Low-dose local estradiol for dryness, discomfort with sex and urinary symptoms after menopause, prescribed privately.
A low-dose estradiol cream used inside the vagina. Very little reaches the rest of the body.
Nightly for two weeks, then twice a week to maintain. Your provider confirms your schedule.
Women in perimenopause or after menopause with dryness, burning, pain with sex or frequent urinary symptoms.
Tissue recovers gradually. Most women notice a change within four to twelve weeks.
You describe what has changed, in your own words. New or severe pain, or any bleeding, needs an in-person examination first.
A small measured dose each night rebuilds moisture and elasticity. Mild irritation or discharge can happen early.
You drop to a maintenance dose. A plain moisturiser and lubricant still help, and they work well together.
Symptoms return if you stop, because the cause is low estrogen. Your provider reviews it with you every year.
A licensed provider reviews your full history before prescribing anything. This is a summary, not the full prescribing information.
Class warning. All estrogen products carry the boxed warning about cancer of the uterine lining, stroke, blood clots, breast cancer and probable dementia. Studies of low-dose vaginal estrogen have not shown these increases, but the label applies to the whole class, and your provider will talk it through.
FDA-approved vaginal estradiol creams, tablets and rings exist, and your provider may prescribe one of those instead. Compounded medications are prepared by state-licensed pharmacies and are not FDA-approved. This treats dryness and discomfort. It is not a treatment for low desire on its own.
Your membership covers the provider visit, ongoing messaging and the medication where it is prescribed. No insurance needed, and you can cancel any time.
Estradiol vaginal cream$59/moExpected launch pricing. It can vary by state and pharmacy, and your final price is confirmed before you pay. Medication is included only where a provider prescribes it.
It is local. The dose is far lower than systemic therapy and very little is absorbed, so it does not treat hot flashes.
Often, yes. Some women need both. Your provider decides.
In plain, unmarked packaging.
Tell your provider. Pain has many causes, and some need an in-person examination or pelvic floor therapy.
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Read moreShown for illustration. Prescription only. A licensed provider decides whether treatment is right for you. Compounded medications are not FDA-approved. This page is general information, not medical advice, and reading it does not create a provider-patient relationship. If you are having a medical emergency, call 911.
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