Treatment
Treatment for vulvo-vaginal atrophy includes:
| suggestion 1 | Vaginal Creams/Rings or suppository | |
| suggestion 2 | Premarin cream 0.625, Ogen1-2 appl QD for 2 weeks then 2 x week | |
| suggestion 3 | Estrace 2-4 grQd x 2w, 1-2 gr qd x2w, then 1 gr 1-3 x week | |
| suggestion 4 | Estring vaginal ring continuous release for 90 days, needs replacement q 90 days – 7.5mcg/day estradiol | |
| suggestion 5 | Caplet Vagifem 10mcg qd x 2wk then 2 x week | |
| suggestion 6 | Osphena – 60mg PO QD – estrogen receptor modulator – in the vagina acts similarly to estrogen; in the breast tissue it acts as an estrogen blocker *can increase risk of blood clots and hot flushes | |
| suggestion 7 | DHEA suppository (vaginal prasterone) – PV 1x/day * good option for those who can’t take estrogen | |
| suggestion 8 | Patient education – a small amount is absorbed into the bloodstream; 100x less than if you used an oral estrogen medication |