Do women using vaginal oestrogen creams need to take supplementary progesterone?
Postmenopausal women using local oestrogen creams to treat the symptoms of atrophic vaginitis are advised to use these preparations for a short a time and using the lowest effective dose possible [1]. Expert opinion, according to the PRODIGY guideline on menopause, states that, “addition of a progestogen is not necessary for endometrial protection.” [2] Please note additional information on the management of the menopause and its symptoms can be found in the recently compiled TRIP Evidence Review of Menopause.
