Gina 10 micrograms vaginal tablets 24 vaginal tablets with applicators

Gina® 10 Microgram Vaginal Tablets

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Gina® 10 Microgram Vaginal Tablets
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VAGINAL DRYNESS, SORENESS & DISCOMFORT AFTER MENOPAUSE

Gina® 10 Microgram Vaginal Tablets

Gina® is a low-dose vaginal oestrogen treatment that can help relieve dryness, soreness, irritation and discomfort during sex after menopause. Each vaginal tablet contains 10 micrograms of estradiol and works locally where it is needed.

Your clinician will assess your symptoms, medical history, current treatment and wider menopause needs before prescribing Gina where clinically appropriate.

LIVVE product price

£25.00

Medicine cost only. Consultation, blood tests and ongoing reviews may be separate unless stated in your treatment plan.

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Pack & Supply: Contains 10 micrograms of estradiol in each vaginal tablet and is dispensed by the LIVVE pharmacy after clinical approval.

View product facts How to use Gina

Clinician-led menopause assessment

Prescription treatment where suitable

Clear two-stage dosing guidance

LIVVE pharmacy supply

Ongoing treatment support

Gina 10 micrograms vaginal tablets 24 vaginal tablets with applicators

Support to make sure Gina is right for you.

Before Gina is prescribed, your LIVVE clinician will take time to understand your symptoms, menopause stage, medical history and any treatments you are already using. This helps make sure Gina is a safe and suitable option for you — and that you know how to use it with confidence.

QUICK PRODUCT FACTS

Gina at a glance

The important details about what Gina contains, who it is licensed for, how it is used and how LIVVE supports safe access.

  • medicine type

    Prescription vaginal tablet

    Supplied through LIVVE following clinical assessment.

  • active ingredient

    Estradiol

    A form of oestrogen used locally.

  • strength

    10 micrograms

    A low dose in each vaginal tablet.

  • Starting dose

    One tablet daily

    For the first two weeks.

  • Maintenance dose

    One tablet twice weekly

    Leave three or four days between doses.

  • Licensed for

    Postmenopausal women 50+

    No period for at least 12 months.

  • used for

    Vaginal atrophy

    Dryness and related local symptoms after menopause.

  • LIVVE access route

    Prescription pathway

    Prescribed where clinically appropriate following consultation.

How to video guide

How to use Gina® vaginal tablets

Watch our clinician explain how to insert Gina using the single-use applicator, use it daily for the first two weeks, move to twice-weekly treatment and avoid common mistakes.

Key application steps

  • Remove one single-use applicator from its packaging.

  • Find a comfortable position, either lying down or standing.

  • Gently insert the applicator into the vagina as far as is comfortable.

  • Press the plunger fully to release the vaginal tablet.

  • Remove the applicator and dispose of it after use — it is single use only.

  • Gina is usually used once daily for the first 2 weeks, then twice weekly, leaving 3–4 days between doses.

  • Try to use Gina on the same days each week once you move to twice-weekly treatment.

Always follow the instructions on your dispensing label and in the patient information leaflet.

symptoms

Could low oestrogen be affecting your vaginal health?

Genitourinary symptoms can develop gradually after menopause and may affect comfort, intimacy, urination and everyday life.

  1. Vaginal dryness

    Persistent dryness, reduced natural lubrication or a feeling of tightness.

  2. Soreness or irritation

    Burning, tenderness, itching or fragile-feeling vaginal tissue.

  3. Discomfort during sex

    Friction, soreness or pain that may make intimacy difficult.

  4. Everyday discomfort

    Soreness with sitting, exercise, wiping, clothing or daily movement.

  5. Urinary changes

    Urgency, frequency or discomfort may occur alongside vaginal symptoms and should be assessed appropriately.

  6. Reduced confidence

    Symptoms can affect sleep, relationships, exercise and confidence even when they are rarely discussed.

What is Gina?

A low-dose vaginal oestrogen tablet containing estradiol.

Gina contains 10 micrograms of estradiol in a small vaginal tablet. It is inserted using a preloaded, single-use applicator so the medicine reaches the vaginal tissue directly.

After menopause, lower oestrogen levels can make vaginal tissue thinner, drier and less elastic. Gina replaces a small amount of oestrogen locally to help relieve vaginal atrophy symptoms.

Local rather than whole-body treatment: Gina is designed to act mainly in vaginal tissue. It is not the same as taking systemic HRT for wider menopause symptoms.

GSM explained

What is Genitourinary Syndrome of Menopause?

GSM describes vaginal, vulval, sexual and urinary symptoms caused by changing or low oestrogen levels around and after menopause.

  • Symptoms can appear or worsen after periods stop

  • The vagina, vulva, bladder and urethra can all be affected

  • Symptoms often persist without treatment

  • It can affect comfort, intimacy and quality of life

  • Symptoms can appear or worsen after periods stop

  • The vagina, vulva, bladder and urethra can all be affected

  • Symptoms often persist without treatment

  • It can affect comfort, intimacy and quality of life

Treatment options

Where Gina may fit in your vaginal health plan

The right option depends on your symptoms, medical history, age, menopause stage and whether you need local or wider menopause treatment.

Treatment option How it fits
Gina® A low-dose local oestrogen tablet for eligible postmenopausal women, supplied after pharmacist assessment.
Blissel vaginal gel A low-dose vaginal oestrogen gel containing estriol. Unlike Gina, which contains estradiol in tablet form, Blissel is applied as a gel.
Lubricants Used during sex to reduce friction. They provide short-term relief but do not treat oestrogen deficiency.
Vaginal moisturisers Used regularly to support comfort and hydration. They are non-hormonal and can be used alongside other treatments.
Prescription alternatives Other vaginal oestrogen preparations, prasterone or wider menopause treatment may be considered through a clinical consultation.

REALISTIC EXPECTATIONS

What to expect when you start Gina

Treatment has an initial daily phase followed by ongoing maintenance. Improvement is usually gradual rather than immediate.

  1. Days 1–14

    Insert one tablet every day. Try to use it at a similar time and follow the applicator instructions carefully.

  2. From week 3

    Reduce to one tablet twice a week, leaving three or four days between doses.

  3. Track symptoms

    Notice changes in dryness, soreness, irritation, pain during sex and urinary discomfort.

  4. Review progress

    Ask for advice if symptoms do not improve, side effects are troublesome or anything changes.

YOUR LIVVE PATHWAY

How assessment and supply works

At LIVVE, Gina is prescribed through a clinician-led menopause pathway so your vaginal symptoms can be considered alongside your wider health and treatment needs.

  1. Complete your assessment

    Tell us about your symptoms, age, menopause status, medical history, medicines and any previous vaginal treatments.

  2. Clinical consultation

    Your LIVVE clinician reviews your symptoms, medical history, current treatments and any warning signs before recommending treatment.

  3. Prescribing and supply

    If Gina is clinically appropriate, your prescription is issued and treatment is supplied by the LIVVE pharmacy with clear usage instructions.

  4. Ongoing support

    LIVVE supports you with technique, missed doses, side effects, symptom progress, repeat treatment and review when needed.

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HOW TO USE

Daily for two weeks, then twice weekly.

Gina is inserted into the vagina using the preloaded, single-use applicator provided with each tablet.

  • Wash and dry your hands
  • Open one applicator without pressing the plunger
  • Insert it gently only as far as is comfortable
  • Press the plunger to release the tablet
  • Remove and dispose of the applicator
  • Never use two doses at the same time

Your dosing routine

Stage How often Purpose
Starting phase One tablet every day for 14 days Builds up local treatment during the first two weeks.
Maintenance phase One tablet twice a week Maintains symptom relief over time.
Review Regularly and if symptoms change Checks benefit, side effects and continued suitability.

After prescribing

Support after you start Gina

LIVVE can support correct use and help you recognise when pharmacy advice is enough and when a clinician or GP assessment is more appropriate.

  • Starting support

    Help with the applicator, daily loading phase, storage, missed doses and fitting treatment into your routine.

  • Early symptom check

    Review dryness, soreness, irritation, discomfort during sex, urinary symptoms and any unwanted effects.

  • Longer-term review

    Check whether Gina remains helpful and suitable, or whether another vaginal or menopause treatment should be considered.

WHO IT IS FOR

Gina has specific licensed eligibility criteria.

Gina may be suitable for postmenopausal patients with vaginal atrophy symptoms caused by oestrogen deficiency. Your LIVVE clinician will confirm whether it is appropriate for you after reviewing your symptoms and medical history.

A different pathway may be needed if you are under 50, still having periods, have had a hysterectomy and menopause status is unclear, or your symptoms do not fit the licensed indication.

SIDE EFFECTS

Possible side effects and when to seek advice

Most people do not experience serious problems, but all medicines can cause side effects. Read the leaflet and ask for advice if something concerns you.

“Vaginal dryness is common after menopause — but effective local treatment is available.”

LIVVE gives you a discreet, medically guided route to understand your symptoms, check whether Gina is suitable and access further menopause care when needed.

VAGINAL, BLADDER & SEXUAL HEALTH

Helpful articles to read next

Build a clearer understanding of GSM, local oestrogen and the symptoms that should be assessed rather than self-treated.

Explore LIVVE Resource Hub

Frequently asked questions

What is Gina used for?

Gina is used to treat vaginal atrophy caused by oestrogen deficiency in postmenopausal women aged 50 years and over who have not had a period for at least 12 months. Symptoms can include vaginal dryness, soreness, irritation and discomfort during sex.

What does Gina contain?

Each Gina vaginal tablet contains 10 micrograms of estradiol, an oestrogen that acts locally in vaginal tissue.

Is Gina the same as Vagifem?

Gina and Vagifem contain the same strength of estradiol vaginal tablet. Gina is licensed as a pharmacy medicine for a narrower group: women aged 50 years and over who have not had a period for at least one year. Vagifem is a prescription-only medicine.

Do I need a prescription for Gina?

No. Gina is a pharmacy medicine in the UK, but a pharmacist must check that it is suitable before it is supplied.

How do I use Gina?

The usual starting schedule is one vaginal tablet daily for two weeks, followed by one vaginal tablet twice a week. Use it exactly as advised and read the patient information leaflet.

How is the tablet inserted?

Each tablet comes in a single-use applicator. The applicator is inserted gently into the vagina and the tablet is released by pressing the plunger, following the instructions in the pack.

How long does Gina take to work?

Improvement is usually gradual. Some people notice changes within the first few weeks, while fuller benefit can take longer. Seek advice if symptoms do not improve or become worse.

Can I use Gina with systemic HRT?

Vaginal oestrogen can often be used alongside systemic HRT, but your current medicines and medical history should still be checked before treatment.

Do I need progesterone with Gina?

Low-dose vaginal oestrogen is used locally and progesterone is not usually required solely because Gina is being used. Individual medical advice may differ.

Can Gina help urinary symptoms or recurrent UTIs?

Genitourinary symptoms of menopause can affect the bladder and urethra as well as the vagina. Vaginal oestrogen may be discussed where urinary symptoms are linked to menopause, but suspected or recurrent UTIs still need appropriate assessment.

Can I use Gina if I have had breast cancer?

Do not self-select treatment without specialist advice. A history of breast cancer or another hormone-sensitive cancer requires an individual discussion with your oncology or menopause team.

What should I do if I miss a dose?

Use the missed dose when you remember unless it is nearly time for the next one. Do not use two tablets at the same time. Follow the leaflet or ask a pharmacist if unsure.

Is discharge normal when using Gina?

A small amount of discharge or residue can occur. New, unpleasant-smelling or blood-stained discharge, pelvic pain, itching, fever or worsening symptoms should be assessed.

Can I have sex while using Gina?

Yes, if it feels comfortable. Vaginal moisturisers or lubricants may also help. Pain, bleeding after sex or worsening symptoms should be discussed with a healthcare professional.

How long can I use Gina?

Genitourinary symptoms can return when treatment stops, so some people use vaginal oestrogen longer term. Treatment should be reviewed regularly and continued only while the benefits remain appropriate.

When should I seek medical advice?

Seek advice for unexplained vaginal bleeding, bleeding after sex, pelvic pain, a breast change, suspected infection, blood-clot symptoms, severe headache, jaundice, or symptoms that do not improve.

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Medical disclaimer: This page is for information only and does not replace individual medical advice. Gina® 10 microgram vaginal tablets contain estradiol. Although Gina is classified as a Pharmacy medicine in the UK, LIVVE supplies it through a prescription menopause pathway following clinical assessment. Treatment is only prescribed where clinically appropriate. Always read the patient information leaflet and follow your clinician’s instructions. Seek medical advice for unexplained vaginal bleeding, bleeding after sex, pelvic pain, breast changes, unusual discharge, suspected infection, symptoms of a blood clot, chest pain, severe headache, jaundice or any concerning symptoms.