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Balance Activ Menopause Moisture Plus - 10 Pessaries

Balance Activ Menopause Moisture Plus - 10 Pessaries

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  • ✔️ Relieves menopausal vaginal dryness, itching, and soreness
  • ✔️ Restores natural vaginal moisture with hyaluronic acid
  • ✔️ Supports healthy vaginal pH and microbiome balance
  • ✔️ Hormone-free — suitable for women who cannot use HRT
  • ✔️ Convenient once-nightly pessary format for 10-night course

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What Are Menopause Vaginal Dryness Pessaries?

 

Vaginal dryness is one of the most common — and least talked about — symptoms of menopause. As oestrogen levels fall, the vaginal tissues become thinner, less elastic, and less able to produce natural lubrication. The result? Discomfort, itching, and sometimes pain during everyday activities or intimacy. Menopause vaginal dryness pessaries like Balance Activ Menopause Moisture Plus offer a hormone-free way to restore comfort from the inside out. You can explore a wider range of products for intimate and women's health at Cured Pharmacy.

Balance Activ Menopause Moisture Plus contains 10 individually wrapped pessaries, each designed to be inserted vaginally at bedtime. The formulation works locally — no systemic hormones, no prescription needed. At just £9.99 for a full course, it's an accessible option for women navigating the often-frustrating physical changes that come with menopause and perimenopause.

 

How Does Balance Activ Menopause Moisture Plus Work?

 

The pessaries use a combination of ingredients that target vaginal dryness at a cellular level. Here's how the key components contribute:

  • Hyaluronic acid — a naturally occurring molecule that attracts and retains water in the vaginal tissues, helping to restore moisture and plumpness to the vaginal walls.
  • Lactic acid — helps maintain the vagina's naturally acidic pH (typically between 3.8 and 4.5), which supports a healthy vaginal environment and discourages the overgrowth of harmful bacteria.
  • Glycogen — acts as a prebiotic energy source for Lactobacillus bacteria, the beneficial microorganisms that form the cornerstone of a healthy vaginal microbiome.

Together, these ingredients don't just mask dryness — they work to restore the conditions that a healthy vaginal environment naturally maintains. This is particularly relevant during menopause, when declining oestrogen disrupts both moisture levels and the vaginal microbiome.

 

Who Should Use Balance Activ Menopause Moisture Plus?

 

This product is designed for women who are experiencing vaginal dryness, itching, soreness, or discomfort linked to menopause or perimenopause. It's hormone-free, which makes it a practical choice for women who are unable to use hormone replacement therapy (HRT) — for example, those with a history of certain hormone-sensitive conditions — or those who simply prefer a non-hormonal approach.

It may be suitable for you if you:

  • Are going through menopause or perimenopause and experiencing vaginal dryness or irritation
  • Prefer a non-hormonal, locally acting treatment
  • Have found topical gels or creams inconvenient and want a once-nightly pessary format
  • Are looking for a product that also supports vaginal pH and microbiome health

 

How Does Balance Activ Compare to Other Vaginal Moisturisers?

 

Feature Balance Activ Menopause Moisture Plus Replens Long-Lasting Vaginal Moisturiser
Format Pessary (inserted vaginally) Gel (applied via applicator)
Key ingredients Hyaluronic acid, lactic acid, glycogen Polycarbophil, carbomer
pH support Yes — lactic acid maintains acidic pH Partial — bioadhesive but no pH-specific action
Hormone-free Yes Yes

 

Is Balance Activ Menopause Moisture Plus Clinically Suitable and How Should It Be Stored?

 

Before using this product, it's worth knowing that it is not suitable for use alongside latex condoms or diaphragms, as the pessary base may affect the integrity of latex. If you are using any form of barrier contraception, speak to your pharmacist first. Women who are pregnant or breastfeeding should also seek medical advice before use. If your symptoms do not improve after completing the initial 10-night course, or if you notice unusual discharge, bleeding, or odour, consult your GP — these could indicate an underlying condition that needs assessment.

Store the pessaries below 25°C, away from direct sunlight and out of reach of children. Do not use after the expiry date printed on the packaging. If you're also managing other intimate health concerns, our personal lubricants collection may offer complementary options to use alongside this product.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Balance Activ Menopause Moisture Plus - 10 Pessaries specifications
Treatment category Vaginal dryness / Menopause symptom relief
Mechanism of action Restores vaginal moisture and pH via hyaluronic acid, lactic acid, and glycogen
Effective for Vaginal dryness, itching, and discomfort associated with menopause
Suitable for Women experiencing menopausal or perimenopausal vaginal symptoms
Active ingredients Hyaluronic acid, lactic acid, glycogen
Pack size 10 pessaries
UK classification General Sale / OTC
Preparation Vaginal pessary
Route of administration Vaginal

Specifications of Balance Activ Menopause Moisture Plus - 10 Pessaries

 

What Is Balance Activ Menopause Moisture Plus and What Is It Used For?

 

Balance Activ Menopause Moisture Plus is a non-hormonal vaginal pessary used to relieve the symptoms of vaginal atrophy — the thinning, drying, and inflammation of the vaginal walls that commonly occurs during and after menopause. The NHS recognises vaginal dryness as one of the most frequently reported menopausal symptoms, affecting a significant proportion of women during perimenopause and beyond. Unlike HRT, this product acts locally within the vagina and does not introduce hormones into the body.

Each pessary is inserted vaginally at bedtime and dissolves overnight, delivering its active ingredients — hyaluronic acid, lactic acid, and glycogen — directly to the vaginal tissues. The product is intended to relieve dryness, itching, soreness, and discomfort, and to help restore a healthy vaginal environment. It is available over the counter without a prescription.

 

What Do You Need to Know Before Using Balance Activ Menopause Moisture Plus?

 

Do not use this product if any of the following apply to you:

  • You are allergic to any of the ingredients listed in the product formulation
  • You are pregnant or breastfeeding (seek medical advice first)
  • You have unexplained vaginal bleeding or unusual discharge — consult your GP before use
  • You have an active vaginal infection such as thrush or bacterial vaginosis — treat the infection first
  • You are using latex condoms or diaphragms — the pessary base may damage latex

There are no known significant drug interactions with Balance Activ Menopause Moisture Plus. However, if you are using any other vaginal preparations — including topical oestrogen creams or antifungal treatments — allow adequate time between applications and speak to your pharmacist. If you're also dealing with recurrent thrush alongside dryness, our thrush treatments collection may be worth exploring alongside this product.

  • No significant systemic drug interactions are currently documented for this product
  • Avoid concurrent use with other vaginal products unless advised by a healthcare professional

 

How Should You Use Balance Activ Menopause Moisture Plus?

 

Always follow the instructions in the pack leaflet. The pessaries are designed for bedtime use so that the product has time to dissolve and be absorbed overnight without leakage causing discomfort.

  1. Wash your hands thoroughly before handling the pessary.
  2. Remove one pessary from its individual wrapper.
  3. Lie on your back with your knees bent, or stand with one foot raised on a step.
  4. Using the applicator provided, gently insert the pessary as far as is comfortable into the vagina.
  5. Withdraw the applicator and dispose of it hygienically.
  6. Wash your hands again after use.
  7. Wear a panty liner overnight as some discharge may occur as the pessary dissolves.
Indication Age Group Dose Frequency
Menopausal vaginal dryness (initial course) Adult women 1 pessary Once nightly for 10 consecutive nights
Maintenance / ongoing relief Adult women 1 pessary As needed, or as directed by pharmacist/GP

 

What Are the Possible Side Effects of Balance Activ Menopause Moisture Plus?

 

This product is generally well tolerated. Side effects are uncommon, but as with any vaginal preparation, some women may notice local reactions. If you experience anything that concerns you, stop use and speak to your pharmacist or GP.

Common side effects:

  • Mild local irritation or a warm sensation after insertion
  • Temporary increase in vaginal discharge (this is the pessary dissolving — normal)

Less common side effects:

  • Vaginal itching or redness not present before use
  • Discomfort or a feeling of pressure after insertion
  • Allergic reaction — stop use immediately if you notice swelling, severe itching, or rash

If symptoms worsen rather than improve during the course of treatment, or if you develop new symptoms such as unusual odour or bleeding, do not continue using the product. Seek advice from your GP promptly. You may also find it helpful to browse our cystitis and bladder infection section, as urinary symptoms can sometimes accompany vaginal atrophy during menopause.

 

How Should You Store Balance Activ Menopause Moisture Plus?

 

  • Store below 25°C in a cool, dry place
  • Keep away from direct sunlight and sources of heat
  • Keep out of the sight and reach of children
  • Do not use after the expiry date printed on the outer carton
  • Do not freeze
  • Dispose of used applicators and wrappers responsibly — do not flush down the toilet

Written and reviewed by our qualified team

Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy Balance Activ Menopause Moisture Plus pessaries online in the UK?

You can buy Balance Activ Menopause Moisture Plus 10 Pessaries directly from Cured Pharmacy, a GPhC-registered UK online pharmacy. No prescription is required as this is an over-the-counter product. Simply add it to your basket and it will be dispatched discreetly to your door.

How do Balance Activ Menopause Moisture Plus pessaries work in the body?

The pessaries contain hyaluronic acid, which draws moisture into the vaginal tissues, lactic acid, which helps restore the vagina's natural acidic pH, and glycogen, which feeds beneficial Lactobacillus bacteria. Together, these ingredients work locally to relieve dryness and support a healthy vaginal environment without introducing hormones into your system.

How do I use Balance Activ Menopause Moisture Plus step by step?

Wash your hands, then remove one pessary from its wrapper. Lie on your back with knees bent or stand with one foot raised, and use the applicator to insert the pessary as far as is comfortable into the vagina. Use at bedtime so the pessary can dissolve overnight, and wear a panty liner to manage any discharge.

How often should I use Balance Activ Menopause Moisture Plus pessaries?

For the initial treatment course, use one pessary every night for 10 consecutive nights. After completing the course, you can use them on an as-needed basis for ongoing maintenance, or as directed by your pharmacist or GP. Do not use more than one pessary per night.

What are the side effects of Balance Activ Menopause Moisture Plus?

Side effects are uncommon but may include mild local irritation, a temporary warm sensation after insertion, or a slight increase in vaginal discharge as the pessary dissolves — this is normal. If you experience significant itching, redness, swelling, or any symptoms that concern you, stop use and speak to your pharmacist or GP.

Who is eligible to use Balance Activ Menopause Moisture Plus pessaries?

These pessaries are suitable for adult women experiencing vaginal dryness, itching, or discomfort associated with menopause or perimenopause. They are hormone-free, making them a practical option for women who cannot use HRT or who prefer a non-hormonal approach. Women who are pregnant, breastfeeding, or have unexplained vaginal bleeding should consult their GP before use.

What happens if I miss a dose of Balance Activ Menopause Moisture Plus?

If you forget to use a pessary one night, simply continue with the next one the following evening — do not insert two pessaries at once to compensate. Missing a single night is unlikely to significantly affect the overall outcome of your treatment course. Try to use the pessaries at the same time each night to build a routine.

Can I use Balance Activ Menopause Moisture Plus with condoms?

No — this product is not compatible with latex condoms or diaphragms, as the pessary base may weaken latex and reduce its effectiveness as a contraceptive or barrier against infection. If you use barrier contraception, speak to your pharmacist about suitable alternatives. Non-latex condoms may be an option, but always seek professional advice first.

What are the alternatives to Balance Activ Menopause Moisture Plus pessaries?

Non-hormonal alternatives include vaginal moisturising gels such as Replens or YES VM, which are applied via an applicator. Prescription options include topical oestrogen preparations such as Vagifem pessaries or Ovestin cream, which your GP can prescribe if appropriate. You can also browse our personal lubricants collection for complementary products to use alongside vaginal moisturisers.

How long does it take for Balance Activ Menopause Moisture Plus to work?

Some women notice an improvement in comfort within the first few nights of use, though the full benefit is typically felt after completing the 10-night initial course. Individual results vary depending on the severity of vaginal dryness and how long symptoms have been present. If you see no improvement after the full course, speak to your GP.

How long can I use Balance Activ Menopause Moisture Plus for?

After the initial 10-night course, you can continue to use the pessaries on an ongoing basis as needed for maintenance. There is no set maximum duration for use, as vaginal dryness is often a long-term symptom of menopause. However, if symptoms persist or worsen despite regular use, consult your GP to rule out other causes.

Is Balance Activ Menopause Moisture Plus suitable if I have had breast cancer?

Because Balance Activ Menopause Moisture Plus is hormone-free, it is generally considered a safer option for women who have had hormone-sensitive cancers such as breast cancer, compared to topical oestrogen products. However, you should always discuss any new treatment with your oncologist or GP before starting, as individual circumstances vary.

Can I use Balance Activ Menopause Moisture Plus if I have thrush?

You should treat an active thrush infection before starting a course of these pessaries. Using multiple vaginal products simultaneously can make it difficult to assess which is working and may cause additional irritation. Once the thrush has cleared, you can begin using the moisturising pessaries — our thrush treatments section has a range of options to help.

What is the latest research on non-hormonal vaginal moisturisers for menopause?

NICE guidelines (NG23) on menopause acknowledge that vaginal moisturisers and lubricants are appropriate first-line options for women with vaginal dryness who prefer not to use hormonal treatments. Research into hyaluronic acid as a vaginal moisturising agent has shown it to be effective at improving vaginal hydration and reducing discomfort, with a good tolerability profile. Speak to your GP or pharmacist for the most up-to-date guidance tailored to your situation.

Does Balance Activ Menopause Moisture Plus help with painful sex during menopause?

Yes — by restoring vaginal moisture and improving the health of vaginal tissues, these pessaries can help reduce the discomfort or pain during sexual intercourse (known medically as dyspareunia) that many women experience during menopause. For additional comfort during intimacy, a water-based personal lubricant used at the time of intercourse can complement the ongoing moisturising effect of the pessaries. If pain during sex is severe or persistent, always speak to your GP.

How Should You Use Balance Activ Menopause Moisture Plus?

Always read the instructions in the pack before use. These pessaries are designed for vaginal use only and should be inserted at bedtime to allow the pessary to dissolve comfortably overnight. Using them correctly will help you get the most from the treatment.

What Is the Correct Dose of Balance Activ Menopause Moisture Plus?

The recommended dose is one pessary per night. Do not use more than one pessary in a 24-hour period. The table below summarises the dosing guidance for this product.

When Is the Best Time to Use Balance Activ Menopause Moisture Plus?

Bedtime is the ideal time to use these pessaries. Inserting the pessary just before you go to sleep means you are lying down, which reduces the chance of the pessary slipping out before it has fully dissolved. It also allows the active ingredients — hyaluronic acid, lactic acid, and glycogen — to work undisturbed throughout the night, maximising their moisturising and pH-restoring effect on the vaginal tissues.

How Long Can You Use Balance Activ Menopause Moisture Plus For?

The initial course is 10 consecutive nights. After that, you can continue to use the pessaries on an as-needed basis for ongoing symptom management — there is no fixed maximum duration, as vaginal dryness is often a persistent menopausal symptom. However, if your symptoms do not improve after the initial course, or if they worsen at any point, you should speak to your GP to rule out other causes and discuss further treatment options.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

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What Are the Most Common Side Effects of Balance Activ Menopause Moisture Plus?

Balance Activ Menopause Moisture Plus is generally well tolerated, and most women complete the 10-night course without any significant problems. The most commonly reported effects are mild and local — meaning they occur in or around the vagina rather than affecting the rest of the body.

  • Mild local irritation or a warm sensation immediately after insertion
  • Temporary increase in vaginal discharge (this is the pessary dissolving — it is normal and expected)
  • Slight dampness or wetness overnight, which a panty liner will manage

What Are the Less Common Side Effects of Balance Activ Menopause Moisture Plus?

A smaller number of women may experience reactions that are less typical. These are not dangerous in most cases, but they do warrant attention. If any of the following occur and do not resolve quickly, stop using the product and seek advice from your pharmacist or GP.

  • Vaginal itching or redness that was not present before starting treatment
  • A feeling of pressure or discomfort after insertion
  • Unusual or persistent discharge that differs in colour or odour from normal
  • Mild pelvic discomfort

What Are the Serious Side Effects of Balance Activ Menopause Moisture Plus?

Serious side effects are rare with this product. However, you should stop use immediately and seek medical attention if you experience any signs of an allergic reaction. These can include significant swelling of the vaginal tissues, severe itching, a widespread skin rash, or difficulty breathing. Unexplained vaginal bleeding at any point during or after treatment should always be assessed by a GP promptly, as it may indicate an unrelated condition requiring investigation.

What Should You Do If You Experience Side Effects?

For mild side effects such as temporary irritation or increased discharge, you may simply wish to continue and monitor whether the symptoms settle after the first couple of nights. If irritation persists or worsens, stop using the pessaries and speak to your pharmacist — they can advise whether to continue, switch to an alternative product, or refer you to your GP. Never ignore symptoms that feel unusual or that are getting worse rather than better.

Can Balance Activ Menopause Moisture Plus Interact With Other Medicines?

No significant systemic drug interactions are currently documented for this product, as it acts locally within the vagina and is not absorbed into the bloodstream in meaningful amounts. However, you should avoid using other vaginal preparations at the same time unless specifically advised by a healthcare professional, as combining products may cause irritation or make it harder to assess which product is responsible for any reaction. Always inform your pharmacist of any other vaginal treatments you are using.

If you are concerned about any side effects, contact your pharmacist or GP immediately.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

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