Delivered to you

Check-ins & support

Monthly check-ins & WhatsApp messaging

Treatment review

At month 3 (30min)

Optional

Monthly nutritionist appointment, & blood test

DHEA option

A tablet inserted into the vagina using a pessary. It gently boosts hormone levels in the vaginal tissue to rebuild thickness, moisture, and elasticity over time.

3 months of treatment

Delivered to you

Check-ins & support

Monthly check-ins & WhatsApp messaging

Treatment review

At month 3 (30min)

Optional

Monthly nutritionist appointment, & blood test

What’s included in your treatment plan

All our plans have been designed to make getting the treatment and support you need as easy as possible.

3 months of your treatment delivered

We understand how busy life can be and don’t want you to have to spend time collecting prescriptions. We deliver 3-months’ worth of treatment directly to your door within 48 hours of starting your plan.

Monthly 10-minute check-ins (optional)

Each month you will have an optional 10-minute check-ins to speak to your clinician about how you’re getting on and how you’re feeling about your plan.

Treatment review at 3 months

Our reviews happen at 3 months because most prescriptions and plans need this time to show their full impact on your health and well-being. This helps us really understand what is working for you.

Unlimited messaging support

We don’t ever want you to be left in the dark about your care. Between appointments you can message your care team any time via WhatsApp to get quick answers to any questions you might have.

Monitoring blood test at 3 months (optional)

To ensure you are making progress with your treatment, and that it’s working for your body, you can do an optional monitoring blood test. The price of this is included in your monthly plan cost.

Nutrition appointment each month (optional)

Our plans are designed to benefit your overall health and wellbeing. We offer nutritional advice to help you manage weight, balance your hormones and support your long-term health.

Your treatment plan timeline

Book your first appointment

Your care begins with a single appointment. This appointment will take place online at a time that suits your schedule, with our next available clinician. Your first appointment is £145 and this cost is separate to the cost of your plan.

Choose your plan and medication

After your appointment, the plan you made with your clinician will be emailed to you. Vaginal oestrogen is offered as an add-on to other treatment plans. It is usually prescribed alongside HRT, testosterone or CBT plans. Once you are happy with your plan you can then select your medication choice.

Our Vaginal Oestrogen plan range from £15-£32 per month depending on medication choice.

Here are the options we offer:

Blissel gel (£15 per month)
Estriol cream (£15 per month)
Vagirux pessaries (£15 per month)
DHEA pessaries (£32 per month)

3 months of your prescribed medication

Monthly clinician check-ins

Unlimited messaging support — you’re not alone

A 30 minute review appointment at 3 months

Starting treatment

If you choose to start treatment after your appointment, you will pay for it through your patient portal, and we will deliver discreetly for free, within 48 business hours.

Unlimited clinical messaging over WhatsApp

Optional 10 minute check-in with a clinician

Optional monthly nutritionist appointment

Ongoing monitoring and review

You can do a monitoring blood test at home towards the end of your plan. This step is optional but included in your monthly plan cost.

You’ll then have a 30-minute review at the end of month of your plan to discuss your test results, adjust your plan if needed and talk through how you’re feeling.

You can then choose whether to restart your care. Your plan does not auto-renew when your 3-month cycle is over, the choice to continue is entirely yours.

Nutrition: If you haven’t tried it yet, you can start monthly sessions with our menopause-specialist nutritionist.

CBT sessions: Cognitive behavioural therapy can help with menopause-related anxiety, sleep, or mood changes.

Supplements: Your clinician can suggest targeted options that may complement your treatment.

Pricing

Explore all our plan price structures to understand the factors that shape the cost of your customised treatment plan

Our clinicians work with you to create your treatment plan

Our team of experts are here to support you every step of the way.

Dr Narooshi NagarajahClinician

I believe deeply in the power of listening. Every woman deserves to feel seen, heard, and supported on her journey through hormonal change.

BMS trained

GMC 7461823

Dr Gráinne ReihillClinician

I take a personalised approach, taking the time to understand each woman's unique symptoms, the impact on her daily life, and the specific challenges she faces.

BMS trained

GMC: 7492335

Helen MaddoxNurse

Every woman is individual and I aim to provide knowledge, support and input to each of you through your menopause journey.

NMC 86A1432E

Marise van der MerweNutrition coach

I’m also at a stage in life where I personally relate to the changes menopause brings. This combination allows me to offer compassionate, relatable and evidence-based support.

Health Profession Council of South Africa DT0019089

Dr Lisa LinskyClinician

I am a passionate advocate for Women’s Health. I want to empower every woman to feel their best at every stage of life.

GMC 6122517

Dr Cathy ArchibaldClincian

Taking an individual approach is key to providing the best care plan for each woman and empowering personal choice.

GMC 4312576

Dr Tara KumarClinician

I am passionate about empowering women with the knowledge to manage their health confidently and holistically.

GMC 7668576

Dr Amy PeachCognitive Behavioural Therapist

I offer a holistic approach to understanding the processes that maintain psychological distress during this transitional time.

BABCP number: 140736

Dr Sarah WilsonClinician

It’s a privilege to spend time with patients to understand their unique treatment needs and priorities and together create a management plan to address them.

BMS trained

GMC 6111052