Mrs Jones has come into your pharmacy with a prescription for Vagifem Low pessaries (10 microgram estradiol). You ask Mrs Jones to join you in the private counselling area so you can discuss her condition and gather further information. Mrs Jones explains that she is going through menopause and visited her GP to get something to treat her persistent vaginal dryness. She has been fortunate so far to experience very few hot flushes, however she is finding the vaginal dryness particularly bothersome as she is experiencing intense itch and irritation. Sexual intercourse with her husband is painful. She is very keen for symptomatic relief but is concerned about using hormone therapy, as her mother died of breast cancer. Her girlfriend recommended she try the natural progestogen cream that she uses.
After successful completion of this CPD activity, pharmacists should be able to:
Competency standards (2016) addressed: 1.1, 1.4, 1.5, 2.2, 3.1, 3.5
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Vaginal dryness is a common and bothersome problem experienced by a large number of women at some point in their lives.1 It occurs due to reduced vaginal secretions caused by decreasing estrogen levels.2,3 It is most commonly experienced by women going through menopause but can also be experienced by premenopausal women.
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