Vaginal Estradiol (Vagifem)

• Vagifem® comes as a vaginal tablet contained in a disposable applicator. 
• Insert the vaginal tablet into your vagina with the help of the applicator.
  
• Unless otherwise instructed by the doctor, insert 1 tablet daily into your vagina for 2 weeks continuously, followed by 1 tablet two times a week. When using it twice a week, leave a 3 – 4 days gap between each dose (for example, Mondays and Thursdays or Tuesdays and Fridays).
• Do not stop using your medication without checking with your healthcare professional.
  

​	Step 1: Tear off one single blister pack and open at the plunger end (push button). Remove the applicator from the plastic wrap as shown. The tablet is at the other end of the applicator. Keep your hands clean and dry to avoid getting the tablet wet.
​	Step 2: Select the best position for inserting Vagifem® - standing with one foot on a chair or lying on your back. Insert the applicator, with the tablet at the end, into the vagina as far as comfortably possible or until resistance is met (8 – 10cm). Take care not to press the push button at the end until the applicator is inserted properly.
​	​Step 3: Press the push button at the end of the applicator until a click is felt. This indicates that the tablet has been released from the end of the applicator into the vagina. The tablet will stick to the vagina wall straight away It will not fall out if you stand up or walk.
​	​Step 4: Remove and throw away the applicator.

If you forget to take a dose, take it as soon as you remember. Then take your next dose at the usual time. Do not take two doses to make up for the missed dose.