A 55-year-old postmenopausal woman presents to the GP with vaginal dryness and dyspareunia affecting her quality of life. She does not have significan...

Question

A 55-year-old postmenopausal woman presents to the GP with vaginal dryness and dyspareunia affecting her quality of life. She does not have significant vasomotor symptoms. She has a history of venous thromboembolism and does not wish to take systemic HRT. Which is the single most appropriate treatment?

Accepted Answer

Vaginal oestrogen (oestradiol pessary or oestriol cream)

Answer

Systemic transdermal oestrogen patch

Answer

Oral ospemifene

Answer

Vaginal moisturisers only

Answer

Combined oral HRT at the lowest dose

uk-drcog MCQ (SBA): Urogenital Atrophy