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Vagifem Vaginal Tablets

Vagifem comes in pre-filled disposable applicators. Remove the applicator from the package and insert the applicator into the vagina according to the package insert instructions. To release the tablet, lightly press the button until you feel a click. Remove the applicator and throw it away. Vaginal tablets can be inserted at any time of the day. The tablet will stick to the vaginal wall and will not fall, even when standing or standing. Vagifem treatment should start with a vaginal tablet once a day. When symptoms improve, one tablet should be continued twice a week as maintenance. A doctor should review the use of Vagifem after three months to see if it is still needed.
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we will only be able to send on approval from our in house pharmacist.

Starts at £39.00
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Pack Price (£)
- 10mcg 24 x 1 Pack 39.00
- 10mcg 24 x 2 Packs 65.00

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About Vagifem Vaginal Tablets

Vagifem® (estradiol vaginal inserts) 10 mcg, a local vaginal oestrogen therapy, is used to treat menopausal changes in and around the vagina. Menopause can be a significant transition in a woman's life and may cause bothersome vaginal symptoms. The good news is that Vagifem® 10 mcg can help relieve some of these changes.

Vagifem® 10 mcg treats menopausal symptoms in and around the vagina. Clinical studies showed that Vagifem® 10 mcg reduced a combined score of the most bothersome symptoms, including vaginal dryness, pain and bleeding during intercourse, irritation, soreness, itching in and around the vagina, and painful urination.

Vagifem® 10 mcg treats the underlying cause of menopause-related vaginal changes by helping to replenish the vagina’s lost oestrogen.

What is Vagifem?

Vagifem vaginal tablets contain the active substance estradiol, which is a natural form of the main female sex hormone estrogen. Vagifem is a hormone replacement therapy (HRT) that is used for women in menopause. Vagifem vaginal tablets release small amounts of estrogen locally into the vaginal tissues and are used to alleviate menopausal symptoms in the vaginal area. Vagifem is a prescription-only medicine.

How does it work?

Vagifem works by replacing the estrogen that is normally produced in the ovaries of women. It is inserted inside your vagina so that the hormone is released in a place where it is needed. This can alleviate discomfort in the vagina. Experience in treating women over 65 years of age is limited.

What are the benefits of taking it?

Vagifem comes as vaginal tablets coated in a single-use disposable applicator. Each package contains 15 applicators each containing one tablet. Vagifem contains the female sex hormone estradiol, which is identical to estradiol produced by a woman's ovaries and is classified as natural estrogen. Vagifem is indicated to relieve or eliminate vaginal symptoms such as dryness or irritation. In medical terms, this disorder is known as atrophic vaginitis and is caused by a loss of the female sex hormone, estrogen, which occurs around menopause.

How do I use it and its dosage?

Follow these instructions unless your doctor has given you different directions. If in doubt, consult your doctor or pharmacist.

Initial dose: 1 vaginal tablet daily for two weeks.

Maintenance dose: 1 vaginal tablet twice a week.

Treatment can start any day. Using the applicator, Vagifem vaginal tablets can be inserted easily and hygienically inside the vagina.

The lowest effective dose that allows relief of symptoms should be used for the shortest period of time. If the response to treatment after three months is not sufficient to relieve symptoms, you should contact your doctor. Treatment should only be continued for as long as the relief of symptoms is greater than the risks associated with treatment.

Instructions for the correct application of Vagifem

Separate the blister pack and open it at the end as indicated in the drawing. Insert the applicator carefully into the vagina until you feel some resistance. To release the tablet, gently press the button until a click is felt. The tablet is fixed to the wall of the vagina immediately, and will not fall even when you get up and/or walk. Remove and discard the applicator.

Side effects & precautions

Like all medicines, this medicine can cause side effects, although not all people suffer it.

The following disorders have been reported more frequently in women using HRT drugs circulating in the blood than in women not using THS. These risks are less common with vaginal treatments such as Vagifem:

  • breast cancer
  • ovarian cancer
  • blood clots in the veins of the legs or lungs (venous thromboembolism)
  • stroke
  • probable memory loss if HRT is started over 65 years of age

Common: may affect up to 1 in 10 people

  • Headache
  • Stomach ache
  • Vaginal bleeding, discharge, or vaginal discomfort

Uncommon: may affect up to 1 in 100 people

  • Genital fungal infection
  • Dizziness (nausea)
  • Acne
  • Weight gain
  • Hot flushes
  • Hypertension

Very rare: may affect up to 1 in 10,000 people

  • Diarrhea
  • Fluid retention
  • Worsening migraine
  • Generalized hypersensitivity (eg anaphylactic reaction or shock)

The following side effects have been reported with systemic estrogen treatment:

  • Gallbladder disease
  • Different skin disorders
  • discoloration of the skin especially on the face or neck, known as "Spots of pregnancy" (chloasma)
  • painful reddish-colored nodules on the skin (erythema nodosum)
  • skin rashes with red inflammations or sores (erythema multiforme).

Infections and infestations

  • Common: genital yeast infections or vaginal inflammation

Benign and malignant tumors

  • Very rare: breast cancer, endometrial cancer (cells that line the uterus)

Immune system disorders

  • Very rare: hypersensitivity (allergic reactions)

Metabolism and nutrition disorders

  • Very rare: fluid retention

Psychiatric disorders

  • Very rare: insomnia, depression

Nervous system disorders

  • Common: headaches (headache)
  • Very rare: aggravation of existing migraine

Vascular disorders

  • Very rare: deep vein thrombosis (blood clot)

Gastrointestinal disorders

  • Common: nausea, abdominal (stomach) pain, bloating or discomfort, indigestion, vomiting, flatulence
  • Very rare: diarrhea

Skin and subcutaneous tissue disorders

  • Very rare: hives, rashes, genital itching (itching)

Reproductive system and breast disorders

  • Common: vaginal bleeding, discharge or discomfort, breast edema (fluid retention), enlarged breasts, breast pain, or discomfort.
  • Very rare: endometrial hyperplasia (overgrowth of cells lining the uterus), vaginal irritation, vaginal pain, vaginismus (painful spasm of the vagina), or vaginal ulceration.

General disorders

  • Common: peripheral edema (swelling of the arms or legs)

Very rare: ineffectiveness of the drug, weight gain, increased estrogen concentrations in the blood.

Buying Vagifem online

You can buy Vagifem online through one of the UK’s leading online pharmacies, Pharmacy Planet. It's easy and convenient. You will need to fill out a short assessment and the item will be delivered directly to your door. If you want to buy menopause treatment medication online, use Pharmacy Planet, a UK pharmacy you can trust.

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Vagifem vaginal tablets contain the active substance estradiol, which is a natural form of the main female sex hormone estrogen. Vagifem is a hormone replacement therapy (HRT) that is used for women in menopause. Vagifem vaginal tablets release small amounts of estrogen locally into the vaginal tissues and are used to alleviate menopausal symptoms in the vaginal area. Vagifem is a prescription-only medicine.

Vagifem works by replacing the estrogen that is normally produced in the ovaries of women. It is inserted inside your vagina so that the hormone is released in a place where it is needed. This can alleviate discomfort in the vagina. Experience in treating women over 65 years of age is limited.

Vagifem comes as vaginal tablets coated in a single-use disposable applicator. Each package contains 15 applicators each containing one tablet. Vagifem contains the female sex hormone estradiol, which is identical to estradiol produced by a woman's ovaries and is classified as natural estrogen. Vagifem is indicated to relieve or eliminate vaginal symptoms such as dryness or irritation. In medical terms, this disorder is known as atrophic vaginitis and is caused by a loss of the female sex hormone, estrogen, which occurs around menopause.

Follow these instructions unless your doctor has given you different directions. If in doubt, consult your doctor or pharmacist.

Initial dose: 1 vaginal tablet daily for two weeks.

Maintenance dose: 1 vaginal tablet twice a week.

Treatment can start any day. Using the applicator, Vagifem vaginal tablets can be inserted easily and hygienically inside the vagina.

The lowest effective dose that allows relief of symptoms should be used for the shortest period of time. If the response to treatment after three months is not sufficient to relieve symptoms, you should contact your doctor. Treatment should only be continued for as long as the relief of symptoms is greater than the risks associated with treatment.

Instructions for the correct application of Vagifem

Separate the blister pack and open it at the end as indicated in the drawing. Insert the applicator carefully into the vagina until you feel some resistance. To release the tablet, gently press the button until a click is felt. The tablet is fixed to the wall of the vagina immediately, and will not fall even when you get up and/or walk. Remove and discard the applicator.

Like all medicines, this medicine can cause side effects, although not all people suffer it.

The following disorders have been reported more frequently in women using HRT drugs circulating in the blood than in women not using THS. These risks are less common with vaginal treatments such as Vagifem:

  • breast cancer
  • ovarian cancer
  • blood clots in the veins of the legs or lungs (venous thromboembolism)
  • stroke
  • probable memory loss if HRT is started over 65 years of age

Common: may affect up to 1 in 10 people

  • Headache
  • Stomach ache
  • Vaginal bleeding, discharge, or vaginal discomfort

Uncommon: may affect up to 1 in 100 people

  • Genital fungal infection
  • Dizziness (nausea)
  • Acne
  • Weight gain
  • Hot flushes
  • Hypertension

Very rare: may affect up to 1 in 10,000 people

  • Diarrhea
  • Fluid retention
  • Worsening migraine
  • Generalized hypersensitivity (eg anaphylactic reaction or shock)

The following side effects have been reported with systemic estrogen treatment:

  • Gallbladder disease
  • Different skin disorders
  • discoloration of the skin especially on the face or neck, known as "Spots of pregnancy" (chloasma)
  • painful reddish-colored nodules on the skin (erythema nodosum)
  • skin rashes with red inflammations or sores (erythema multiforme).

Infections and infestations

  • Common: genital yeast infections or vaginal inflammation

Benign and malignant tumors

  • Very rare: breast cancer, endometrial cancer (cells that line the uterus)

Immune system disorders

  • Very rare: hypersensitivity (allergic reactions)

Metabolism and nutrition disorders

  • Very rare: fluid retention

Psychiatric disorders

  • Very rare: insomnia, depression

Nervous system disorders

  • Common: headaches (headache)
  • Very rare: aggravation of existing migraine

Vascular disorders

  • Very rare: deep vein thrombosis (blood clot)

Gastrointestinal disorders

  • Common: nausea, abdominal (stomach) pain, bloating or discomfort, indigestion, vomiting, flatulence
  • Very rare: diarrhea

Skin and subcutaneous tissue disorders

  • Very rare: hives, rashes, genital itching (itching)

Reproductive system and breast disorders

  • Common: vaginal bleeding, discharge or discomfort, breast edema (fluid retention), enlarged breasts, breast pain, or discomfort.
  • Very rare: endometrial hyperplasia (overgrowth of cells lining the uterus), vaginal irritation, vaginal pain, vaginismus (painful spasm of the vagina), or vaginal ulceration.

General disorders

  • Common: peripheral edema (swelling of the arms or legs)

Very rare: ineffectiveness of the drug, weight gain, increased estrogen concentrations in the blood.

You can buy Vagifem online through one of the UK’s leading online pharmacies, Pharmacy Planet. It's easy and convenient. You will need to fill out a short assessment and the item will be delivered directly to your door. If you want to buy menopause treatment medication online, use Pharmacy Planet, a UK pharmacy you can trust.

Frequently Asked Questions

To store Vagifem vaginal tablets safely, you should keep them in the original packaging and away from direct sunlight and moisture – such as in a bathroom. For optimal preservation, until the course is completed, store the medication at room temperature below 25°C and avoid fluctuating temperatures.

Yes, Vagifem can be prescribed alongside HRT treatments if advised by your healthcare professional. Vagifem provides targeted relief in the vaginal area, whereas HRT is more encompassing and can tackle general menopause symptoms such as hot flushes and night sweats. Combined therapy for menopause can often enhance overall symptom management, but you should always follow the advice given by your healthcare provider to ensure it is suitable for you.

You should always use Vagifem as directed by your healthcare provider, and in some cases, long-term use may be advised. You should have frequent reviews with your healthcare provider so they can accurately monitor your health and suggest whether any alternative treatments should be implemented or if your dose of Vagifem needs to be adjusted. This can be decided from your symptoms and your body's responses. For continued symptom relief, consistent long-term use of Vagifem may yield beneficial results.

Vagifem is a localised oestrogen therapy and should not restart your period. It can potentially cause some spotting or light bleeding, but this is usually within the first few weeks of using this medication and stops with consistent use. Persistent or heavy bleeding from your vagina should be immediately discussed with your healthcare provider and may require an adjustment to your treatment.

Yes, you can have sex while using Vagifem vaginal tablets. Vagifem may improve comfort during sexual activity by relieving symptoms such as dryness and irritation. However, avoid intercourse immediately after inserting the tablet, and make sure it has had an appropriate amount of time to be absorbed.

Yes, it is safe to travel with Vagifem vaginal tablets in your hand luggage when travelling. Keep the medicine in its original packaging with the dispensing label for easy identification. Ensure it is protected from direct sunlight and moisture during travel.

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Review By

GURDEV SEHMI

Last Updated On : Mar 13 2026

BSc Pharm, MRPharmS, Independent Prescriber, Superintendent Pharmacist, Clinical Lead

GPhC Number: 2050925

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Authored By

GURDEV SEHMI

Last Reviewed On : Mar 23 2026

BSc Pharm, MRPharmS, Independent Prescriber, Superintendent Pharmacist, Clinical Lead

GPhC Number: 2050925