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Vaginal estrogen FAQ and options
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- Опубликовано: 18 авг 2024
- Vaginal estrogen 101.
Vaginal estrogen is not systemic (in the body) estrogen.
It is much lower dose.
And very very safe.
We discuss why and when to use it and the options on the market.
This is not personal medical advice.
Thank you! I’m in the Uk 🇬🇧 50 years old and couldn’t work out why everything down below had disappeared! I don’t recognise my own body. I have zero libido, Vaginal atrophy. My bladder leaks, I’ve had pain on urination for a month now. Urgency, pain so I’ve barely left the house. I feel I’ve lost my identity all because of my vulva changes. I can’t even feel my labia manora. Why does nobody tell us about this? It should be part of our education at school level. I’ve learned so much in 20 minutes. ♥️
Couldn't agree with you more!
Completely agree x
Lord Jesus, please touch this child of yours and give her the relief she desires, help her find a provider who will treat her condition and help restore her female health. Help her in Jesus name Amen
May I ask you a totally inappropriate question that is none of my business? 😀 Are you by chance married? If so, I have advise for your husband. Sorry for the strange question.
You aren't alone. Women don't talk about this because our mothers sure didn't! They didn't know what to do. So SAD! I want to learn everything I can so I can help others and point them in the right direction for a happy solution.
I just started using it at age 72. Sure wish someone (doctor) had told me sooner! Game changer!!
I know!!! Better late than never🙏🏻🙏🏻🙏🏻
So much valuable info. I had went through menopause without realizing it & was not sexually active for 5 years. By the time I was, I was 52 & had awful painful sex. My dr should’ve recommended vaginal estrogen. Sadly, he did not. So now I have such bad atrophy. Hope this this be reversed.
Sex became very painful by 50. My GP said I was “dryer than many 70 year olds”. I use Premarin estrogen cream and have a happy and healthy sex life. I’m 74 and hubby is 80!
This is a really really great overview. I'm an Admin for a support group that focuses on this subject, and this is one of the best and fairly concise overviews I've seen. Thank you Dr. Casperson - I'll be sharing this far and wide.
Thank you so much!!!
Cindy, you are not kidding! Wow! I think every gynecologist and urogynecologist need to watch this video! They could learn a thing or two or three or four! Jam-packed with incredibly helpful info!
@@LoveABun So glad you found it helpful!
Thank you for posting in the group! You’ve been so helpful!
So important! Thank you, must discuss with my Doc.
I wish I would have found you a year ago. This is hands-down the most information on vaginal atrophy I have heard....and with numerous UTI's and pain I am so thankful you made this for those of us suffering......BRAVO....Thank you a million times over♥️
SO SO glad!! You got this!
My healthcare providers sure didn't go into all this for me. Have to say I am upset about that.
Thank you… so glad I found you on here. I’m off to see my doctor tomorrow! Although I’m gutted as I’m one of those women you mentioned who has reached her mid 60’s, found the love of my life but sex is so painful. I hope and pray it’s not too late for me 🙏
I found this podcast from a recommendation in a fb support group and it has saved my peace of mind, and possibly my marriage. I just started experiencing vaginal atrophy this year and thought my sex life was over. Menopause has left me feeling so broken, old and used up. Thank you so much for straightforward, clear and no nonsense information. I have just been given a rx for vaginal estrogen but when I read the medication insert I was scared out if my mind. I am so grateful to have found someone who understands where I am in life and can provide information to help me navigate this next stage. Thank you. Thank you.
Omg!! The same thing happened to me! I got the suppository and the side effects handouts reads like a horror movie
Thank you for this information. My concern was using estradiol cream without progesterone. My Obgyn prescribed me estradiol cream last year but I was afraid of cancer so I didn't use it but this year I decided I needed it because of vaginal atrophy. I picked up the cream last week but haven't used it. After listening to this information I feel confident to start using it today. Thank you so much ❤
Omg, this is such good information, THANK YOU. I’m so happy that I have found some fabulous physicians on social media who are spreading the word about hrt. I’ve been taking vag cream for about a month (55 years old, peri still) and even with thorough education about it from my nurse practitioner, I learned even more.
Oh wow! I felt like you were talking about me n my virgina! I had all the above mentioned in my late 50s and I didn't know about hrt/ vaginal atrophy etc. It wasn't until I was 62 that I went to my GP and told her all about my symptoms. She said menopause is like a dog with a broken leg and it need to be fixed! I'm now on hrt and I have used vagiraux for viginal atrophy it's fantastic I'm starting to feel like myself again. That is cutting a long story short. Thankyou I love you!! Ps ladies do not suffer I. Silence as I did. The more we share and talk about our experiences the more the world is listening and helping. Xxx
Im just trying to fathom out what i was prescribed rhia week. I live in Spain so i wasnt 100% sure I understood everything. However, Im so glad Im here as I was given 3 tubes and totally free of charge.
Thank you so much, I now understand so much about getting my vagina healthy and keeping it healthy and functional for sex at age 53. I have been suffereing with so many symptoms and doctors did not tell me any of this education. You are an angel!
Thanks! Happy to help!
Your videos are so informative. I am 55 years old almost 5 years post menaupose. Suffering from recurrent UTI since last 6 months. Was treated by lots of physicians with antibiotics. Lastly visited a gynaecologist on Urologist advice. She has prescribed me with vaginal estrogen cream. Hope this medication will improve my postmenauposal recurrent UTI related issues.
How are you doing now?
So much great information. I cannot believe I am so ignorant on this topic. Any woman in her forties seen by a GP should be made aware. Thank you so much.
You’re not ignorant…uninformed because our doctors are not well-educated on Menopause…sadly. Plus, they are scared of being sued due to that criminal WHI “study”.
This video is SUUUPER helpful! I'm a 37 y/o breast cancer survivor on Tamoxifen which has put me into early menopause many years before my time (yay.....). My fiance and I have not been able to be intimate for almost a year because it is SO painful. I only recently found out that topical estrogen could help reverse the damage caused by Tamoxifen and feel like my sex life could be saved!! My OB approved the estrogen and I picked up my first tube today... Can't wait to get started! And thank you for the tips on the application. Totally makes sense to apply it to the outer areas that need it most. I had been having unexplainable UTI-like symptoms but my urine cultures came back normal and nobody ever told me low estrogen could be the culprit!
You never did research on Tamoxifen before taking it???
Same here!!! And the worse part, doctors won’t tell you the simple truth, it’s estrogen deficiency! Not just a Uti. Get some estrogen in you. My urologist just looked at me confused and said you want OAB medication? Nooooooo, I want actual relief addressing the problem not the symptoms.
Best ever information I have come across. Wish I had found you five yrs ago, you make such good sense, very informative, wish the doctors knew this, I'm in the uk. And I ask myself why womens health is still not a priority. In the 80s, and I am not joking after trying different birth control options that didn't work, my doctor joked that I should try celibacy! In my early 60s, I have had so many uti's and the only information for that was antibiotics. I thought that my sex life had come to an end. Recurrent utis just stops one from having sex as it makes one nervous that you will get a uti. Thank you for such information as it makes sense. Thank you for making womens lives better. I hope this information will spread and hope it won't take another ten yrs to get to the local doctor as they are decades from knowing this
Oh my you are a goddess! I just started the hormone cream and you've answered soooo many questions! I'm 76 and I wish id been told this 10 yrs ago. Thank you!
Oh joy. Those of us ladies who suffer from Interstitial Cystitis already deal with the urgency & frequency. So now we get to look forward to even more of that in the future. 😣
I LOVE THIS VID..how come nobody tells you about this when your younger.its only ever the word menopause that is mentioned. There is so much more to end of periods.
Thank you xx
I am in Australia, I had Breast Cancer 12 years ago and had mastectomy, Chemo and hormone blocking meds, I started to have trouble with peeing at least 3/times a night finally my Gyno suggested Estro cream and it solved my problem she wasn’t worried about the hormone treatments with my history !
Thank you, so much! Incredibly informative!
I’m 56 and visited my doctor last month due to pain during sex. I wish I saw this video before my visit as I’m now on VagiFem, however I now know what to ask for, should this not work for me. I really wanted the ring, however insurance didn’t care as much about my vagina, so here we are. I was very happy to hear about all the added benefits for using local estrogen. AND LADIES - why do we not talk about these things more? My mother didn’t share anything with me about menopause or the aftermath. I have a daughter and arm her with all the details to prepare her for what’s ahead. She can be proactive and hopefully avoid some of the issues that come during this time. Thanks for the video - appreciate you!
Hello fellow menopausal lady, I have started speaking with my daughter about it. I’m most definitely having the talk about HRT and her future. It is up to us others, sisters, friends, to,pass the word.
Question - if vaginal cream is not systemic why do people complain about their boobs getting sore and their mood being affected? That’s the thing that does not make sense to me. Thank you.
Because they are probably also taking SYSTEMIC HRT. If not, hormonal shifts happen during peri-and post-menopause.
This was the BEST information I have ever heard on this subject.
I just learned amazing information! Thank you!! Why don’t all OBGYN doctors give informative information like this??! I absolutely LOVE how you explained “Everything “! You have really and truly taught me a lot!! Thank you!!
They, sadly, only receive about 1 hour of “education” on Menopause. Plus, the criminal “study” WHI scared women and doctors.
I’m so happy I found you! Love the way you are so direct and clear. I’m 53 and feeling things changing. Vaginal estrogen is on the agenda for my next visit to the OB/GYN.
Thank you so much. So much more information than what is crammed in a 20-minute office visit with my provider.
Thank you Dr. Excellent video, explained everything so well. I have been suffering in ignorance too long!
So glad!!
Thank you! It took me 2 years to get doctors to take care of my vulva! On cream & patch & starting to feel better finally!!
Estradiol has changed my life- thanks so much for this video I was in terrible pain Knowledge is power! Game changer this will change your life ❤
54 & atrophy & UTI’s-all the things- my dr prescribed me Estradiol today but didn’t tell me how often to use it. is it daily? or a cpl times a wk? daily for a wk then bck dwn to the cpl times a wk?
So you use 1 gram every night for 2 weeks then .5 gram twice a week - that’s what my Dr told me - speak with your Dr - I use a small pea size amount now and then on that skin - you’ll be so relieved
I’m so thankful I came across your videos; you help me so much with understanding estrogen and the menopausal stage. I no longer feel like something’s wrong with me and that means everything, so thank you thank you ❤
You wonderful ladies are doing amazing work, giving women hope again to restore a piece of their life without suffering.
This is a wonderful video…I keep coming back to it. Have been using the Estring internally and Estrace externally. Sadly my insurance will no longer cover the ring and $550 is a lot every 3 months. I wish I had been more proactive. Only 57 and 4-5 years post menopause but have significant atrophy. So ladies I definitely agree to start looking into this at 50 and/or peri-menopause!! I’ve been telling all my friends. :) Thankfully 5 months of treatment and I’m feeling improvement.
Estrace is now very affordable in cream form!
@@NY-152 Yes that’s correct I pay very little for the cream. Always have.
Thank you for your honesty and your clarity and presenting this information because many of us are in the dark and our next generation needs to come out of that dark place.
This was a fantastic overview! Learned so much!
Seeing my gyn tomorrow to discuss making changes to my hrt. Last month I experienced the worse bladder discomfort ever! Totally going to add this to my list of things to talk about!
perfect!!
Omg !! Thank you so much for this video. I’ve been struggling for information and advice. You need to go on tour lol come to Scotland I’ll book you a venue 🤩 but seriously thanks 👍
OMG I would totally come to Scotland!
A million thanks. I was told by a gyn that estrogen wouldn’t help me because of my LS. It’s been impossible to get. Can’t wait to find a provider who has her head screwed on straight!!
I have LS & was prescribed Estradiol today.
This is so helpful! I was diagnosed with VA at age 71 and put on Vagifem which didn’t give me the relief I needed. After a bit of coercing, my doctor gave me Premarin cream, 3x a week, with a warning not to go over it. So I've been very timid about increasing my dose if I'm still getting symptoms. I'm wondering what is considered too much estrogen? And what happens in that case? Thank you so much for what you do!
I just turned 63 years old I was put on the vaginal cream hormone replacement cream I guess that’s what it’s called I was so dry before I was put on it but now I feel so good down there it doesn’t hurt no more and I wish I would’ve known about this a little bit younger in my life Sex wouldn’t have been so hurt but God bless doctors like you to explain it to women like me
Awesome info! Thanks for being blunt and real about it❤
Thank you best video! Full of information and also answered a lot of questions.
My gyn dr prescribed estrogen cream but I was lax using it. Then I got a brutal chronic uti. You will have to pry my cream out of my cold dead hands. Thank you again for taking the time to put this information out there. Ladies, listen and start using your estrogen cream now!
i ws jus prescribed it today (atrophy, uti all the things) do i use it daily for a wk? a month? or 2 times a wk?
I am so grateful to have found your videos! Thank you!
I just love listening to her !
She's taught me so much!
Thank god for you Dr Kelly. I am perimenopausal aged 52 and I got my cream today. Was prescribed it as I am just a bit dry and maybe itchy. I had NO idea - and I reckon I am quite good on my perimenopausal journey/medication. I am so sad - to be ageing, the thought of some of my sexual organs literally going away due to lack of oestrogen is mind boggling, and these are the bits that protect my urethra. It is making my eyes sting. UTI's kill women. It is an absolute scandal that we don't know this stuff. Thank goodness for you. I will be buying & applying this cream for the next 30+ years - AND I am still going to be enjoying sex with my husband!
I am watching this 3 years after you published it, I wonder if there are any updates on the decreased incidence of CVD in women using vaginal oestrogen as yet?
I am on combi patch and cream for one month now. My doctor only prescribed the cream once weekly since the start, with the more I learn and Reed that doesn’t seem to be enough.
Post menopause 8 years since last period. 55 yrs old.
Wow, this was so timely!!! Thank you so much for the in-depth explanation. Truly appreciated!!!!!❤️
You are so welcome!
Love you too. That was great. I use the estradiol patch. I’ll have to see if you have a video in that 😊
Compounded is the best 👌 🎉
Thank you for your very informative talk and for saying you love us 😊
Great. I'm 62 and have problems that you've mentioned. GPS are useless. Thanks very much x
This was an awesome explanation. Thank you so so much! 💓
You Are So Welcome!
Oh my gosh! Thank you!! I wish I had found you 5 years ago!
So glad you found me too!
Thank you for this straight forward, informative discussion.
I was full of hope about vaginal estrogen. I’m having rough side effects (mentally) I will call my pharmacist to see if it’s going to go away.
Can I use the suppository AND apply a little of the cream on my vulva and clittoris?
Thank you I suffer with severe GSM and the vaginal Oestrogen cream, intra Rosa has helped me.
Also like that it’s a kin to great skin care
Thank you from my heart ❤️. This is great news and great information.
Thank you so much!! I’ve shared this with many of my friends. ❤
This was incredibly helpful, simple information!! Thanks
You are so welcome!
Thank you. Love this video. Easy to understand. You’re helpful and funny. What are your thoughts on estriol? I’ve heard some use estrogen on face and neck. Is that also safe?
Nope, not recommended.
Thank you so much! This is the best video I’ve seen on this topic!
Simply a big thank you!❤
Thank you so much for sharing this video with us! I was just prescribed this for recurrent UTIs. I sure hope it works!! 😊
Great vid! If you pls, what is the dosing difference between transdermal vs vaginal? Also, the difference in mgs for synthetic estradiol vs biest cream? Thanks again for that great video!
Fantastic video! Educational and funny too. Is there any reason the cream can’t be used everyday - are there any side effects from using too much?
Thanks for this. Great news!!
Super video! You have helped me so much! I'm 71 and battled with UTIs for several years. My problem is I battle with Candida!! I use the vaginal creme 3 times a week and it has helped so much. Can you tell me if this is making my Candida worse? Should I use it less and still get the benefits? I'm taking a antifungal herb and cut out carbs, wine, and sugar in my diet. I hope to hear from you. Thanks!
Wow, what an amazing video! Thank you thank you thank you!
to prevent an increase of the uterine lining basically could get endometriosis. I would really appreciate your expertise on this
Im so thankful for all you do!! Where I live Icant get Vaginal Estradiol but only Vaginal ESTRIOL, I know its weaker. Should I use it in higher doses or does it even work the same?
God bless you, you're awesome! Thank you so much.
Do you use cream on inside and then also rub all over outside twice a week?
Is it ok to use Vagifem along with Divigel? I already use vagifem to target the vaginal issue but still need estradiol gel for other issues. Love your podcasts and your Instagram!! Thanks for providing such great information!!!!
Sure it is.
Thank you so much for your medical advice on such an important topic. Is topical estrogen enough for the labia minora to grow back? If yes, in your experience how long does it take? Is a twice a week application enough?
I don't see them grow back to tell you the truth.
Fantastic video, so informative 👏👏👏
Thank you for this . I am 45 and starting to have symptoms. I am going to start on something. My twin sister has been having symptoms for years before me .
Fabulous. So helpful. Thank you!
You are so welcome!
Excellent information.
This is so amazing. Thank you.
Thank you so very much!
So helpful!!!! Thank you!!!
Thank you so much for this video
You are so so welcome!
Thank you Doctor ❤
Thank you so much, this was very helpful 🙏🏻
Thanks so much for the information
you are so welcome
This was the best video!
I am 59. Had my last period in late 2019. Sex was fine... didn't hurt. Although I've never been able to have an organs outside of oral sex. Anyway sex was fine ( well not painful) until fall of 2020. Explained the pain and my doctor( actually another doc seeing me that day) she had never heard it explained that way and didn't know what was going on. Back then it just was painful just as hubby was entering me then it went away. Not it's just painful the whole time. Last June my own doc said I had VA. Put me on vagifem. Have not seen much difference although been avoiding sex. I'm also using replens. Hubby is getting tired of my saying no, butc that's a whole other story. Anyway so now I am back to vagifem 2x week and going for pelvic PT in a few weeks. According to my doc women see improvement after going for this therapy. Not sure what the heck they're going to do...I'm unconfirmed just talking about this subject. So Dr. Casperson do you think I would have better results with a different product instead of vagifem
Get the cream!
What is the connection between interstitial cystitis and vaginal atrophy?
Woe. Thank you so much. 🙏❤️
I love your videos thank you.
You are so welcome!
Greatest video on vag. Estradiol ever! Sending this to my friends.
I wish I knew the name of this lady. Anyone know? I'd like to follow on Instagram, and see more of her videos.
Wonderful!
Hello, and thank you for this VERY informative video. I’m 10 weeks on pellets and feeling so much better! I’m still having moderate itching and irritation (mostly clitoral area) should I ask my doc for this cream at my next pellet insertion? Will I benefit? It has gotten better with pellets but still somewhat bothersome. I’m using vagisil OTC.
Thank you.
I’m 52 years old.
Wonderful, very helpful video....glad i found it via facebook. 🙂
Who is the speaker? She has really informative information.
Thank you x
I love you!❤ thank you…
Excellent..thankyou!
I've had issues (pain, irritation, yeast) for 3 plus years. I am always on HRT (creams and used to be patched but switched). I use 1 mg at night which is actually part of my HRT amount. The tissues are much better, puffier, etc. but still painful and irritated. :-(
You got this!! thanks for sharing!