Hi Graham, Thank you so much for your note. Is there a particular reason she needs to go to the doctor to discuss this? What age is your wife? Is sex painful? Are there issues of abuse? Do you have any unresolved conflict. Have you watch my TEDx Stanley Park talk on you tube? https://www.youtube.com/watch?v=LVgzOyHVcj4&t=295s It might be helpful to have her watch the talk. Many people have told me it has helped them. Also I do Skype consults if you would like further assistance. All the best, Maureen

Repagyn is for vaginal dryness. Sometimes when the vaginal tissues are dry it may cause some urogenital irritation and the need to pee frequently. Vaginal atrophy which is now called Genitourinary Syndrome of Menopause is a condition where the estrogen receptors decrease in the urogenital tract and may lead to urgency, frequency,burning, thin watery discharge, vaginal dryness and painful sex, recurrent urinary tract infections and post-coital bleeding. Speak to your doctor about a low dose localized estrogen therapy (which takes 2-3 months to optimize and is lifelong therapy) in the form of a tablet, cream or ring to be used on opposite days of the Repagyn. Thanks, Maureen

Thank you for your kind words John! I will send you the information requested. Best regards, Maureen

John Otvos

Dear Gail, Thank you for your note. It would be helpful to know your menopausal status. Vaginal dryness is the hallmark symptom of Genitourinary Syndrome of Menopause (GSM) which is when estrogen decreases in the urogenital tract and a woman may experience vaginal dryness, itching, frequency, urgency and recurrent urinary tract infections as well as leakage of urine, post-coital bleeding and/or thin watery discharge. Ask your doctor about low dose localized estrogen therapy in the form of a tablet, cream or a ring. Repagyn is for vaginal dryness and/or itching only. Make sure you are drinking enough water based fluids so that your urine is clear. Urge suppression may help as well. Go to the CNCA.ca website for information on urge suppression. If your doctor prescribes a low dose localized estrogen therapy keep in mind it takes 2-3 months to optimize and it is life long therapy. Hope that helps.

Thank you.