13/10/2026
One of the questions we hear most often: “Is va**nal oestrogen the same as HRT?”
The short answer is no. Both contain oestrogen, but they work in very different ways at different dosages.
HRT (systemic oestrogen) is taken as tablets, patches, gels or sprays, and works throughout your whole body. It can help with symptoms like hot flushes, night sweats, sleep and mood changes.
Vaginal oestrogen is applied directly to the va**na as a cream, pessary, gel or ring. It works mainly where it’s applied, and very little of it reaches the bloodstream.
So can you use both? Yes. HRT can help with menopause symptoms throughout the body, but it may not fully address genitourinary syndrome of menopause (GSM), the changes that affect the va**na, v***a and bladder. Adding va**nal oestrogen can provide targeted support directly to the tissues affected.
If you’re on HRT and still experiencing va**nal dryness, itching, burning, discomfort during s*x, urinary symptoms or recurrent UTIs, va**nal oestrogen may still be an option.