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Dr. Sharon Malone
August 11, 2022

Hot Take: Estrogen Vaginal Cream

Here’s why you might want it.

Unlike systemic estrogen, the contraindications to topical estrogen are almost nonexistent.

Do I need estrogen cream?

Good question. Even if you do not you have hot flashes, mood swings, irritability or any of the other thirty plus non-vaginal symptoms of menopause, you might still benefit from topical estrogen. Vaginal dryness, painful intercourse, itchy and burning vulvas, urinary frequency, urgency and frequent UTIs are common symptoms of genitourinary syndrome of menopause (GSM). But did you know that you don’t actually have to be in menopause to experience these symptoms? Any low estrogen state including breastfeeding, chemotherapy, and some hormonal birth control options can produce the same symptoms.

The lack of estrogen not only causes thinning of the vaginal, vulvar and urethral tissues, it also changes the pH of the vagina, making it more susceptible to vaginal and urinary tract infections.  Fortunately, the solution is simple. A small amount of estrogen cream used consistently can reverse tissue changes such as thinning and altered pH of GSM. Estrogen cream addresses the root cause of the symptoms, whereas topical lubricants and moisturizers only minimize them. Because you are actually restoring the vaginal, vulvar and urethral tissues to their premenopausal glory, the improvement will start gradually. You should see maximum improvement by 4-12 weeks.

More good news about estradiol cream: it’s bioidentical, and it’s an extremely low-dose. And, unlike systemic estrogen, the contraindications to topical estrogen are almost nonexistent. The dosing of the cream is also very flexible and can be tailored to your particular needs. It can be used inside the vagina or directly on the vulva or urethra to treat symptoms where they are most bothersome. 80% of women will experience symptoms of GSM during and after menopause.  100% of women don’t have to suffer from them.

A Special Discount: 

Explore menopause solutions at Alloy and use the code SAVE25REVEL at checkout for $25 off your first purchase.


Chief Medical Officer at Alloy, Dr. Sharon Malone is among the nation’s leading obstetrician/gynecologists with a focus on the specific health challenges associated with menopause.


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