Women who need relief for other significant symptoms of menopause, such as hot flashes and night sweats, may erectopeak male enhancement consider hormone therapy with higher doses that raise estrogen levels throughout the body. However, women who do not have those other symptoms of menopause should use vaginal estrogen that concentrates where it is needed and minimizes blood levels as well as possible side effects of estrogen on the rest of the body.
Vaginal estrogen should be used with the lowest effective dose to limit its possible effects on other parts of the body. If the patient has had breast cancer, she should mention this to her physician before using estrogen in any form so that she can adequately weigh her benefits and risks.
Low doses of vaginal estrogen are very effective against pain related to atrophy during intercourse. Restoration of moisture and vaginal health normally occurs within a few weeks after initiation of therapy, although relief of severe vaginal atrophy may take several months.
Vaginal estrogen is available in several forms, for example:
Vaginal creams that are applied in small amounts (0.5 to 1.0 g) in the vagina, 2 to 3 times a week. These products should not be used as a lubricant before a sexual relationship, since the estrogen can be absorbed by the skin of the couple.
The low-dose vaginal ring is inserted into the vagina and used for 3 months before being replaced. It does not need to be removed before sex. This low dose estrogen ring is only designed to treat vaginal dryness and should not be confused with other vaginal rings that release high doses of estrogen for the treatment of hot flashes and other symptoms of menopause.
Vaginal tablets are placed in the vagina twice a week using an applicator (recommended) or a finger. Many women find that these estrogen tablets are nicer than creams.
All forms of vaginal estrogen are equally effective and most of them are associated with minimal side effects, although individual responses of women may vary. Selection should be based on individual preferences, costs, and patient health.
If low dose vaginal estrogen therapy is right for you, you can also use lubricants and moisturizers as needed. Sometimes, after estrogen therapy has restored the vaginal tissues to a healthier state, its use can be discontinued and only lubricants or non-hormonal moisturizers can be used. To maintain the benefit achieved it is important to follow a regular vaginal sexual activity.