Dr. Mary Claire Haver

Other things that happen in the general urinary system, the tissues become thinner, drier, less elastic, more fragile, more prone to irritation, tearing, and infection.

Your pH changes, the microbiome shifts, and the urinary symptoms develop.

This is not cosmetic.

This is tissue health, and it really, really, really deserves treatment.

So vaginal estrogen cream.

So we have the non-generic form is called Estrace.

There's also still Premarin Cream available.

Premarin Cream is great.

There's just no generic and it tends to be one of the most expensive options.

We typically use this twice a week.

It comes with an applicator.

I just tell my patients,

Put it from mid-knuckle here to the tip of your finger and get up in there and roto-rooter it about halfway up into the vagina.

Then you take a little bit more and you're going to put it on the clitoris and go down both sides of the labia minora.

That's going to hit all of the hot spots that you need.

There are vaginal tablets available.

Vagifem and Uvafem are 10 micrograms.

They come with a small applicator.

Now, these creams are alcohol-based.

They can cause irritation.