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Ovestin pessaries are a prescription medicine used to treat menopausal symptoms such as vaginal dryness, burning, and itching. They contain 0.5 mg of estriol, which mimics the oestrogen normally produced by the ovaries, helping to keep the vagina hydrated and soothed. While Ovestin is generally well-tolerated, some patients have reported side effects such as irritation, burning sensations, and soreness, especially at the start of treatment. However, there is no mention of muscle aches as a potential side effect of using Ovestin pessaries. Nonetheless, it is always advisable to consult a doctor or pharmacist if you experience any adverse reactions or unusual symptoms while using any medication, including Ovestin pessaries.
| Characteristics | Values |
|---|---|
| Ovestin | Cream, Pessaries |
| Ovestin Cream Composition | Estriol, a form of oestrogen |
| Ovestin Pessaries Composition | Estriol |
| Ovestin Cream Use | Applied externally to the vaginal opening and vulva |
| Ovestin Pessaries Use | Inserted into the vagina |
| Ovestin Cream Benefits | Relief from irritation, burning, soreness, dryness, and itching |
| Ovestin Pessaries Benefits | Precise dosage, less messy |
| Ovestin Side Effects | Application site irritation, pruritus, mild bloating or stomach discomfort |
| Ovestin Safety | Safe for long-term use, can be used with a past diagnosis of endometrial, cervical, or ovarian cancer |
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What You'll Learn
Ovestin side effects
Ovestin is a low-dose vaginal oestrogen cream containing estriol, a form of oestrogen that helps restore vaginal tissues and improve symptoms of vaginal atrophy, dryness, and irritation. Ovestin is used to treat vaginal atrophy (VA) with or without urogenital atrophy (UA) in menopausal women.
The most common issues reported by patients using Ovestin cream are texture and usability, including irritation, soreness, and burning sensations, especially at the start of treatment. These symptoms are usually most severe at the start of treatment, during the early weeks of treatment when Ovestin is used daily. However, as the skin absorbs oestrogen and returns to its former, healthier state, these symptoms should reduce.
Ovestin is also available in pessary form, which is inserted into the vagina. The pessary form is generally less messy than the cream. Since Ovestin is applied directly into the vagina, hardly any is absorbed into the body, reducing the chance of side effects. However, some people may experience vaginal itching or burning when first using Ovestin, which usually settles within two weeks.
There is no evidence that Ovestin causes weight gain, as it does not affect metabolism or body fat distribution like systemic HRT. While uncommon, some women have reported mild bloating or stomach discomfort while using Ovestin.
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Ovestin as a muscle ache treatment
Ovestin is a low-dose vaginal oestrogen cream containing estriol, a form of oestrogen that helps restore vaginal tissues and improve symptoms of vaginal atrophy, dryness, and irritation. It is used to treat vaginal atrophy (VA) with or without urogenital atrophy (UA) in menopausal women. Vaginal atrophy is when reduced oestrogen, due to menopause, causes inflammation, drying, and thinning of the vaginal walls. Symptoms include vaginal discomfort, dryness, or pain during sex and sometimes increased cases of thrush.
Ovestin is also available as Ovestin pessaries, which are torpedo-shaped and inserted into the vagina. The pessary form is generally less messy than the cream. Creams cover a larger surface area and can be used externally, whereas pessaries deliver a precise dose directly into the vagina. Both are effective, and the choice depends on what feels most comfortable for the patient.
The most common issues reported by patients using Ovestin cream are texture and usability, including irritation and burning sensations, especially at the start of treatment. These symptoms usually reduce as the skin absorbs oestrogen and returns to its former, healthier state.
There is no mention of muscle aches as a side effect of using Ovestin pessaries or cream. However, some women report mild bloating or stomach discomfort, but this is uncommon. If persistent, speaking to a doctor is advised.
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Ovestin pessaries vs. Ovestin cream
Ovestin is a low-dose vaginal oestrogen cream containing estriol, a form of oestrogen that helps restore vaginal tissues and improve symptoms of vaginal atrophy, dryness, and irritation. It is used to treat Vaginal Atrophy (VA) with or without Urogenital Atrophy (UA) in menopausal women. Vaginal atrophy is when reduced oestrogen, due to menopause, causes inflammation, drying, and thinning of the vaginal walls. Symptoms include vaginal discomfort, dryness, or pain during sex and sometimes increased cases of thrush.
The most common issues reported by patients using Ovestin cream are texture and usability, including irritation and burning sensations, especially at the start of treatment. These symptoms usually reduce as the skin absorbs oestrogen and returns to its former, healthier state. However, if the burning and irritation are unbearable, Blissel Gel is another vaginal product containing Estriol that can be used as a substitute for Ovestin.
Ovestin pessaries, on the other hand, deliver a precise dose of oestrogen directly into the vagina. The pessary form is generally less messy compared to the cream. If using Ovestin cream, it is fine to have sex afterward, but it may be messier as the cream melts, and a condom can be used to address this. If using an Ovestin pessary, it is best to avoid intercourse on the night of, or morning after, inserting it.
Both Ovestin cream and pessaries are effective, and the choice depends on what feels most comfortable for the user.
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Ovestin and blood clots
Ovestin is a low-dose vaginal oestrogen cream containing estriol, a form of oestrogen that helps restore vaginal tissues and improve symptoms of vaginal atrophy, dryness, and irritation. It is used to treat vaginal atrophy (VA) with or without urogenital atrophy (UA) in menopausal women. It is considered safe for long-term use when prescribed appropriately.
However, like all medications, Ovestin can cause side effects, particularly in the first few weeks of use. The most common issues reported by patients are texture and usability, including irritation and burning sensations. These symptoms usually subside within a few weeks as your body adjusts, but if they persist or worsen, it is recommended to consult a doctor about adjusting the dose or trying an alternative treatment.
While Ovestin does not significantly increase oestrogen levels in the bloodstream, it is still absorbed into the bloodstream to some extent. This means that there is a slight risk of blood clots associated with its use, similar to other forms of hormone replacement therapy (HRT). Women who are overweight, immobile, or have problems with blood clotting, a history of blood clots, a family history of blood clots, or a history of miscarriage are more prone to developing blood clots while using Ovestin.
It is important to inform your doctor if you experience any signs associated with blood clots, such as breathlessness, chest pain, or collapse, as you may need to stop treatment. Additionally, if you are scheduled for surgery, it is recommended to stop using Ovestin 4-6 weeks beforehand to reduce the risk of blood clots. Your doctor will advise you on when to resume using Ovestin after surgery.
In summary, while Ovestin is generally considered safe, it is important to be aware of the potential risk of blood clots, especially for individuals with certain risk factors. Close monitoring and consultation with a doctor are advised to ensure the safe use of Ovestin.
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Ovestin alternatives
Ovestin is used to treat vaginal atrophy (VA) with/without urogenital atrophy (UA) in menopausal women. It is available as a cream and as pessaries. While Ovestin has worked for some women, others have reported side effects such as breast pain, flu-like symptoms, temperature, aches, nausea, dizziness, and irritation. If you are experiencing side effects from using Ovestin, here are some alternatives you can consider:
Blissel Gel
Blissel Gel is a vaginal product containing the drug estriol. It is a water-based gel and is considered a safe substitute for Ovestin. It is slightly weaker than Ovestin, but most women find it just as effective. You can switch from Ovestin to Blissel without reducing the use of one before starting the other.
Vagifem
Vagifem is another brand of vaginal oestrogen. However, it is estradiol, and some women have reported period-like cramps while using it.
Other alternatives
Other alternatives to Ovestin include Vagirux vaginal tablets, Estring vaginal ring, and Imvaggis pessaries.
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