Getting off Divigel

  • I have been on Divigel 0.5 mg daily for the past ten years and have no problems with the product. A few years ago I decided (without my doctor) to apply the gel every other day. The result was an UTI. My doctor told me I would need to be on Divigel for the rest of my life. The reason is if I stop using the product, I will have UTIs. Has anyone had this issue or heard of repercussions when stopping Divigel permanently?

    Question created 9 months 3 weeks ago


  • Hello BJ
    I presume you have been using Divigel for menopause. Since at menopause a woman's body is depleted of ovarian estrogens, and by using an extrinsic estrogen preparation, her body would not have the stimulus for producing estrogens outside the ovaries, stopping all at once the extrinsic estrogen is v likely to cause a rebound of menopause symptoms, of hot flashes, and many other manifestations, urinary infection included. It is therefore advisable to go slowly tapering your estrogen preparation-gels included!
    Read this, for a v helpful strategy to taper your preparation, thus ameliorte your withdrawal symptoms;
    In all cases, don't panic, you should be able to circumvent urinary infection, especially if you go slowly with tapering Divigel. Other crucial preventive measures include:
    1) Treat your primary infection correctly, with an effective antibiotic, and for an adequate time period, of course after a proper diagnosis through a urine culture, colony count, and antibiogram, and do not depend on simple clinical judgment. This is v critical, as often vaginitis-increased during menopause, is misdiagnosed as a urinary tract infection( UTI).
    2) Ensure a healthy gut flora which positively impacts your vaginal and urinary flora, improving local immunity. Evidently, this is achieved through a fibre rich diet, with beans, legumes, vegetables, and nuts, and eliminating sugar, and avoiding smoking. This will likely also help your other menopause sumptoms.
    3) Drink plenty of water, and void regularly, to wash potential bacterial proliferation.
    4) Avoid tight pants, as this would fend off admission of fecal bacteria to the introitus, reducing urinary infection chance.
    5) Avoid constipation.
    6) Use of reliable cranberry preparations is proven helpful as to refuction of UTI, and so is it for Dmannose.
    7) If need be, you might use preparations which contain the most common UTI offender-a bacteria strain named E.Coli, which will act like an "immunization" impact. Talk to your physician.
    Take care, and good luck!
    Dr Hana Fayyad, pediatrician

    (Maria Jasmine Freeman, author of The Cross Of Menopause-Immolation🔥🔥🔥)


    asked 9 months 2 weeks ago

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