Frequently asked questions

Vaginal atrophy (VA) is the thinning of the walls of the vagina caused by decreased oestrogen levels after the menopause. This can decrease flexibility and elasticity and reduce natural lubrication and moistness.

Vaginal atrophy is caused by the decrease in oestrogen levels after the menopause and is often progressive. This means that it can get worse over time. The impact of the symptoms can vary hugely from woman to woman – from a minor irritation to greater discomfort. Find out more.

Gina is a small vaginal tablet that contains estradiol. It delivers a low dose of oestrogen directly to the vaginal wall. It is clinically proven to treat and relieve the uncomfortable symptoms of vaginal dryness, itching, burning and painful intercourse after the menopause.

Gina is the only vaginal tablet available, effective at treating the cause of vaginal dryness after the menopause without prescription.

Gina comes in a pre-loaded hygienic applicator designed to deliver the correct dose.

Gina is suitable for the treatment of vaginal dryness after the menopause for women aged 50 and over, who have not had a period for at least 1 year.

No. Gina should only be used by women who have not had a period for at least a year.

No, you can get Gina directly from your pharmacy or an online pharmacy. However, you will need to answer some questions to check that it is suitable for you.

When you first purchase Gina, the pharmacist will ask you about:

  • Your symptoms
  • Your age and length of time since your last period
  • What medications you are currently taking
  • Relevant aspects of your medical history, allergies, and family history

Find out whether Gina is suitable for you

A lubricant will add moisture to the area to alleviate the symptoms of vaginal dryness.

However, Gina is the first and only vaginal tablet available without prescription that is clinically proven to target the cause of vaginal dryness, soreness, burning, itching and painful intercourse after the menopause for women aged 50 and over who have not had a period for at least 1 year. It contains a low dose of oestrogen, delivered directly to the vaginal wall, to treat the underlying cause of vaginal dryness. This helps the tissue restore its own elasticity and moisture.

Yes, Gina can be used with moisturisers or lubricants if needed. If you have any concerns about other products you are taking, please speak to your pharmacist.

Yes. The oestrogen in Gina is the same as the oestrogen produced naturally by women’s ovaries. Gina works by applying a small amount of oestrogen directly to the vagina, treating the cause of postmenopausal vaginal dryness.

Initial dose

Insert 1 vaginal tablet each day for the first 2 weeks of treatment.

Maintenance dose

Insert 1 vaginal tablet twice a week, leaving 3-4 days between each dose

Each pack has 24 vaginal tablets with applicators.

See the full patient information leaflet

Each vaginal tablet is 6mm in diameter and is inserted into the vagina using the pre-loaded single use applicator. See the full patient information leaflet.

Vaginal dryness doesn’t tend to go away over time, and symptoms may increase and get worse rather than better.

Gina starts to rebalance pH levels in the vagina after 2 weeks. Symptom relief can be felt after 8 weeks. Gina can continue to work as long as it is used because it replaces oestrogen. If treatment stops, oestrogen will gradually decline and symptoms may return. Gina can be used as long as you and your pharmacist agree it’s helping. You should discuss this with your pharmacist every 3 months.

Oestrogen levels decline after the menopause and this can lead to a range of vaginal symptoms including dryness, itching, soreness, burning and painful intercourse. Gina is a small vaginal tablet that delivers a low dose of oestrogen directly to the vagina wall. Gina is clinically proven to work by replacing lost oestrogen to help replenish natural moisture and balance vaginal pH. Gina can continue to work as long as it is used because it replaces oestrogen. If treatment stops, oestrogen will gradually decline and symptoms may return.

Like all medicines, Gina can cause side effects, although not everybody gets them.

Common: may affect up to 1 in 10 people

  • Headache;
  • Stomach pain;
  • Vaginal bleeding, discharge or discomfort.

Uncommon: may affect up to 1 in 100 people

  • An infection of the genitals caused by a fungus;
  • Nausea (Feeling sick);
  • Rash;
  • Weight increase;
  • Hot flush;
  • High blood pressure.

Very rare: may affect up to 1 in 10,000 people

  • Diarrhoea;
  • Water retention;
  • Worsened migraines;
  • Generalised hypersensitivity (e.g. anaphylactic reaction/shock).

If you get any side effects talk to your doctor or pharmacist. You can also report side effects via the Yellow Card Scheme at: yellowcard.mhra.gov.uk or the MHRA Yellow Card app in Google Play or Apple App Store.

SERIOUS SIDE EFFECTS

Stop using this medicine and seek urgent medical attention if you have a serious allergic reaction to Gina:

A serious allergic reaction may occur only very rarely. Signs may include:

  • Suddenly feeling unwell with sweating;
  • Vomiting;
  • Difficulty in breathing;
  • Rapid heartbeat or feeling dizzy.

Stop using Gina and seek prompt medical advice from your doctor if:

  • You develop any new vaginal bleeding, spotting or itching.
  • You have endometriosis and your symptoms have come back.
  • A vaginal infection develops while you are using Gina.

See the full patient information leaflet for more information

Please see the full patient information leaflet for more information on contraindications, warnings and precautions around using Gina.

Gina can be purchased either in a pharmacy or online. However you buy Gina, you will need to answer some questions to check that it is suitable for you.

If you buy Gina in a pharmacy, you will need to speak to the pharmacist so he or she can ask you some questions. You might feel a little uncomfortable about this but don’t worry. There’s no need to have the conversation at the counter – just ask to speak to the pharmacist privately in a consulting room. Pharmacists are experienced in having conversations like these. The pharmacist will do all they can to put you at your ease and answer any questions you have. In fact, you may find it reassuring to have this conversation.

You can also buy Gina online. When you do, there will be an online questionnaire that you need to complete to make sure that Gina is suitable for you. 

Find out more

You can find answers to the most commonly asked questions about Gina on this page but if there is something that we haven’t answered, or if you want to ask us more about Gina, then you can get in touch here

Gina treats and relieves
postmenopausal
vaginal symptoms of:

  • Dryness
  • Soreness
  • Burning
  • Itching
  • Painful
    intercourse

The only vaginal tablet available, effective at treating the cause of vaginal dryness after the menopause without prescription.

Gina product pack