Intrarosa Pessary 6.5 mg prasterone, 28 pessaries 6 applicators

Intrarosa® 6.5mg Vaginal Pessaries

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Vaginal dryness, soreness & discomfort

Intrarosa® 6.5mg Vaginal Pessaries

Vaginal changes during perimenopause and after menopause can cause dryness, soreness, irritation, burning and discomfort during everyday life or sex. Intrarosa contains 6.5mg of prasterone and may be prescribed for suitable postmenopausal patients after clinical assessment.

LIVVE product price

£28.00

Intrarosa — 28 vaginal pessaries

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

Start Assessment

Vaginal and urinary symptoms can begin during perimenopause and continue after menopause. Intrarosa is licensed for postmenopausal women, so your LIVVE clinician will confirm whether it is appropriate for you or whether another treatment would be more suitable. Some wording remains sex-specific where it reflects licensed medicine information or safe prescribing requirements.

Menopause-focused clinical assessment

Prescription-only treatment where suitable

Pharmacy supply and support in one place

Clear safety, usage and review guidance

Step-by-step support after prescribing

Intrarosa Pessary 6.5 mg prasterone, 28 pessaries 6 applicators

Support for the symptoms affecting your everyday comfort.

Vaginal dryness, soreness, burning or irritation can affect exercise, clothing, sleep, confidence and intimacy. Your LIVVE clinician will listen to how your symptoms are affecting you, check for anything that needs further assessment and discuss the most suitable treatment options. If Intrarosa is prescribed, you will receive clear guidance on how to use it, what to expect and when treatment should be reviewed.

QUICK PRODUCT FACTS

Intrarosa at a glance

Here are the key details about Intrarosa, including what it is used for, how it is taken and when it may be considered after clinical assessment.

  • medicine type

    Prescription vaginal pessary

    Local treatment for postmenopausal vaginal atrophy symptoms.

  • active ingredient

    Prasterone

    Also known as DHEA.

  • strength

    6.5mg pessary

    Inserted vaginally as prescribed.

  • usual dose

    One pessary nightly

    Typically used at bedtime.

  • used for

    Vulvar & vaginal atrophy

    Moderate to severe postmenopausal symptoms.

  • Symptoms supported

    Dryness, soreness irritation & discomfort

    Including discomfort during everyday activities or sex where symptoms are linked to vaginal atrophy/GSM.

  • Prescription needed?

    Yes

    Supplied only after clinical assessment.

  • where it fits

    When other options have not worked or are not tolerated

    As discussed with a clinician.

How to video guide

How to use Intrarosa® pessaries

Watch our clinician explain how to insert Intrarosa using the reusable applicator or your finger, why it is usually used once each night at bedtime, and the common mistakes to avoid.

Key application steps

  • Wash and dry your hands before use.

  • Remove one pessary from the packaging.

  • Insert it gently using the applicator supplied or your finger, following the product leaflet.

  • Use it at bedtime as prescribed.

  • Clean the reusable applicator after use if you choose to use it.

  • Do not use extra doses or change your routine without advice.

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

symptoms

Do these symptoms sound familiar?

Genitourinary symptoms can begin during perimenopause and continue after menopause. They can affect the vagina, vulva, bladder, urethra, everyday comfort, intimacy and confidence, and may persist or worsen without the right treatment plan.

  1. Vaginal dryness

    Dryness, friction or discomfort that does not settle with ordinary lubrication alone.

  2. Discomfort during sex

    Dryness, soreness, burning, tightness or pain during intimacy, also known as dyspareunia.

  3. Burning or irritation

    Stinging, itching, soreness or a feeling that the vaginal tissue is fragile.

  4. Vulval soreness

    Discomfort around the entrance to the vagina, with wiping, exercise, tight clothing or daily movement.

  5. Urinary changes

    Urgency, discomfort passing urine or recurrent UTI-type symptoms can sit alongside GSM, but should be assessed properly.

  6. Avoiding intimacy

    Many people avoid sex because of pain, dryness or anxiety that symptoms will return.

What is Intrarosa?

A prescription pessary containing prasterone, also known as DHEA.

Intrarosa® contains 6.5mg prasterone. It is inserted into the vagina, where prasterone is converted locally within vaginal tissue into hormones that help improve the signs and symptoms of vulvar and vaginal atrophy.

It is used for postmenopausal patients with moderate to severe symptoms such as vaginal dryness and irritation. It is not a general HRT replacement and it is not the first choice for every person with vaginal symptoms.

GSM explained

What is Genitourinary Syndrome of Menopause?

GSM is the term used for vaginal, vulval and urinary symptoms linked to hormonal changes around perimenopause and after menopause. It can include dryness, burning, irritation, soreness, discomfort during sex, urinary urgency and recurrent urinary symptoms.

  • Symptoms may appear years after periods stop

  • It can affect vulval, vaginal, bladder and urethral tissues

  • It can impact intimacy, confidence and quality of life

  • It is common, but often underdiagnosed and undertreated

Treatment options

Where Intrarosa may fit in your treatment plan

Your clinician will help you understand the options available and whether Intrarosa is suitable for your symptoms, medical history and previous treatments.

Treatment options comparison
Treatment option How it fits
Intrarosa® A prescription prasterone pessary for suitable postmenopausal patients when vaginal oestrogen, moisturisers or lubricants have not worked well enough, have not been tolerated or are not preferred after clinical discussion.
Lubricants Used during sex to reduce friction and provide short-term relief. They do not treat the underlying vaginal tissue changes caused by low oestrogen.
Vaginal moisturisers Used regularly to support vaginal comfort and hydration. They are non-hormonal and may be used alone or alongside prescription treatment.
Vaginal oestrogen Often considered as a first-line local treatment and available in different formats, including estradiol vaginal tablets such as Gina, Vagifem or Vagirux, and estriol vaginal cream.

REALISTIC EXPECTATIONS

What to expect with Intrarosa

Intrarosa is a local prescription treatment for vulvar and vaginal atrophy symptoms. It is not an instant fix, so the first few weeks are about using it correctly, checking tolerability and reviewing whether symptoms are improving.

  1. Before you start

    You should understand why Intrarosa has been recommended, how to insert it, what the patient leaflet says and which symptoms should be reviewed first.

  2. Early treatment

    You may notice discharge or local irritation. Some people do not feel an immediate change, so keep using it as prescribed unless advised otherwise.

  3. Symptom tracking

    Track dryness, irritation, soreness, day-to-day discomfort, discomfort during sex and urinary symptoms so your clinician can judge whether the treatment is helping.

  4. Review point

    Your LIVVE clinician will review benefit, side effects and ongoing suitability before advising whether to continue or consider another option.

YOUR LIVVE PATHWAY

How assessment and prescribing works

We keep the process clear from the start, so you understand each step before Intrarosa is prescribed.

  1. Complete your assessment

    We discuss vaginal, vulval, urinary and sexual symptoms, menopause history, current HRT, medical history and what you have already tried.

  2. Clinical review

    Your clinician considers GSM, infection, skin conditions, unexplained bleeding, urinary issues and whether examination or GP review is needed first.

  3. Suitability and prescribing

    If Intrarosa is suitable, your clinician explains how to use it, what to expect, possible side effects and when treatment should be reviewed.

  4. Follow-up and review

    After prescribing, LIVVE checks benefit, side effects, ongoing suitability and whether you should continue, change or stop treatment.

How to use Intrarosa

One pessary nightly at bedtime, as prescribed.

Intrarosa is usually inserted into the vagina once daily at bedtime. It can be inserted using the applicator provided or with your finger, depending on your preference and the product instructions.

  • Use exactly as prescribed by your clinician

  • Read the patient information leaflet before starting

  • Do not pass your medicine to anyone else

  • Report unexplained bleeding, persistent irritation or concerning symptoms

After prescribing

What happens once you start Intrarosa?

Starting treatment is only one part of the journey. LIVVE follow-up helps you understand how to use Intrarosa, what changes to expect, possible side effects and when treatment may need reviewing.

  • Week 1 support

    Clear first-use guidance, storage advice, missed-dose advice and reassurance on how to insert the pessary as prescribed.

  • Early symptom review

    Check vaginal dryness, soreness, irritation, pain during sex, discharge and any new or worsening symptoms before deciding whether to continue as planned.

  • Treatment review

    Review symptom improvement, side effects, ongoing suitability and whether Intrarosa remains the right local treatment for you.

Safety first

Who may not be suitable for Intrarosa?

Intrarosa is a prescription medicine. Your clinician must check your history before prescribing, especially because the patient leaflet lists situations where it should not be used.

SIDE EFFECTS

Side effects and when to seek advice

Like all medicines, Intrarosa can cause side effects, although not everyone gets them. Your clinician will discuss possible risks and what to do if symptoms occur.

  • Vaginal discharge

    Reported commonly with Intrarosa use.

  • Local irritation

    Persistent soreness, itching or burning should be discussed.

  • Bleeding or spotting

    Unexpected bleeding should always be assessed.

  • Smear or examination findings

    Attend cervical screening and reviews as recommended.

“Vaginal symptoms are common — but they are not something you just have to live with.”

Many people find these symptoms difficult to talk about. LIVVE gives you a discreet place to ask questions, understand your options and access treatment where it is clinically appropriate.

FREQUENTLY ASKED QUESTIONS

Questions about Intrarosa®

What is Intrarosa used for?

Intrarosa is licensed for postmenopausal women with moderate to severe symptoms of vulvar and vaginal atrophy. These can include vaginal dryness, soreness, irritation and discomfort, including pain during sex. Similar symptoms can begin during perimenopause, but a clinician will need to advise which treatment is appropriate for your menopause stage.

What is prasterone?

Prasterone is the active ingredient in Intrarosa. It is also known as DHEA. After the pessary is inserted, it acts locally in the vaginal tissue.

Is Intrarosa the same as vaginal oestrogen?

No. Intrarosa contains prasterone, while vaginal oestrogen products contain oestrogen directly. Both are local vaginal treatment options, but they are not the same medicine. Your clinician can explain which option may be more suitable for you.

When might Intrarosa be considered?

Your clinician may discuss Intrarosa if symptoms such as vaginal dryness, soreness, irritation or painful sex have not improved enough with vaginal oestrogen, moisturisers or lubricants, or if those options have not suited you.

How do I use Intrarosa?

Intrarosa is usually inserted into the vagina once daily at bedtime. Use it exactly as prescribed and read the patient information leaflet before starting.

Can I have sex while using Intrarosa?

You can usually continue sexual activity if it feels comfortable for you. If sex is painful, causes bleeding or symptoms are worsening, ask your clinician for advice before continuing.

How long does Intrarosa take to work?

Response varies. Some people notice gradual improvement over weeks, while others need longer. Your clinician will advise when to review your symptoms and whether to continue, change or stop treatment.

Is vaginal discharge normal with Intrarosa?

Vaginal discharge can happen with Intrarosa. If discharge is new, unpleasant-smelling, associated with pain, bleeding, itching, fever or you are worried about infection, contact LIVVE or your GP for advice.

What should I do if I miss a dose?

Do not use extra doses unless your clinician or the patient leaflet tells you to. Restart your usual routine and ask LIVVE if you are unsure what to do.

Can I use Intrarosa with HRT?

Your clinician will review your current HRT, symptoms and medical history. Do not start or combine treatments without individual advice.

Can Intrarosa help recurrent UTIs?

Some urinary symptoms can be part of genitourinary syndrome of menopause, but recurrent UTIs should be assessed properly. Your clinician can advise on the most suitable pathway and whether GP review or further investigation is needed.

Is Intrarosa suitable if I have had breast cancer?

This needs specialist clinical discussion. Tell your LIVVE clinician about any current, past or suspected breast cancer, cancer treatment, aromatase inhibitor use or family history before using any vaginal hormone treatment.

Who should not start Intrarosa without medical advice?

You should seek advice first if you have unexplained vaginal bleeding, bleeding after sex, pelvic pain, new discharge, suspected infection, a history of hormone-sensitive cancer, blood clots, liver disease or any symptom that feels unusual for you.

Do I need an examination?

Not everyone will need an examination before treatment, but it may be recommended if symptoms are unusual, severe, worsening, linked with bleeding, or could be caused by another condition.

How long can I stay on Intrarosa?

This depends on your symptoms, benefit, side effects and medical history. LIVVE will review treatment over time so you are not left using it without follow-up.

When should I contact LIVVE?

Contact LIVVE if you develop unexplained bleeding, pelvic pain, worsening irritation, symptoms of infection, a possible side effect, or if your symptoms are not improving after a reasonable trial of treatment.

Ready to feel more comfortable?

If vaginal dryness, soreness, irritation or discomfort is affecting your life during perimenopause or after menopause, LIVVE can help you understand which local treatment may be most suitable. Intrarosa may be considered for appropriate postmenopausal patients following clinical assessment.

Medical disclaimer: This page is for information only and does not replace individual medical advice. Intrarosa® is a prescription medicine and is only supplied if clinically appropriate following assessment. Always read the patient information leaflet and follow your prescriber’s instructions. Seek medical advice for unexplained vaginal bleeding, pelvic pain, new or worsening discharge, suspected infection, symptoms of a blood clot, chest pain, severe headache, jaundice or any concerning symptoms.