WARNING

Estrogen vaginal therapy, typically prescribed in the form of creams, tablets, or rings, carries certain risks that users should be aware of:

• Increased risk of cancer: Long-term use of estrogen vaginal therapy may slightly increase the risk of certain cancers, such as breast cancer, ovarian cancer, and endometrial cancer. However, the risk is generally considered to be low, especially with short-term use.
• Blood clots: Estrogen therapy, including vaginal forms, can increase the risk of blood clots, which can lead to serious conditions like deep vein thrombosis or pulmonary embolism. This risk is higher in women with certain medical conditions or risk factors.
• Endometrial hyperplasia: Estrogen therapy alone, without the use of progestin in women who have not undergone hysterectomy, can lead to thickening of the lining of the uterus (endometrial hyperplasia), which may increase the risk of endometrial cancer.
• Breast tenderness: Some women may experience breast tenderness or enlargement while using estrogen vaginal therapy.
• Nausea and bloating: Estrogen therapy can cause nausea, bloating, and other gastrointestinal symptoms in some users.
• Vaginal irritation: Some women may experience vaginal irritation, itching, or discharge as a side effect of estrogen vaginal therapy.
• Worsening of certain conditions: Estrogen therapy may worsen certain medical conditions such as asthma, diabetes, epilepsy, migraine headaches, and liver disease.

It’s important for individuals considering estrogen vaginal therapy to discuss the potential risks and benefits with their healthcare provider, especially if they have a history of certain medical conditions or risk factors. Regular monitoring and follow-up appointments can help mitigate risks and ensure the therapy is safe and effective.

Why is this medication prescribed?

Estrogen vaginal cream, also known as vaginal estrogen, is prescribed for various reasons, primarily to alleviate symptoms associated with vaginal atrophy or dryness, which often occurs during and after menopause. Estrogen levels decline during menopause, leading to thinning, drying, and inflammation of the vaginal walls, which can cause discomfort, itching, burning sensation, pain during intercourse, and an increased risk of urinary tract infections. Vaginal estrogen helps to replenish estrogen levels locally in the vaginal tissues, thereby relieving these symptoms.

How should this medicine be used?

Estrogen vaginal cream is typically applied directly into the vagina using an applicator. The dosage and frequency of application will depend on the specific product prescribed and the individual’s condition. However, general guidelines for using estrogen vaginal cream may include:

• Wash your hands before and after using the cream.
• Lie on your back with knees bent or stand with one foot elevated on a stool.
• Fill the applicator with the prescribed amount of cream as directed by your healthcare provider.
• Gently insert the applicator into the vagina as far as it will comfortably go.
• Press the plunger to release the cream into the vagina.
• Withdraw the applicator and discard it as per the instructions provided.
• Clean the applicator with soap and warm water after each use.
• Use the cream consistently and according to the prescribed schedule for optimal results.

It’s essential to follow your healthcare provider’s instructions precisely when using estrogen vaginal cream to ensure its effectiveness and minimize the risk of side effects. Additionally, discuss any concerns or questions you have about the medication with your healthcare provider.

Other uses for this medicine

Other Uses for Estrogen Vaginal:

• Treatment of vaginal atrophy (thinning, drying, and inflammation of the vaginal walls) associated with menopause.
• Management of symptoms related to vaginal dryness, itching, and burning caused by hormonal imbalances.
• Some healthcare providers may prescribe estrogen vaginal products for certain gynecological conditions, but it’s essential to use them only as directed by your doctor.

What special precautions should I follow?

Special precautions to follow when using estrogen vaginal cream include:

• Regular monitoring: Your healthcare provider may recommend periodic check-ups to monitor your response to estrogen therapy and assess for any potential side effects or complications.
• Use of lowest effective dose: To minimize the risk of side effects, it’s important to use the lowest effective dose of estrogen vaginal cream for the shortest duration necessary to achieve symptom relief.
• Avoiding certain activities: Avoid using tampons, douches, or vaginal sprays while using estrogen vaginal cream, as these products can interfere with the medication’s absorption and effectiveness.
• Reporting any unusual symptoms: If you experience any new or unusual symptoms while using estrogen vaginal cream, such as vaginal bleeding, abdominal pain, or signs of an allergic reaction (e.g., rash, itching, swelling), contact your healthcare provider promptly.
• Informing other healthcare providers: Make sure to inform other healthcare providers, including dentists and surgeons, that you are using estrogen vaginal cream, as it may interact with certain medications or affect treatment decisions.

By following these precautions and communicating openly with your healthcare provider, you can use estrogen vaginal cream safely and effectively to manage your symptoms.

What special dietary instructions should I follow?

Special dietary instructions for estrogen vaginal therapy are generally not necessary. However, maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins is always recommended for overall health and well-being.

What should I do if I forget a dose?

If you forget a dose of estrogen vaginal therapy, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up. If you are unsure about what to do, or if you miss multiple doses, consult your healthcare provider or pharmacist for guidance. It’s essential to maintain consistent use of estrogen vaginal therapy for optimal effectiveness.

What side effects can this medication cause?

Estrogen vaginal cream can cause side effects, although not everyone experiences them. Some common side effects may include:

• Vaginal irritation: This may include itching, burning, or redness in the vaginal area.
• Vaginal discharge: Some individuals may experience changes in vaginal discharge, such as increased discharge or discharge that appears different in color or consistency.
• Breast tenderness: Estrogen therapy can sometimes cause breast tenderness or enlargement.
• Headache: Some individuals may experience headaches as a side effect of estrogen vaginal cream.
• Nausea: Nausea or stomach discomfort may occur in some individuals.
• Fluid retention: Estrogen therapy can lead to fluid retention, resulting in bloating or swelling in the hands, feet, or ankles.
• Breakthrough bleeding: Some individuals may experience spotting or breakthrough bleeding while using estrogen vaginal cream, especially during the first few months of treatment.
• Mood changes: Estrogen therapy may occasionally affect mood, leading to symptoms such as mood swings or irritability.
• Allergic reactions: In rare cases, individuals may experience allergic reactions to the ingredients in estrogen vaginal cream, resulting in symptoms such as rash, itching, swelling, or difficulty breathing.

It’s important to note that these side effects are not exhaustive, and individual responses to estrogen vaginal cream can vary. If you experience any concerning or persistent side effects while using estrogen vaginal cream, it’s essential to contact your healthcare provider for further evaluation and guidance. They can help determine whether any adjustments to your treatment are necessary or if an alternative approach should be considered.

What should I know about storage and disposal of this medication?

Storage and disposal of estrogen vaginal:

• Storage: Follow the storage instructions provided with your specific estrogen vaginal product. In general, estrogen vaginal creams, tablets, or rings should be stored at room temperature away from moisture, heat, and light. Keep them out of reach of children and pets.
• Disposal: Dispose of unused or expired estrogen vaginal products according to local regulations or guidelines. Do not flush them down the toilet unless instructed to do so. Instead, consult your pharmacist or healthcare provider for proper disposal methods, which may include returning them to a pharmacy or using a drug take-back program.

In case of emergency/overdose

In case of emergency or accidental ingestion of estrogen vaginal products, contact your local emergency services or poison control center immediately. Overdose of estrogen vaginal therapy may cause symptoms such as nausea, vomiting, breast tenderness, vaginal bleeding, or other adverse effects. Seek medical attention promptly if an overdose is suspected.

What other information should I know?

• Keep all appointments with your healthcare provider for regular check-ups and monitoring while using estrogen vaginal therapy.
• Inform your healthcare provider about any changes in your medical history, including new or worsening symptoms, before starting or during treatment with estrogen vaginal therapy.
• Follow your healthcare provider’s instructions carefully regarding the use and dosing schedule of estrogen vaginal products.
• Inform any other healthcare providers involved in your care, such as specialists or dentists, about your use of estrogen vaginal therapy.
• Report any unusual or concerning symptoms, side effects, or changes in your condition to your healthcare provider promptly.
• Avoid using tampons, douches, or other vaginal products while using estrogen vaginal therapy unless advised otherwise by your healthcare provider.
• Estrogen vaginal therapy may interact with certain medications or medical conditions. Inform your healthcare provider about all medications you are taking, including prescription, over-the-counter, and herbal supplements, before starting treatment.
• If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of estrogen vaginal therapy with your healthcare provider before use.

By following these guidelines and staying informed about your treatment, you can use estrogen vaginal therapy safely and effectively under the guidance of your healthcare provider.