Tag Archives: NAMS

Lower Dose Vaginal Cream: Please Sign the Petition!



Lower dose vaginal cream rescued me a few years ago. I went from horrible pain to feeling myself again in one treatment.

Leading menopause expert Ellen Dolgen is joining the North American Menopause Society’s campaign to have the labeling changed on lower dose vaginal creams.With Ellen’s approval, I’ve posted her message. Please join me in signing the petition.

Take it away, Ellen, and thanks:

Attention all vagina owners!

On November 10, 2015, the US Food and Drug Administration (FDA) is holding a workshop in Silver Spring, Maryland on the subject of the product labeling of lower-dose vaginal estrogen.  This workshop will also provide public comments and testimonials on this subject.

Lower dose vaginal estrogen, commonly referred to as LET (local estrogen therapy) is used for women who are experiencing the following symptoms:

  • Vaginal dryness
  • Vaginal burning
  • Vaginal discharge
  • Genital itching
  • Burning with urination
  • Urgency with urination
  • More urinary tract infections
  • Urinary incontinence
  • Light bleeding after intercourse
  • Discomfort with intercourse
  • Decreased vaginal lubrication during sexual activity
  • Shortening and tightening of the vaginal canal

The medical community has many names for this condition: dyspareunia, vulvar and vaginal atrophy or Genitourinary (Don’t worry, I can’t pronounce that either.) Syndrome of Menopause.  For our purposes, let’s call it dry vagina!

Dry vagina occurs when there’s a drop in levels of estrogens, produced by the ovaries. Estrogens maintain the structure and function of the vaginal wall, the elasticity of the tissues around the vagina, and production of vaginal fluid. When it comes to the vagina, thin is out!

As if graying hair, sagging tatas and expanding waists weren’t enough, we now find out that our vaginas are aging too! If you feel you’re left high and dry, you’re not alone. Vaginal dryness affects as many as 75 percent of postmenopausal women. Between 17 and 45 percent of postmenopausal women say they find sex painful, according to The North American Menopause Society (NAMS).

It is important to understand that dry vagina is a progressive condition that adversely affects the health and quality of life for many postmenopausal women.

LET is estrogen applied directly to vaginal tissues, so it goes directly to the affected area, withminimal absorption of estrogen into the bloodstream. LET is available in creams, a ring (this one is not diamond encrusted) and a tablet.

According to NAMS, low-dose vaginal estrogen is very effective against atrophy-related pain during sex, with up to 93% of women reporting significant improvement and 57% to 75% reporting that their sexual comfort is restored. Improvements in vaginal moisture and health typically occur within a few weeks of starting therapy, although relief from severe vaginal atrophy can take several months.

Here is how you can support this effort:

Detailed information about this workshop is provided here. The meeting will be held at the FDA White Oak Campus, 10903 New Hampshire Avenue, Building 31, Conference Center, Section A of the Great Room (Room 1503), Silver Spring, Maryland, 20993. Entrance for the public meeting participants (non-FDA employees) is through Building 1.

Citizens’ Petition

NAMS has published a commentary in the September 2014 issue of Menopause to encourage modifications to the product labeling of low-dose vaginal estrogen (Manson JE, Goldstein SR, Kagan R, et al. Why the product labeling for low-dose vaginal estrogen should be changed. Menopause.2014;21:911-916). If you would like to indicate your support for this proposal, please sign the Citizens’ Petition here. Deadline for signatures is November 10th!

It’s been about 10 years since my vagina was found stranded on a desert island and took my sex drive with it! Since rescuing it, my life is full, happy and satisfied. Remember: Your symptoms are treatable. You can have a happy vagina again!

Please share with the sisterhood!

Ellen Dolgen

About Ellen Dolgen: After struggling with her own severe menopause symptoms and doing years of research, Ellen resolved to share what she learned from experts and her own trial and error. Her goal was to replace the confusion, embarrassment, and symptoms millions of women go through–before, during, and after menopause–with the medically sound solutions she discovered. Her passion to become a “sister” and confidant to all women fueled Ellen’s first book, Shmirshky: The Pursuit of Hormone Happiness. As a result of the overwhelming response from her burgeoning audiences and followers’ requests for empowering information they could trust, Ellen’s weekly blog, Menopause MondaysTM, was born.

A Great Resource: The North American Menopause Society


Founded in 1989, the North American Menopause Society is, in their words:

North America’s leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging.

Its multidisciplinary membership of 2,000 leaders in the field – including clinical and basic science experts from medicine, nursing, sociology, psychology, nutrition, anthropology, epidemiology, pharmacy, and education – allows NAMS to be uniquely qualified to provide information that is both accurate and unbiased, not for or against any point of view.

See how important we menopausal types are. There’s a whole society in our honor.

And wow, is their website an amazing resource.  Here is the link, front and center, so you can’t miss it:


You’ll probably find the most  useful information in the section headed “For Women” (as opposed to the section for healthcare professionals):


Do learn your way around this excellent resource.  The section on sexual health in menopause is quite well done, and especially useful as the sex stuff can hit you with a bang (no distasteful pun intended) and can be awkward to talk about:


Thanks, American Menopause Society.

I‘m off to BlogHer on Thursday, thanks to the Estroven Good Sleep Challenge. If you’re going and want to meet for breakfast or lunch or a drink, shoot me an email!

Dry Babe!  In thanks for your enthusiastic response to the Dry Babe sleepwear giveaway, Wendy Collettt is offering Friend for the Ride readers a 15% discount. When you check out, use the code Friend15.