Many women experience changes in their pelvic health due to hormonal shifts—particularly during perimenopause, menopause, postpartum, or while breastfeeding. One of the most effective treatments recommended by women’s health physiotherapists for restoring comfort and supporting recovery is vaginal oestrogen.

What Is Vaginal Oestrogen?

Vaginal oestrogen is a low-dose hormone treatment applied directly to the vaginal tissues. Unlike systemic HRT, it works locally, meaning very little enters the bloodstream. This makes it a safe and targeted option for many women experiencing urogenital symptoms.

Why Physiotherapists Recommend It

Women’s health physios often see clients struggling with symptoms linked to low oestrogen, such as:

• Vaginal dryness or irritation

• Painful intercourse

• Recurrent UTIs

• Pelvic floor tension or discomfort

• Reduced tissue elasticity affecting pelvic floor rehab

Restoring moisture and suppleness to the vaginal tissues can make physiotherapy more effective, reduce pain, and improve overall pelvic health.

Benefits of Vaginal Oestrogen

• Improves tissue hydration and healing

• Supports pelvic floor rehab by reducing irritation

• Helps prevent UTIs by restoring natural pH and tissue health

• Safe for long-term use for most women

• Minimal systemic absorption, making it suitable for many who cannot use systemic HRT (with medical guidance)

Where to Start

A women’s health physio can help identify whether your symptoms may be linked to low oestrogen. If appropriate, they will advise discussing vaginal oestrogen with your GP or prescribing clinician. Combining this treatment with personalised pelvic floor therapy often provides the best results.

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