Vaginal Estrogen
What is vaginal estrogen?
Vaginal estrogen is a low-dose hormone treatment applied directly in the vagina. It comes as a cream, small tablet, or vaginal ring. Unlike hormone pills or patches, vaginal estrogen works locally, restoring the natural moisture, elasticity, and thickness of vaginal tissues with minimal absorption into the bloodstream.
As estrogen levels drop, many people experience Genitourinary Syndrome of Menopause (GSM):
- Vaginal dryness, burning, or itching
- Pain or bleeding with sex
- Frequent or burning urination
- More urinary tract infections
These symptoms are very common in women in their 40s, 50s, and beyond. Vaginal estrogen is one of the most effective treatments.
What is vaginal estrogen?
- A low-dose hormone treatment placed in the vagina
- Restores the natural thickness, elasticity, and moisture of vaginal tissue
- Normalizes the pH of the vagina which reduces infections
- Works locally (at the skin level), with very little hormone entering the bloodstream
Benefits
- Relieves dryness and irritation; Restores vaginal comfort and moisture
- Makes sex and/or pessary use more comfortable
- Lowers risk of recurrent urinary infections (standard of care in UTI prevention)
- Improves bladder symptoms like urgency and frequency
- Can improve urethral thickness which decreases leakage with exertion
How is it used?
- Tablet/insert: daily for 2 weeks, then twice a week
- Ring: placed in the vagina, replaced every 3 months
- Cream: applied a few times per week
Dr. Stearman and her team will help pick the right option for you.
Safety: What recent research shows
- Very low absorption in the body compared with hormone pills or patches
- No increased risk of heart disease, stroke, or blood clots
- Endometrial (uterine) safety: not linked with cancer when used at low doses
- Breast cancer: most studies show no clear increase in recurrence; if you have a history of breast cancer—especially if taking aromatase inhibitors—discuss with your oncology team first
- No increased risk to use with a family history of cancer or clotting abnormalities
When to call your doctor
- New or unexpected vaginal bleeding
- History of estrogen-sensitive breast cancer (ask before starting)
- Severe liver disease or other serious health conditions
Alternatives
- Lubricants (for sex)
- Moisturizers (regular use for dryness)
- Other prescription options (such as vaginal DHEA or ospemifene)
Key Takeaway
Vaginal estrogen is safe, effective, and the best treatment for moderate to severe vaginal or urinary symptoms of menopause. For most people, it provides relief with minimal risks.
Vaginal Estrogen in Oklahoma City – What to Expect
At our Oklahoma City urology practice, we specialize in caring for women in perimenopause and menopause. Vaginal estrogen is one of the most effective treatments we offer for GSM. During your visit, we will:
- Review your symptoms and history
- Discuss treatment options (hormonal and non-hormonal)
- Personalize your vaginal estrogen plan if appropriate
Quick Answers
- What is vaginal estrogen? A local low-dose hormone treatment for vaginal and urinary symptoms of menopause.
- Is it safe? Yes, most women tolerate it well with minimal risks.
- Does it increase cancer risk? Not in most women; survivors of estrogen-sensitive breast cancer should consult their oncologist.
- How fast does it work? Many women feel relief within weeks.
- Where can I get it in Oklahoma City? From a women’s health urologist specializing in menopause care.
Call to Action
If you are struggling with vaginal dryness, painful sex, or urinary problems in perimenopause or menopause, schedule an appointment with our Oklahoma City urology team today. Vaginal estrogen may be the safest, most effective option for you.
Disclaimer
The information on this website is for educational purposes only and is not medical advice. Use of this site does not create a doctor–patient relationship. If you have a medical concern, please consult a qualified healthcare provider. In case of emergency, call 911 immediately.