14/04/2026
As a pharmacist, this is one of the most common menopause issues I see daily.
👉Women coming into the pharmacy to purchase OTC products to relieve what they are convinced is either thrush, cystitis or UTI. And it may well be you do have any of those nasty conditions 😢
Most women will reach middle age having experienced these symptoms at least once before and just reach for the treatment that helped in that case.
💡 But what if I told you it could also be something else? It’s not just dryness or irritation?
It’s called Genitourinary Syndrome of Menopause (GSM)and it can affect both the v@gina AND the bladder. Which means symptoms can include👇
• dryness, irritation or burning
• pain with s*x
• needing to pass urine more often
• urgency
• recurrent UTIs
Low oestrogen in perimenopause and menopause affects the tissues of the v@gina, urethra and bladder. Even to the back p@ssage
The good news?
There is a targeted treatment that works directly where it’s needed. It’s v@ginal oestrogen & suitable for most women 👇
• restores tissue thickness
• improves moisture
• helps rebalance pH
• supports healthy bacteria & vaginal biome.
👉 Which means it can improve BOTH vaginal and urinary symptoms.
And no, it’s not the same as full body HRT.
It’s low dose, local treatment with minimal absorption into the bloodstream. For many women, it’s life-changing.
But here’s what I see all the time.
❌ Repeat antibiotics
❌ Women given HRT but no vaginal therapy
❌ Women stopping too soon
❌ Women thinking it “didn’t work”
👉 When actually, it often just wasn’t used correctly or long enough or you just needed to tweak the formulation.
💬 Comment GUIDE and I’ll send you my free guide on vaginal oestrogen and GSM
This is not a short-term fix.
It’s usually long-term treatment until your last breath. If you stop, symptoms often come back.
👉If this sounds like you, you’re not imagining it
and you’re definitely not alone.
Share this with someone you know who may benefit. The more women who hear this message the better🙏
Hope this helps?
Tom the Pharmacist
⚠️Education only. Not personalised advice