Hormone Replacement Therapy (HRT) to treat and relieve vaginal symptoms post menopause.
Oestrogen levels decline after the menopause and this can cause changes in our vaginal health. The walls of the vagina become thinner, which can lead to a range of uncomfortable vaginal symptoms including dryness, itching, soreness, burning and painful intercourse, also known as vaginal atrophy (VA). This affects around 1 in 2 postmenopausal women.
Gina is a small vaginal tablet that comes in a pre-loaded applicator which delivers a low dose of oestrogen directly to the vaginal wall, to treat the underlying cause of vaginal dryness. Gina is clinically proven to work by restoring your vaginal health. This is done by improving flexibility and elasticity, helping replenish moisture, and restoring vaginal tissue.
When starting with Gina, insert one vaginal tablet each day for the first 2 weeks of treatment. After that, it reduces to one tablet twice a week (leaving 3 or 4 days between doses).
Once you finish your first pack your pharmacist will discuss your progress with you before supplying your next pack. After that it’s important to catch up with your pharmacist every three months to ensure Gina is still the right treatment for you.
Gina comes in a hygienic, pre-loaded applicator designed to deliver the correct dose. If you would like to see exactly how to use it, please see the full patient information leaflet.
Estradiol 10 micrograms (as estradiol hemihydrate). Each vaginal tablet contains 10 micrograms estradiol (as estradiol hemihydrate). Active Ingredients: Estradiol. Also contains: hypromellose, lactose monohydrate, maize starch and magnesium stearate. The film-coating contains: hypromellose and macrogol 6000.
Gina is for postmenopausal women aged 50 years and older who have not had a period for at least 1 year and who suffer from vaginal symptoms due to oestrogen deficiency. There may be some people it’s not suitable for, depending on things like medical history and other medication being taken. Please read the patient information leaflet.
Do Not use Gina if you:
- are allergic to estradiol or any of the other ingredients
- have or ever had womb or ovarian cancer
- have or recently had vaginal or genital bleeding, since
your periods stopped due to the menopause
- have recent or suspected endometrial hyperplasia (or e.g.
if you have been referred for an ultrasound of your
womb and are waiting for the results)
- have previously been treated with oestrogen only HRT
(without Progestogen) and you have not had your womb
- have a current vaginal infection prior to starting
treatment with Gina®
- have any thickening, lump or scarring on your vulva
- have severe vaginal itching, or itchy patches or rash on
- have or ever had breast cancer, or have a lump / change in
appearance in your breast, or nipple discharge
- have or ever had a blood clot in a vein
- have or ever had a heart attack, stroke or angina
- have a blood clotting disorder
- nhave liver disease and your liver function tests have not
returned to normal
- have a rare condition called ‘porphyria’.
You may need to speak to your doctor before using Gina®, ask your pharmacist for advice if you:
- have a history of endometriosis
- have a history of excessive thickening of the womb lining
- are receiving any hormonal therapy, including tablets,
gels or patches
- are switching from another vaginal oestrogen.
Stop using Gina immediately and seek prompt advice from your doctor if you notice any of the following during treatment:
- new vaginal bleeding, spotting or itching
- you have endometriosis and your symptoms come back
- or any of the conditions listed in the ‘do not use’ section.
Get prompt advice from your doctor if you:
- have yellowing of the skin or whites of your eyes
- have large rise in blood pressure (symptoms may be headache, tiredness, dizziness)
- have migraine-like headache for the first time
- become pregnant.
Q - "What Is Gina Used For?"
A - Gina is used in treating one of the most common symptoms of menopause - vaginal atrophy or urogenital atrophy. Vaginal atrophy is a term used for when your vagina becomes dry, sore or itchy, and it can also make sex painful. Vaginal atrophy usually occurs when your oestrogen levels drop during menopause, thinning the tissue around your vagina. By taking Gina, you replace the oestrogen you’re missing to improve and get rid of your symptom.
Q - "How Effective Is Gina?"
A - Gina tablets are clinically proven to treat your symptoms and their causes effectively. National guidelines recommend low-dose vaginal oestrogen tablets like Gina as the first treatment for menopausal symptoms such as vaginal dryness, itching and soreness.
Q - "How Long Does Gina Take To Work?"
A - You should start noticing the positive effects of taking Gina around 4-8 weeks after starting treatment, but this varies depending on the person. If you are not noticing the effects of Gina after taking it for 3 months, you should speak to your doctor as it may not be the right treatment for you.