ABOUT THIS EPISODE
Every vaginal estrogen product treats the inside. Only one of them treats the outside.
Last week, I made the case that vaginal estrogen does not stay where you put it. This week, I go through what is actually available, and what each option can and cannot do for you.
We cover the creams, the inserts, the ring, and the one FDA approved product that contains no estrogen at all. One of these treats something none of the others can touch, which is why I keep prescribing it despite the mess.
I also get into compounded formulations and read the ingredient list on a common estradiol cream so you can hear what you are really putting in your body.
In this episode you'll learn…
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Which three vaginal estrogen options carry FDA approval in the United States.
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Why the cream treats external vulvar symptoms the other options cannot.
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What makes cream dosing less precise than inserts and rings.
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Why conjugated equine estrogen cream offers no advantage over estradiol.
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How the softgel insert helps women who struggle with applicators.
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Why stopping inserts for weeks can undo months of symptom control.
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What Estring releases daily and how long it stays in place.
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How four applications a year compare with over one hundred.
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Why the ring suits women who cannot remember twice weekly treatment.
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What conditions make the ring unsafe to insert at all.
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What Intrarosa offers women who cannot use estrogen at all.
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Why daily use turns a local vaginal treatment into whole body therapy.
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How compounded products are regulated despite lacking FDA approval.
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What the ingredient list on a common estradiol cream actually contains.
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Why estriol has recently become popular in the aesthetic world.
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