Dr. Mary Claire Haver

You might have a reaction to them.

So the pills can be really, really helpful.

It's just the applicator is like this little pencil and you have to put the, if you have arthritis or you don't see very well, it can be hard.

You can like try to put this tiny little pill on the tip of your finger and like wiggle it up.

into the vagina.

So there's pros and cons to all the things.

There is a vaginal insert.

So Invexi is a suppository that is much easier to insert.

It's nice and smooth and it's easy to push into the vagina.

It comes in four and 10 microgram dosages and you don't need an applicator.

for the four-microgram dose.

However, there's no generic for Invexi.

And again, cost can be an issue.

My favorite way to replace estrogen down there is with the vaginal ring.

Again, super sad we do not have a generic, but God, it lasts for three months.

You throw it up in the vagina.

It finds a little home up there.

It really does not bother you.

It's like a tampon in place correctly.

You don't feel it.