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Vaginal estrogen is a form of estrogen that is delivered by intravaginal administration. Vaginally administered estrogens are thereby exerting their effects mainly in the nearby tissue, with more limited systemic effects compared to orally administered estrogens. [ 1 ]
Experts call vaginal estrogen "the holy grail" for its effectiveness in improving vulvar or vaginal itching and burning, painful sex and recurring UTIs.
Estrogens such as estradiol appear to improve sexual desire and function in women. [275] [276] However, the available evidence overall does not support the use of estradiol and other estrogens for improving sexual desire and function in women as of 2016. [276] An exception is the use of estrogens to treat vaginal atrophy. [276]
Estrone is an estrogen, specifically an agonist of the estrogen receptors (ERs) ERα and ERβ. [5] [44] It is a far less potent estrogen than is estradiol, and as such is a relatively weak estrogen. [5] [44] Given by subcutaneous injection in mice, estradiol is about 10-fold more potent than estrone and about 100-fold more potent than estriol. [45]
Estrogen is also used in the therapy of vaginal atrophy, hypoestrogenism (as a result of hypogonadism, oophorectomy, or primary ovarian failure), amenorrhea, dysmenorrhea, and oligomenorrhea. Estrogens can also be used to suppress lactation after child birth.
It contains ethinylestradiol, an estrogen, and etonogestrel, a progestin. [2] It is used by insertion into the vagina. [1] Pregnancy occurs in about 0.3% of women with perfect use and 9% of women with typical use. [3] Common side effects include irregular vaginal bleeding, nausea, sore breasts, vaginitis, mood changes, and headache. [4]
In 2002, a WHI randomized controlled clinical trial of combination hormone therapy (HT) containing estrogen and progestin came to a screeching, premature halt when it was found to increase risk ...
[9] [8] As such, it is an estrogen, or an agonist of the estrogen receptors. [8] [9] Estradiol acetate is of about 15% higher molecular weight than estradiol due to the presence of its C3 acetate ester. [3] Because estradiol acetate is a prodrug of estradiol, it is considered to be a natural and bioidentical form of estrogen. [9] [10]
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