Vaginal estrogen

Vaginal estrogen is a form of estrogen therapy that is administered directly into the vagina. It is primarily used to treat symptoms of menopause that affect the vagina and the urinary tract, such as dryness, itching, burning, and pain during sexual intercourse.

Uses

Vaginal estrogen is used to manage and treat various conditions related to menopause and decreased levels of estrogen in the body. These include:

• Atrophic vaginitis: This condition, also known as vaginal atrophy, is characterized by thinning and inflammation of the vaginal walls due to a decline in estrogen. Vaginal estrogen can help restore the thickness and elasticity of these tissues.
• Dyspareunia: This is a term for painful sexual intercourse, often caused by vaginal dryness and thinning tissues. Vaginal estrogen can help alleviate these symptoms.
• Urinary tract infections: Postmenopausal women are at a higher risk of urinary tract infections. Vaginal estrogen can help reduce this risk.

Types

There are several types of vaginal estrogen products, including:

• Vaginal ring: The vaginal ring, such as the Estring, is a soft, flexible ring that is inserted into the vagina where it releases a steady stream of estrogen.
• Vaginal cream: Vaginal creams, such as Premarin and Estrace, are applied directly to the vagina using an applicator.
• Vaginal tablet: Vaginal tablets, such as Vagifem, are small tablets that are inserted into the vagina using a disposable applicator.

Side Effects

Like all medications, vaginal estrogen can have side effects. These may include:

• Vaginal bleeding
• Breast pain
• Nausea and vomiting
• Bloating
• Stomach cramps
• Hair loss or hair growth
• Changes in weight or appetite

Precautions

Before starting vaginal estrogen therapy, it is important to discuss your medical history with your healthcare provider. This includes any history of cancer, heart disease, liver disease, or blood clots.

See Also

• Estrogen
• Hormone replacement therapy
• Menopause