What it is used for
- Vaginal dryness, itching, and discomfort after menopause
- Pain during sex due to thinning vaginal tissues
- Some recurring urinary symptoms linked to low estrogen
How it works
It delivers a small amount of estrogen directly to the vaginal tissues, restoring moisture and tissue health with very little hormone absorbed into the rest of the body.
How it is taken
Available as a vaginal cream, tablet or pessary, or a slow-release ring placed in the vagina. Use it exactly as your doctor, pharmacist, or label directs, typically more often at first and then less frequently for maintenance.
No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.
Common side effects
- Mild vaginal irritation or discharge
- Itching
- Mild headache
- Breast tenderness (uncommon with local use)
Serious effects — get help
- Unexpected vaginal bleeding
- Signs of a serious allergic reaction
- A new breast lump
If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.
Interactions to watch
- Very few because absorption is mostly local
- Still tell your clinician about all medicines and any history of hormone-sensitive cancer
Who should take care
- Tell your clinician about any history of breast or womb cancer or unexplained vaginal bleeding
- Report any new vaginal bleeding promptly
- It treats local symptoms and is not a substitute for whole-body hormone therapy if you have hot flushes
- Can often be used long term under review