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Estradiol vaginal creamEstradiol vaginal cream
Support Women's Health

Estradiol

Can support vaginal tissue as estrogen declines with age.

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Why Estradiol

Estrogen production declines over time. Estradiol can help restore it.

With estradiol cream
Without estradiol cream

After menopause, vaginal tissue thins and becomes fragile. In a trial of 550 postmenopausal women, low-dose estradiol cream significantly restored tissue health compared to a placebo cream.

Source: Kroll et al., "A Randomized, Multicenter, Double-Blind Study to Evaluate the Safety and Efficacy of Estradiol Vaginal Cream 0.003%," Menopause (2018)

Women also reported real improvements in daily comfort. Pain during intercourse decreased at weeks 8 and 12. Vaginal dryness improved by week 12. Vaginal pH dropped by 1.36 points versus 0.53 with placebo.

Source: Kroll et al., Menopause (2018) & Archer et al., Journal of Women's Health (2018)

At low doses, it has less systemic absorption compared to oral estrogen and no demonstrated increase in risk of breast cancer, heart disease, or blood clots.

Source: Biehl et al., "A Systematic Review of the Efficacy and Safety of Vaginal Estrogen Products," Menopause (2019) & Pinkerton, "Hormone Therapy for Postmenopausal Women," NEJM (2020)

Estradiol mechanism of action

Replenish estrogen. Restore vitality.

Estradiol works locally on vaginal tissue. This can support tissue health, sexual function, and urinary health.

  1. Step 1 illustration

    Step 1

    Estrogen delivered locally

    Estradiol cream is applied directly to vaginal tissue. It absorbs locally, with decreased risk of elevating estrogen levels elsewhere in the body.

  2. Step 2 illustration

    Step 2

    Tissue revitalized

    Vaginal, urethral, and bladder tissue absorbs estradiol locally. This can help restore epithelial thickness, moisture, and acidic pH.

  3. Step 3 illustration

    Step 3

    Healthy pH restored

    As acidic pH returns, Lactobacillus can thrive again. This protective bacteria may help ease dryness, painful sex, recurrent UTIs, and incontinence.

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About Estradiol

What to know

Estradiol cream (generic for Estrace®) is an FDA-approved topical estrogen prescribed for certain symptoms related to menopause, including vaginal dryness and painful sex.

Estradiol vaginal cream

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