Vaginal Estrogen: Preventing Dryness, UTIs, and Tissue Changes with Age

Learn how vaginal estrogen works, why it is recommended in your late 30s and beyond, and how it helps prevent dryness and urinary tract infections.

Vaginal estrogen is a cream that replaces estrogen to the vulva and vagina. As people with a vulva age, the amount of estrogen that is going to the tissue naturally decreases. This can also happen for patients taking testosterone.

Decreased estrogen in the vulva can lead to dryness, difficulty with orgasm, decreased libido, frequent urination or the urge to urinate, and frequent urinary tract infections.

These symptoms can start as early as the late 30s for a patient.

Why Start Vaginal Estrogen Early?

It has become standard of care to introduce vaginal estrogen to patients in their late 30s, even if they are not experiencing symptoms yet. Vaginal estrogen can maintain the normal healthy tissue instead of repairing it in the future.

There are no patients that cannot have vaginal estrogen, even if they cannot have estrogen in other forms. Vaginal estrogen only works locally on the vaginal tissue, not all over the body.

How to Use Vaginal Estrogen

For the first two weeks, you apply the cream every day. After that, it is only 3 times a week. This can and should be used for the remainder of a patient’s lifespan to prevent complicated UTIs.

Vaginal Estrogen Care in Greensboro and Across North Carolina

Haven Health provides vaginal estrogen counseling and prescriptions in Greensboro, North Carolina and by telehealth across the state for patients experiencing dryness, urinary symptoms, or changes related to aging or testosterone use.

Many patients are not told that vaginal estrogen is a standard part of preventive care starting in their late 30s. Haven Health focuses on maintaining healthy tissue before symptoms become severe.

Patients from Greensboro, High Point, Jamestown, Oak Ridge, Summerfield, Kernersville, and surrounding Guilford County communities visit Haven Health for compassionate reproductive and menopausal care.

If you live anywhere in Winston-Salem, Charlotte, Raleigh, Durham, Asheville, Wilmington, or anywhere in NC, you can meet with a provider virtually and have your prescription sent to your local pharmacy.

Haven Health provides patient-centered, evidence-based care both in person and online across North Carolina.

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