Overview

• Dr Amir Khan used a new podcast appearance and media coverage to recommend considering topical vaginal oestrogen for perimenopausal and menopausal symptoms such as dryness, discomfort during sex and urinary issues.
• Boots sells Ovesse 1mg/g vaginal cream over the counter for eligible customers after a pharmacist consultation, while prescription options like Ovestin remain available via GPs.
• The over‑the‑counter product is intended for women aged 50 or over who have had no period for at least 12 months, with screening and listed contraindications determining suitability.
• Khan says locally applied oestrogen has minimal systemic absorption compared with systemic HRT and may lower recurrent UTI risk and improve comfort, though it is not appropriate for everyone.
• The NHS estimates about 13 million women in the UK are perimenopausal or menopausal, and Khan advises speaking to a GP or a gynaecology specialist before starting any treatment.