Who can use Gina?
Who can use Gina?
Gina is indicated for the treatment of vaginal atrophy due to oestrogen deficiency in postmenopausal women aged 50 years and above, who have not had a period for at least 1 year.1
There are symptoms that could be a sign of another condition. These were described in Module 1, but you can click here for a reminder.
Gina has a Pharmacy Checklist that may be used as part of the consultation. Different parts of the Pharmacy Checklist may be used, depending on whether a woman is presenting for a first or repeat purchase.
If a woman hasn’t used a local oestrogen treatment before, she will be asked questions about her symptoms to confirm that it is likely that she has VA. She will also be asked about any contraindications, family history (such as any immediate relatives with breast or ovarian cancer, or DVT) and whether she has any other medical conditions that might warrant a GP referral.
Remember to offer the use of the consultation room
or a private area to have a confidential conversation.
Quick Check
Which of these is NOT a symptom that may indicate another condition other than VA? Select all that apply.
Symptoms that could indicate a differential diagnosis:5
Vaginal symptoms
- Undiagnosed bleeding
- Smelly or unusual discharge
- Severe vaginal itching (for example, that interferes with sleep)
Changes to the look or feel of the vulva
- Sore red patches
- Thickening, a lump or scarring
- Itchy, white, smooth/crinkled patches of skin, or skin that is easily damaged
- Rash
Other symptoms
- Pelvic pain or pain on urination
- Lower abdominal pain, bloating or swelling
For a full list of symptoms and differential diagnoses, refer to the Pharmacy Guide for the supply of Gina.