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Doctor insights on: Does Anyone Know How Estrogen Creams Relate To Menopause And Bleeding

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Does anyone know how estrogen creams relate to menopause and bleeding?

Does anyone know how estrogen creams relate to menopause and bleeding?

Estrogen & Menopause: Depends on the cream, but about 50% of women after menopause will grow a lining if stimulated by estradiol. Think of Estradiol as a fertilizer. Then we come in with the "lawnmower" which is progesterone, often in a 10-day burst every few months to remove the lining. ...Read more

Dr. Janet Greenhut
1,730 Doctors shared insights

Menopause (Definition)

The absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...Read more


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Will estrogen cream stop/slow progression of moderate cystocele or is it just a matter of time before it totally falls out now that I am post menopause?

Will estrogen cream stop/slow progression of moderate cystocele or is it just a matter of time before it totally falls out now that I am post menopause?

Unclear: It is unclear as to whether estrogen will affect progression of a cystocele. Kegals, losing weight (if needed), not being constipated, staying active without putting repetitive pressure to pelvic floor all will help ...Read more

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I get a migraine right before my period. I just got Estrogen cream (BIH). Should I take it only the day before my period? Will it alter bleeding?

I get a migraine right before my period. I just got Estrogen cream (BIH). Should I take it only the day before my period? Will it alter bleeding?

Menstrual migraine: NSAID therapy may be effective when given the week before and the week during menses. NSAIDs may also be used when traveling or during those special functions that involve increased stress. See an orofacial pain or headache specialist for evaluation and professional management. ...Read more

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Estrogen pessary and progesterone cream, can both be used together to alleviate menopausal dryness and lack of libido? Or is it dangerous combination?

Estrogen pessary and progesterone cream, can both be used together to alleviate menopausal dryness and lack of libido? Or is it dangerous combination?

D/w doctor: Vaginal estrogen cream is usually the treatment of choice for women who have only vaginal dryness, if other symptoms occur then systemic hormones with estrogen and progesterone- (only if uterus is still intact)- are used. A pessary is a device insterted in the vaginal to hold up a bladder or tissue that has fallen down and it does not have any hormones. Women with multiple childbirths may need. ...Read more

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How long does it take a Premarin (conjugated estrogens) cream to work? I am menopausal and sex is painful.

How long does it take a Premarin (conjugated estrogens) cream to work? I am menopausal and sex is painful.

Vaginal estrogen: Vaginal Estradiol takes at least a couple of weeks to change weak vaginal tissue back to a heathy resiliant vagina. I personally prefer to prescribe bio-identical Estradiol (some brand names are Estrace vaginal cream or vagifem vaginal tab or Estring (estradiol) vaginal ring) to restore vaginal health. ...Read more

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Had uti. In menopause. Gynae said oestrogen cream but burns badly vagina. Do I need cream? How help uti? Uti symptoms had gone but cream brought back?

Had uti. In menopause. Gynae said oestrogen cream but burns badly vagina. Do I need cream? How help uti? Uti symptoms had gone but cream brought back?

Not really uti: It is thinning of the skin in the vagina from lack of estrogen. Only estrogen will help. It is possible that the brand of cream might neem a change, but if your urine was checked and gyn said the this was the problem then the cream is the only was to get the vaginal skin inside healthy again. It takes a while and does not work overnight ...Read more

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My doctor prescribed Premarin (conjugated estrogens) vaginal cream because I have recurrent utis. I'm pre-menopausal. Will it help?

Maybe: You're 46, so there is likely to be some vaginal atrophy, though still menstruating so can be limited. I would also consider probiotics for recurrent uti's. The Premarin (conjugated estrogens) cream can't hurt though. It's going to increase vascular growth and the friendly bacteria that need to populate vagina for health, lactobaccilli. Good luck! ...Read more

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I am 45, in menopause using natural progesterone cream at night. Recently I've had mild cramping at night. No bleeding. Progesterone side effect?

I am 45, in menopause using natural progesterone cream at night. Recently I've had mild cramping at night. No bleeding. Progesterone side effect?

Natural P4: Possible but hard to say. If you mean otc 'natural progesterone' cream from a health nutrition store, none actually contain any progesterone. They're plant compounds that claim 'progestational activity.' in studies I've seen most, especially the mexican yam products, have estrogenic activity instead! Creams can be made from micronized progesterone, and these are more predictable. ...Read more

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What causes hematometra cervix stenosis post-menopausal? Pelvic pain. Ultrasound no thickening. No bleeding. Could it be estrogen deficiency? Worried

What causes hematometra cervix stenosis post-menopausal? Pelvic pain. Ultrasound no thickening. No bleeding. Could it be estrogen deficiency? Worried

Pelvic pain: If you have not already done so you must discuss this with your gynecologist. If you are still not satisfied you might seek a second opinion. Gynecologists know what they are doing - at least the ones with whom I interact. ...Read more

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Is it okay to take estrogen after age 80 if it's been taken since menopause?

Is it okay to take estrogen after age 80 if it's been taken since menopause?

YES IT IS OK: If you have been taking it for symptoms of menopause.At age of 80 there is no reason why you can not continue. Discuss with your doctors. ...Read more

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How does estrogen stop bleeding in acute uterine bleeding?

How does estrogen stop bleeding in acute uterine bleeding?

No, tends to ↑ bleed: Because it stimulates growth of underline lining. Conversely, progesterone, which triggers maturation of uterine lining, not growth, tens to stop bleeding. However both of slow onset to alter behavior because, like all steroids (derivatives of cholesterol) they alter transcription of genes within cell nuclei & there is typically a 12 to 24 hour delay before changes become apparent. ...Read more

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Is estrasorb the only non synthetic estrogen available for menopause symptoms?

No: Please try to ignore synthetic argument when it comes to medications. Everything is synthetic unless you pick it off tree or pull it off ground or kill animal. Even clover, soy & yam have to be synthesized into hormone product. Check out my discussion at http://alvinblin. Com/2013/04/new-drug-big-pharma-goes-bio-identical. Html. In meantime, Divigel is only plant-based estrogen made by bigpharma. ...Read more

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I'm surgicaly in menopause and on estrogen. I have been really tired. I get B12 shots monthly. Please help.

I'm surgicaly in menopause and on estrogen. I have been really tired. I get B12 shots monthly. Please help.

Titration: There are myriad reasons to be tired. From the estrogen point of view, if you are on estradiol, we can check the blood level to see if the dosage is appropriate. For other types of estrogen, take a higher dosage as long as you don't have side effect. You should see the difference in a month. ...Read more

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Very tired, headache and cold - my dr. Upped my estrogen - will the new dosage make me feel better soon- I'm in menopause?

Very tired, headache and cold - my dr. Upped my estrogen - will the new dosage make me feel better soon- I'm in menopause?

Possibly: They say that Progesterone makes you sleepy and estrogen wakes you up. So, let's hope the new dosage may make you fell better. Knowing how many periods you've missed for how long will be helpful to see if you are in menopause (also having night sweats, flushing and other symptoms are also indicators). ...Read more

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Sleep study showed that I have highly fragmented sleep. Since the problem started around menopause, I wonder, might estrogen help?

Sleep study showed that I have highly fragmented sleep. Since the problem started around menopause, I wonder, might estrogen help?

Possibly: Estrogen deficiency is associated with insomnia in some individuals. A short course of estrogen replacement (1-2 months) should answer your question. You would have to discuss long term treatment with your doctor because of the potential dangers. ...Read more

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Does hypercholesterolemia appear earlier in women than men? Is estrogen related in anyway? Does menopause also have to do with this?

Does hypercholesterolemia appear earlier in women than men? Is estrogen related in anyway? Does menopause also have to do with this?

It can occur: In either sex, but is more common in men and increases in women after menopause. Much higher in obese women. Estrogen is mildly protective prior to menopause due thought due to higher HDL levels in women. ...Read more

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Blood estrogen, twice tested, over 1, 100. Gyno now referring me to endo. 50, no menopause. How high is too high? Terrific health otherwise!!

Blood estrogen, twice tested, over 1, 100. Gyno now referring me to endo. 50, no menopause. How high is too high? Terrific health otherwise!!

Typically: Usually, when total estrogen is >200pg/mL it should be further evaluated. It can be from exogenous estrogen (medications), Alcohol or tumors of the pituitary gland or ovary. It can also be from more rare causes like estrogen insensitivity. ...Read more

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I through menopause, however, my doc said my estrogen levels are -5.1 and I'm taking estrogen. 75 estridaol. Said he didn't know I can't absorb estrog?

I through menopause, however, my doc said my estrogen levels are -5.1 and I'm taking estrogen. 75 estridaol. Said he didn't know I can't absorb estrog?

Estrogen: I have never heard of a negative number for estrogen levels in women or men. Please make sure that you are not making a mistake. Even if you are not absorbing. 75 Estradiol (highly unlikely) make sure that there is at least one hour between taking your medicine and eating. ...Read more

Estrogen (Definition)

Estrogen is a hormone that is secreted by the ovaries and affects ovulation, ...Read more


Dr. Alan Patterson
2,219 Doctors shared insights

Bleeding (Definition)

Bleeding = ...Read more