How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr.M.D.Mazumdar Your Own Question
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar, Doctor
Category: OB GYN
Satisfied Customers: 9031
Experience:  MD (Obst&Gynecology)
1725470
Type Your OB GYN Question Here...
Dr.M.D.Mazumdar is online now

I have had vaginal atrophy since coming off hrt over 3 years

Resolved Question:

I have had vaginal atrophy since coming off hrt over 3 years ago. I have tried everything but nothing seems to work. I tried Premique low dose again (I was originally on this) but my headaches started again after a couple of weeks. Is there an alternative I could try or perhaps the headaches would lessen after a month or two. I have seen Livial on the internet and I wondered if this was worth a try. I am fit and well and have had a smear test, mammogram, blood pressure and cholesterol checks and everything is normal.
Submitted: 1 year ago.
Category: OB GYN
Expert:  Dr.M.D.Mazumdar replied 1 year ago.
Hello,Since Premique give you a headache, it will be best for you to go for a locally applied estrogen cream rather than a oral pill. Estrogen cream like Premarin is works locally in the vagina to improve texture and suppleness. A very minimal amount is absorbed into the blood - usually not enough to cause side effects. Livial can also be used but estrogen cream is more effective.
Customer: replied 1 year ago.
Is this similar to Vagifem, as when I used this I found it was too strong and caused burning issues. I don't know if I said previously but I had the Estring vaginal ring but no improvement after 6 months.
Expert:  Dr.M.D.Mazumdar replied 1 year ago.
Although both are estrogen creams, they contain different types of estrogen. Premarin or conjugated equine estrogen (CEE) is a naturally occurring E2 while Vagifem is 17beta-estradiol manufactured in the laboratry.Vagifem is stronger than Premarin. Since it is available in tablet form, it needs to be dissolved before it can act. Estring contains estrodiol, similar to vagifem.Please try Premarin and see if it works.
Customer: replied 1 year ago.
Thank you, ***** ***** give it a try. Can I order it through yourselves?
Expert:  Dr.M.D.Mazumdar replied 1 year ago.
I am afraid not - we do not give out prescriptions or supply medicines. Please contact a local pharmacy.Please click on a positive rating to leave feedback.
Dr.M.D.Mazumdar and other OB GYN Specialists are ready to help you