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estrogens, es-troe-jenz, hormones produced by the body, among other things, estrogens help develop and maintain female organs, when my body is in short supply, this hormone, replacing it can ease uncomfortable changes that occur, vagina, vulva, female genitals, urethra, part, the urinary system, conditions that are treated with vaginal estrogens include a genital skin condition, vulvar atrophy, inflammation, the vagina, atrophic vaginitis, inflammation, the urethra, atrophic urethritis, estrogens work partly by increasing a normal clear discharge from the vagina and making the vulva and urethra healthy, using, applying an estrogen relieves, lessens, dryness and soreness, vagina, itching, redness, soreness, the vulva, feeling an urge to urinate more often then is needed, experiencing pain while urinating, pain during sexual intercourse when used vaginally, the skin, most estrogens are absorbed into the bloodstream and cause some, the same effects as when they are taken by mouth, estrogens used vaginally at very low doses for treating local problems, the genitals and urinary system will not protect against osteoporosis , stop the hot flushes caused by menopause , estrogens for vaginal use are available only with a physician's prescription, dosage forms vaginal, conjugated estrogens, cream, estradiol, cream, insert, ring, estrone, cream, suppositories, using the medicine, weighed against the good it will do, for vaginal estrogens, allergic reaction to estrogens, to parabens, allergic to any other substances, foods, preservatives, dyes, estrogens are not recommended for use during pregnancy, an estrogen, diethylstilbestrol, des, that is no longer taken for hormone replacement, serious birth defects in humans and animals, when breast-feeding , use, is not recommended in nursing mothers, estrogens pass into the breast milk and may decrease the amount and quality, breast milk, children estrogen therapy has been used for the induction, puberty in adolescents with some forms, pubertal delay, safety and effectiveness have not otherwise been established, elderly people are especially sensitive to the effects, estrogens, this may increase the chance, side effects during treatment, especially stroke, invasive breast cancer, memory problems, an interaction might occur, change the dose, using any other prescription, nonprescription, over-the-counter, otc, other medical problems, estrogens, any other medical problems, asthma, epilepsy, heart problems, kidney problems, migraine headaches, estrogens may worsen these conditions, blood clotting problems, worsening, a blood clotting condition is unlikely, some doctors do not prescribe vaginal estrogens for patients with blood clotting problems, a history, certain cancers, cancers, the breast, bone, uterus, active, suspected, estrogens may interfere with the treatment, breast, bone cancer, worsen cancer, the uterus when these conditions are present, diabetes mellitus, sugar diabetes, estrogens may alter my body's response to sugar, in my diet, endometriosis , fibroid tumors, the uterus, estrogens may worsen endometriosis , increase the size, fibroid tumors, gallbladder problems, gallstones, estrogens may increase my chance, getting a gallbladder attack, hepatic hemangioma, estrogens may worsen this this medical problem, hypercalcemia, too much calcium, in my blood, estrogens may worsen this this medical problem, hypertriglyceridemia, too much triglycerides, in my blood, estrogens may increase, chance, getting pancreatitis, other side effects, hypocalcemia, too little calcium, in my blood, a physician should treat the low calcium, in my blood before starting estrogen therapy, irritation, infection, the vagina, usually estrogens decrease infections, irritation, the vagina, sometimes these conditions may become worse, liver disease , severe, estrogens may worsen the condition in some cases, many doctors recommend vaginal use, estrogen because it has less effect on the liver than when estrogens are taken by mouth, lupus erythematosus, systemic, sle, estrogens may worsen this this medical problem, physical problems within the vagina, narrow vagina, vaginal stenosis, vaginal prolapse, estradiol vaginal insert, more likely to slip out, place, cause problems, irritation, the vagina, porphyria, estrogens may worsen this medical problem, thyroid problems, underactive thyroid, estrogens may alter my body's response to my thyroid medication, a physician may alter the amount, thyroid replacement, take while on estrogen therapy, vision changes, sudden onset including, bulging eyes, double vision, migraine headache, vision loss, partial, complete, estrogens, these problems, had, unusual genital, vaginal bleeding , unknown causes, estrogens may delay diagnosis, worsen the condition, the reason for the bleeding should be determined before estrogens are used, vaginal estrogen products usually come with patient directions, read them carefully before using this medicine, wash my hands before and after using the medicine, keep the medicine out, eyes, does get into my eyes, wash them out immediately, with large amounts, tap water, eyes still burn, painful, use this medicine, directed, it for a longer time, it can take up to 4 months to see the full effect, the estrogens, a physician may reconsider continuing my estrogen treatment, may lower my dose several times within the first one, two months, every 3 to 6 months after, sometimes a switch to oral estrogens, required for added benefits, for higher doses, when using the estradiol vaginal insert, will need to replace it every 3 months, remove it after 3 months, for vaginal creams, suppositories vaginal creams and some vaginal suppositories are inserted with a plastic applicator, directions for using the applicator are supplied with my medicine, do not see my dose marked on the applicator, ask my health care professional for more information, to fill the applicator for cream dosage forms, break the metal seal at the opening, the tube by using the point on the top, the cap, screw the applicator onto the tube, squeeze the medicine into the applicator slowly until, measured properly, remove the applicator from the tube, replace the cap on the tube, to fill the applicator for suppository dosage form, place the suppository into the applicator, to place the dose using the applicator for cream and suppository dosage forms, relax while lying on my back with my knees bent, stand with one foot on a chair, hold the full applicator in one hand, slide the applicator slowly into the vagina, stop before it becomes uncomfortable, slowly press the plunger until it stops, withdraw the applicator, the medicine will be left behind, vagina, to care for the applicator for cream and suppository dosage forms, clean the applicator after use by pulling the plunger out, the applicator and washing both parts completely in warm, soapy water, hot, boiling water, rinse well, after drying the applicator, replace the plunger, for vaginal insert dosage form, to place the vaginal insert, relax while lying on my back with my knees bent, stand with one foot on a chair, pinch, press the sides, the vaginal insert together, between my forefinger and middle finger, with one hand, part the folds, skin around my vagina, slide the vaginal insert slowly into the upper third, vagina, stop before it becomes uncomfortable, the exact location is not too important, it should be comfortable, seems uncomfortable, then carefully push the vaginal insert higher into the vagina, to remove the vaginal insert, stand with one foot on a chair, slide one finger into the vagina and hook it around the closest part, the vaginal insert, slowly pull the vaginal insert out, dispose, the vaginal insert by wrapping it up and throwing it into the trash, do not flush it down the toilet, vaginal estrogens will be different for different women, follow a physician's orders, the directions on the label, the average doses, dose is different, for conjugated estrogens, for vaginal, dosage form, cream, for treating a genital skin condition, vulvar atrophy, inflammation, the vagina, atrophic vaginitis, adults: 0.3 to 1.25 milligrams, conjugated estrogens, one half to two grams, cream, inserted into the vagina once a day, as directed by a physician to achieve the lowest dose possible, usually a physician will want, use this medicine for only three weeks, each month, three weeks on and one week off, for estradiol, for vaginal, dosage form, cream, for treating a genital skin condition, vulvar atrophy, inflammation, the vagina, atrophic vaginitis, adults: 200 to 400 micrograms, mcg, estradiol, two to four grams, cream, inserted into the vagina once a day for one to two weeks, decreasing the dose by one half over two and four weeks, after four weeks, ask, use the medicine less often, 100 mcg, one gram, cream, one to three times a week, for only three weeks, each month, three weeks on and one week off, for vaginal, dosage form, insert, for treating a genital skin condition, vulvar atrophy, inflammation, the vagina, atrophic vaginitis, in postmenopausal women, inflammation, the urethra, urethritis, in postmenopausal women, adults: 2 milligrams, estradiol, 7.5 mcg released every twenty-four hours with continuous use, replaced every three months, for estrone, for vaginal, dosage form, cream, for treating a genital skin condition, vulvar atrophy, inflammation, the vagina, atrophic vaginitis, in postmenopausal women, adults: 2 to 4 milligrams, estrone, two to four grams, cream, inserted into the vagina once a day, as directed by a physician, for vaginal, dosage form, suppository, for treating a genital skin condition, vulvar atrophy, inflammation, the vagina, atrophic vaginitis, in postmenopausal women, adults: 250 to 500 micrograms, mcg, inserted into the vagina once a day, as directed by a physician, missed dose when using the suppository, cream several times a week: if you miss a dose, and remember it within 1, 2 days, the missed dose, use the missed dose, almost time for my next dose, skip the missed dose, back to my regular dosing schedule, do not double doses, when using the cream, suppositories more than several times a week: if you miss a dose, possible if remembered within 12 hours, the missed dose, almost time for my next dose, skip the missed dose, back to my regular dosing schedule, do not double doses, keep out of a child's reach, store away from heat and direct light, keep the medicine from freezing, do not keep outdated medicine, medicine no longer needed, discarded medicine is out of a child's reach, precautions, know the side effects, a physician check my progress at regular visits to make sure this medicine does not cause unwanted effects, plan on going to see a physician every year, some doctors require visits more often, not yet known whether the use, vaginal estrogens increases the risk, breast cancer in women, regularly check my breasts for any unusual lumps , discharge, report any problems to a physician, should also have a mammogram, x-ray pictures, the breasts, done if a physician recommends it, the chance is low, estrogen may increase my chance, getting cancer, the ovary, uterus, womb, regular visits to my health professional can help identify these serious side effects early, pregnant, stop using the medicine immediately and check with a physician, using this medicine before having any laboratory test, some test results, affected, for vaginal creams, avoid using latex condoms, diaphragms, cervical caps for up to 72 hours after using estrogen vaginal creams, certain estrogen products may contain oils, creams that can weaken latex, rubber, products and cause condoms to break, leak, cervical caps, diaphragms to wear out sooner, check with my health care professional to make sure the vaginal estrogen product you are using can be used with latex devices, is often used at bedtime to increase effectiveness through better absorption, vaginal creams, suppositories will melt and leak out, the vagina, a minipad, sanitary napkin will protect my clothing, tampons, like those used for menstrual periods, they may soak up the medicine and make the medicine less effective, avoid exposing my male sexual partner to my vaginal estrogen cream, suppository by not having sexual intercourse right after using these medicines, male partner might absorb the medicine through his penis if it comes in contact with the medicine, for estradiol vaginal insert, not necessary to remove the vaginal insert for sexual intercourse unless desired, do take it out, accidentally slips, comes out, the vagina, can replace the vaginal insert, vagina after washing it with lukewarm water, never use hot, boiling water, slips down, gently push it upwards back into place, replace the vaginal insert every 3 months, side effects, the risk, any serious adverse effect is unlikely for most women using low doses, estrogens vaginally, even women with special risks have used vaginal estrogens without problems, side effects occur, breast pain, enlarged breasts, itching, the vagina, genitals, headache, nausea, stinging, redness, the genital area, thick, white vaginal discharge without odor, with a mild odor, feeling, vaginal pressure, with use, estradiol vaginal insert, vaginal burning, pain, with use, estradiol vaginal insert, unusual, unexpected uterine bleeding, spotting, side effects may go away during treatment, body adjusts to the medicine, side effects continue, bothersome, abdominal, back pain, clear vaginal discharge, usually means the medicine is working, many women, using estrogens with a progestin, another female hormone, will start having monthly vaginal bleeding , similar to menstrual periods, again, this effect will continue for as long as the medicine is taken, monthly bleeding will not occur in women who have had the uterus removed by surgery, total hysterectomy , other side effects, brand names some commonly used brand names are, estrace, estring, premarin, oestrilin, premarin,



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