Ospemifene - Senshio

Moderate to severe vaginal symptoms of the menopause (dryness, discomfort with sex), as an oral alternative to vaginal treatments.

It is a selective oestrogen receptor modulator: it has an oestrogen-like effect in the vagina but not in other tissues, improving the vaginal lining over a few weeks.

Women with troublesome vaginal symptoms who prefer an oral option, after a clinical review of their history.

This is a prescription-only medicine. It is not dispensed from an online form on its own. When you place an order, a LoveMyLife doctor reviews your information first.

For this treatment you will usually need a consultation, online, by phone, or in person, before we dispense, and we will arrange one where it is needed.

This is how we keep the treatment safe, and it is the part an online questionnaire on its own cannot do.

Tracked: Tracked delivery, arrives in two working days - Free

When it arrives: Every order is sent tracked. Where this page says in post today, it goes out today. Where it says in post tomorrow, it goes out the next working day. On the rare occasions a medicine is unavailable, we will contact you to talk about timing and alternatives.

We dispense clinically equivalent generic medicines where available; if you prefer a particular brand, tell us in your order and we will confirm any difference.

Senshio from £109.99 per pack.

Common: hot flushes, vaginal discharge. As with this class of medicine, your individual clot risk is considered before prescribing.

• Undiagnosed vaginal bleeding

• A history or higher risk of blood clots (venous thromboembolism)

• A history of certain hormone-sensitive cancers, to be discussed with your specialist

Interacts with some medicines including certain anticoagulants and oestrogens. Tell us all your medicines so we can check.

Not for use in pregnancy or breastfeeding; it is a menopause treatment.

Reviewed for symptom response. Report any unexpected vaginal bleeding, which always needs checking.

• Prescription-only: a doctor must assess you before this can be dispensed.

• Not from a form alone: we will arrange a consultation where one is needed, and will not dispense without appropriate assessment or a doctor's approval.

• Tell us everything: your full medical history, any other medicines, and any previous treatment help us keep this safe.