4th March 2024

A 53-year-old lady presents to the Gynaecologist’s clinic with complaints of vaginal itching, dryness, and pain after intercourse.

A 53-year-old lady presents to the Gynaecologist’s clinic with complaints of vaginal itching, dryness, and pain after intercourse. The patient states that it has been three years since she last had a menstrual period. She denies a change in sexual partners and recent urinary tract infections. The obstetrician recommends an intravaginal oestrogen. The patient says she prefers not to use pessaries.

Prescribe one drug that should be administered to the patient first for this condition.