My doctor prescribed a low-dose vaginal estrogen cream, applied twice a week, for atrophic vaginitis. I've heard this dose is so low that it carries no health risk. Vaginal estrogen is a very effective treatment for atrophic vaginitis, a condition that's common in postmenopausal women and results from a drop in estrogen levels.
Estrogen loss can lead to thinning atrophy of the cells lining the vagina and urethra. As a result, women may develop vaginal dryness, itching, and pain with intercourse, as well as a high risk of urinary and vaginal infections. Estrogens in any form — oral, transdermal, or vaginal — can help restore mucosal cells and alleviate atrophic vaginitis. But applying estrogen directly to the vagina has several advantages. The overall dose can be lower, and circulating blood "Estrace cream weight gain" of the hormone aren't raised significantly, so breast and endometrial tissues are less exposed.
Circulating estrogen can Estrace cream weight gain the growth of ductal cells in the breast and endometrial cells in the uterus, increasing the risk of breast cancer and endometrial cancer.
In the United States, vaginal estrogen is available in a Estrace cream weight gain of low-dose preparations: These preparations are taken daily in gradually increasing amounts until the therapeutic level is reached, and then twice weekly.
When low-dose estrogen is applied vaginally, you generally don't need a progestin to offset its potentially carcinogenic effects on the endometrium.
So far, it looks as though low-dose vaginal estrogens are safe, at least in the short term. For example, they don't spur any significant growth of endometrial cells when used for up to a year.
The estrogen ring and tablet don't boost blood levels of estrogen significantly. Estrogen levels tend to vary more with creams because it's difficult to measure out a precise low dose using the applicator provided, which is designed for a higher standard dose see "How to get a low estrogen dose using standard vaginal estrogen creams".
The most common side effect of low-dose vaginal estrogen is a clear or milky vaginal discharge. The vaginal estrogen creams on the market in the United States are designed to deliver estrogen at doses higher than those recommended for the treatment of atrophic vaginitis — that is, 25 micrograms mcg of estradiol or 0. A standard dose of Estrace vaginal cream contains mcg "Estrace cream weight gain" estradiol, and a standard dose of Premarin vaginal cream provides 0.
Doses this high are sufficient to raise the level of estrogen in the blood, possibly increasing the exposure of other body tissues and spurring the growth of endometrial cells. You can still use one of these creams to deliver a low dose of estrogen, but you'll need to take less than the amount indicated on the applicator sold with the creams.
Use only as much as you need to be comfortable. This can range from one-half to as little as one-eighth of an applicator of estrogen cream inserted into the vagina daily for the first two to three weeks, then twice a week thereafter. Even with this regimen, it's difficult to determine how much estrogen is absorbed into the bloodstream. There have been studies of low-dose vaginal estrogen beyond one year.
This is a problem because atrophic vaginitis is not a short-term symptom. It can persist indefinitely, long after hot flashes have abated. It's also very common: It's probably safe to continue taking low-dose vaginal estrogen twice a week. But after a year of treatment, talk to your clinician about whether your endometrial tissue should be evaluated.
And if you develop any vaginal bleeding, contact your clinician immediately. If you want to skip estrogen altogether, there non-estrogen moisturizers and lubricants that can help reduce symptoms and ease discomfort during sexual intercourse. The long-acting moisturizer Replens, placed in the vagina up to three times per week, adheres to the vaginal surface, releases water, and produces a moist film over vaginal tissue.
It's also been shown to restore vaginal pH. Water-soluble lubricants, such as Astroglide or K-Y Personal gels and liquids, can
Estrace cream weight gain helpful during intercourse. Harvard Women's Health Watch. How to get a low estrogen dose using standard vaginal estrogen creams The vaginal estrogen creams on the market in the United States are designed to deliver estrogen at doses higher than those recommended for the treatment of atrophic vaginitis — that is, 25 micrograms mcg of estradiol or 0.
Learn the signs of estrogen dominance, the health problems it can cause, and how to lower How Too Much Estrogen Can Mess with Your Weight and Health. My doctor prescribed a low-dose vaginal estrogen cream, applied twice a week, for atrophic vaginitis. I've heard this is so low that it.
Estrace (estradiol) vaginal cream is a preparation of estrogen, a female pain, breast tenderness, headache, weight changes vaginal itching or discharge.