You can use cream on and off and resume treatment when symptoms return. Even though it is applied locally, the estrogen is still absorbed into the system and carries the same risks as estrogen taken in pill form. There is evidence that at low doses, as little as one-eighth of that usually recommended for vaginal dryness, the estrogen cream can be effective. For women using estrogen cream who have not had a hysterectomy, progesterone may still be necessary to cause menstrual bleeding and prevent uterine cancer. Advantages Helps to alleviate slight incontinence.
Creams containing estrogen and progesterone are available.
Easy to apply. Eliminates vaginal dryness and irritation. Disadvantages Does not protect against osteoporosis. Not effective in combating hot flashes and night sweats.