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Hormone Delivery - Vaginal Creams

From the Menopause and Hormones Articles List

Hormone Delivery - Vaginal CreamsWhat do I need to know about vaginal creams?


If you are dealing with vaginal dryness, irritation, or burning as a result of no or low estrogen, using a vaginal estrogen cream may be an option for you. Vaginal creams can be helpful whether you are in surgical or natural menopause, and it can be used along with other hormone therapy options.

There are a wide variety of vaginal cream options depending on your specific needs and symptoms. You can buy them pre-made or have them created specifically for you at a compounding pharmacy.

Where do the hormones in vaginal creams come from?


It depends on the cream you choose as to where the hormones originate. There are bio-identical estradiol options which have hormones that are derived from soy or yams, and there is a non-bioidentical option (Premarin) that has hormones derived from equine sources.

What are the benefits of hormones in vaginal cream form?


For more severe vaginal dryness and vaginal atrophy issues, a vaginal cream can be more effective for helping the tissues recover. The creams may also help with some bladder issues such as urgency or irritation with urination.

Because the creams are applied directly to the affected vaginal tissues, you can use a very low dose of hormones with positive results. And because the creams do not tend to have much of a systemic effect, you may be able to use them even if overall estrogen use is discouraged due to your specific circumstances.

Vaginal creams can be created for you in a compounding pharmacy so that the base can be one that works better for you. Having the cream compounded can also allow the dose to be more specific to your needs. Dose can also be controlled by how much and how often the cream is applied.

If an issue develops, vaginal creams can be easily stopped.

What are the disadvantages of using hormones in a vaginal cream form?


Vaginal creams can be a bit messy and cumbersome to use. You may need to wear a panty liner for any that is not absorbed.

As they provide local hormones only, vaginal creams do not treat systemic menopause symptoms or health concerns. Vaginal creams could also cause some vaginal bleeding issues.

It can be difficult to accurately measure vaginal cream doses, so you may use too much or too little.

Because vaginal creams can be spread to your partner, you will need to use them following intercourse. It is also important to thoroughly wash any cream from your hands so you don’t inadvertently spread it to others including your pets.

What's best for me?


If you are experiencing vaginal dryness or vaginal atrophy issues, you may want to ask your doctor about using a vaginal cream. Though a bit messy, this choice can be effective and some options quite affordable.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

10-21-2014 - 06:58 PM


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