Blissel vaginal gel prices

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Who can use Blissel gel?

Blissel is suitable for women with local vaginal or urinary symptoms of the menopause. It can be used on its own or alongside systemic HRT. Blissel gel is a lower strength vaginal oestrogen than Estriol 1mg/g and Estriol 0.01% so may be best suited to women looking for a lower strength option or when stepping down treatment.

Women advised not to take systemic HRT should consult their GP first. Dr Fox's medical questionnaire ensures safe use.

How to use Blissel gel

Start: Apply every night for 2 weeks.
Maintenance: Use 2 nights per week, spaced 3-4 days apart.

Application steps:

1. Attach the supplied applicator to the tube and fill with gel.
2. Remove the applicator from the tube.
3. Insert the applicator into the vagina like a tampon.
4. Press the plunger to release the gel.
5. Clean the applicator for reuse.

If unable to use the applicator, or there is significant soreness at the entrance to the vagina and to the vulva, the dose of gel can be applied with a fingertip at the vaginal opening and on the vulva to relieve external soreness or used in this way if unable to insert the applicator. Wash hands thoroughly after use.

Blissel gel cautions

Although only a minimal amount of vaginal oestrogen is absorbed into the bloodstream, manufacturers advise caution in women who have been told not to use systemic HRT. Doctors may still prescribe vaginal oestrogen where benefits outweigh risks.

Any unexplained vaginal bleeding after 3 months of use should be assessed by your GP.

Blissel gel interactions with other medicines

Blissel gel rarely interacts with other medicines. Avoid using it at the same time as other vaginal products.

Possible side effects of Blissel gel

Side effects are uncommon but may include:

• Mild irritation if the applicator is used roughly.
• Abdominal discomfort or mild vaginal discharge.

Stop and contact your doctor immediately if you notice:

• Signs of allergic reaction.
• Yellowing of eyes or skin (jaundice).
• Severe headache or migraine.
• Swelling, chest pain, or breathing difficulty (signs of a blood clot).
• High blood pressure.
• Pregnancy.

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