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Sexual health is part of your health.
Midlife changes to your sex life, body or intimate health are common — but treatable. Take our assessment to find out whether vaginal oestrogen could help.
Your sexual wellbeing is shaped by your body, your mind and your world around you...
The physical foundation
Hormonal changes in midlife can affect tissue, nerve sensitivity, lubrication, circulation and desire. These changes are real, well researched and often treatable. Addressing what’s happening in your body is an important first step.
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The inner layer
Confidence, body image, anxiety and past experiences can shape sex just as much as hormones. Trauma, difficult births, painful sex or years of putting your own needs last, can all influence how you feel now — and deserve to be part of the conversation.
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The bigger picture
Relationships, a partner’s health or libido, caring responsibilities, work, grief and the pressures of midlife can all affect sexual wellbeing. For some women, this means navigating change with a partner. For others, it’s about reconnecting with themselves. Both matter.
We asked 2,000 women how their symptoms affected how they feel
83% of women report sexual health symptoms affecting them emotionally
58% of women aged between 38-70 have experienced at least one sexual health symptom
Do any of these feel familiar?
- Taken from a public survey of 2,000 women aged 38 to 70 ran by Voy. Read the report here
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How hormones can affect you
Many vaginal and urinary symptoms can be linked to lower oestrogen. As levels fall, tissues in the vagina, vulva and urinary tract can become thinner, drier and more sensitive, leading to symptoms such as dryness, irritation and discomfort.
Hormonal changes can happen during:
Feeling better physically can make space for everything else
For many women, vaginal oestrogen is the first-line treatment for symptoms of vaginal and urinary changes. When these are addressed, comfort, confidence and desire often have room to return.
How it works
Safety
Vaginal oestrogen is considered a low-risk treatment for most women. Because it works locally, only a small amount is absorbed into the bloodstream, and side effects are very rare.
Vaginal oestrogen is a type of local HRT. Unlike HRT patches, gels or tablets that work throughout the body, it delivers a low dose of oestrogen directly to the vaginal tissues through different forms such as; Gel, cream, pessary, tablet, vaginal ring.
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How care with Voy works
We'll ask about your health, body, mind and wider life — in order to safely recommend the right next step, whether that’s treatment or speaking with our sexual health expert.
A UK-registered doctor reviews your answers and, where appropriate, prescribes your treatment, delivered discreetly within 2–3 days.
Alongside treatment, receive a 12-week wellbeing course that explores other emotional and relational blockers of arousal and libido — alongside WhatsApp access to our clinical team and an optional CBT taster session.
What’s included
Treatments available
Hear from those we’ve helped
Treating your symptoms. Whilst supporting the bigger picture.
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“Sexual wellbeing is shaped by more than physical symptoms. Alongside treatment for the body, you’ll receive a specially designed course that supports the emotional, relational and everyday factors that can affect how you feel — helping us care for the whole person, not just your symptoms.”
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Whatever’s changed, we’ll help you understand what’s behind it.
Our in-depth holistic assessment looks at your symptoms, health and experience to help identify what could be contributing — and whether a vaginal oestrogen plan could be right for you.
Sexual wellbeing is about more than your body
Frequently asked questions
Plans run in 3 month subscription cycles (in line with prescriptions) and are paid for monthly to help spread the cost. Unless cancelled at month 3, your plan will auto renew.
Treatment, delivered
Receive three months of personalised, expert-prescribed treatment, discreetly delivered to your door with free shipping. We’ll check in before your medication runs low, so you’re never left without support or rushing to the pharmacy.
Unlimited support
Unlimited WhatsApp messaging with your care team (Mon–Fri, 9am–5pm)
Direct medication hotline to our expert pharmacist
Secure online portal to manage your care
Monitoring & reviews
30-minute follow-up appointment at 12 weeks, before your next prescription is due
Treatment review and adjustments if needed
Extras
Nutrition sessions to support sustainable lifestyle changes
CBT taster session if you’d like to explore therapy (booked via your portal)
The assessment takes around 8 minutes, and we recommend finding a quiet moment to yourself. It covers some sensitive topics, including sexual pain, emotional wellbeing, relationships and desire. Everything you share is confidential and only reviewed by our clinical team.
Once you’ve completed the assessment, you’ll receive a recommendation — either a vaginal treatment plan or an appointment if we think a conversation with a clinician would be helpful first.
If treatment is suitable, one of our doctors will review and prescribe within 24 hours. Your medication is then delivered free of charge, usually within 2–3 working days of your first payment.
Vaginal oestrogen treatment plans cost from £40-60 per month for 3 month cycles. This cost also covers your care, which includes access to our clinical team via WhatsApp Mon-Fri, a free CBT taster session, and a doctor review appointment at 12 weeks to see how you are getting on with treatment and if the dose needs adjusting. Your plan will automatically continue unless you cancel after 3 months.
No, you do not need an examination. Our service is all ran online, from taking the assessment, through to starting treatment and interacting with our doctors and care team.
Vaginal dryness and discomfort are very common after breast cancer treatment, and having had breast cancer doesn't automatically rule out treatment.
Vaginal oestrogen works locally — it treats the tissue it's applied to, and very little is absorbed into the bloodstream. That's different to HRT taken as a tablet, patch or gel. Current evidence and UK guidance support its use for vaginal and urinary symptoms in women who have had breast cancer, and studies to date have not shown an increased risk of recurrence.
Because your history matters, we'll always ask you to book a sexual health appointment before we prescribe. In that appointment, one of our clinicians will go through your diagnosis, treatment and any medication you're taking now.
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Estriol 0.1% cream is a vaginal oestrogen cream used to treat vaginal and urinary symptoms.
By restoring local oestrogen levels, Estriol 0.1% cream helps improve the health of the vaginal and urinary tissues causing your symptoms.
- Restore the thickness and elasticity of the vaginal lining.
- Increase natural lubrication.
- Relieve vaginal dryness, burning, itching and soreness.
- Reduce pain or discomfort during sex.
- Restore the vagina's natural acidic pH and support healthy vaginal bacteria.
- Improve some urinary symptoms linked to GSM, such as urgency, frequency and recurrent UTIs in some women.
Cream
Vegetarian
Vegan
Applied using your finger or an applicator
Insert 1 daily at bed time for 2–3 weeks, then twice weekly
Most women feel treatment working within 3-6 weeks.
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Blissel is a low-dose vaginal oestrogen gel containing estriol. It is designed to work mainly in the vaginal tissues, with minimal absorption into the rest of the body.
- Thicken and strengthen the vaginal lining
- Increase natural lubrication.
- Restore the normal vaginal pH
- Support healthy vaginal bacteria (particularly lactobacilli)
- Improve tissue elasticity and resilience
Gel
Vegetarian
Vegan
Applied using your finger or an applicator
Once daily (bedtime) 2-3 weeks then, 2-3 times weekly
Most women feel treatment working within 3-6 weeks.
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Vagirux is a low-dose vaginal oestrogen therapy delivered via a small tablet (pessary) inserted directly into the vagina using a disposable applicator.
- Restore the thickness and elasticity of the vaginal lining.
- Increase natural lubrication.
- Relieve vaginal dryness, burning, itching and soreness.
- Reduce pain or discomfort during sex.
- Restore the vagina's natural acidic pH and support healthy vaginal bacteria.
- Improve some urinary symptoms linked to GSM, such as urgency, frequency and recurrent UTIs in some women.
Tablet
Applied using your finger or an applicator
Once daily for 2 weeks(bedtime), then twice weekly
Most women feel treatment working within 3-6 weeks.
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Intrarosa is a once-daily vaginal pessary used to treat moderate to severe genitourinary syndrome of menopause (GSM), particularly symptoms such as vaginal dryness and pain during sex. Unlike other local treatments, it doesn't contain oestrogen. Instead, it contains prasterone (DHEA), a naturally occurring hormone precursor.
- Restore the thickness and elasticity of the vaginal lining.
- Increase natural lubrication.
- Reduce vaginal dryness, burning and irritation.
- Relieve pain during sex (dyspareunia).
- Improve vaginal tissue health and restore normal vaginal pH.
Gel
Vegetarian
Vegan
Pessary inserted using your finger or an applicator
Once daily
Most women feel treatment working within 3-6 weeks.
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Estring is a soft, flexible vaginal ring containing low-dose estradiol. It sits inside the vagina and releases a small, steady amount of oestrogen directly to the vaginal tissues for 90 days, helping restore moisture, elasticity and comfort.
- Restore the thickness and elasticity of the vaginal lining.
- Increase natural lubrication.
- Relieve vaginal dryness, burning, itching and soreness.
- Reduce pain or discomfort during sex.
- Restore the vagina's natural acidic pH and support healthy vaginal bacteria.
- Improve some urinary symptoms linked to GSM, such as urgency, frequency and recurrent UTIs in some women.
Flexible vaginal ring
Vegetarian
Vegan
Inserted into the vagina with your fingers
Once, last 90 days
Most women feel treatment working within 3-6 weeks.
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