Dr. Mary Claire Haver

And it is just constantly giving you that continuous supply of estrogen in the vagina.

For three months and you don't have to worry about it.

You just set an alarm on your phone to go take out the old ring and put in the new one.

You can leave it in for intercourse.

I tell my patients to leave it in, see if he notices, you know, might be kind of fun.

I don't know.

But all of these options have been studied and they all help.

So I do want to talk about DHEA.

So DHEA, we have an FDA-approved option for the vagina called Prasterone, which is a fancy name for DHEA.

So DHEA also can be used for the vestibule.

So for those of you who are having pain around the opening, pain around the vaginal opening that is not responding, when you apply DHEA there, and I have this as an over-the-counter version that I also use, DHEA will, in the cells, convert to estradiol and testosterone, both.

There are androgen receptors in the vestibule, in the vulva.

And so you're getting both estrogen and testosterone.

So the prostorone is the suppositories, that is DHEA, that you put in the vagina.

They melt, they work up there, but then the medication kind of dribs out and you get it.

You know, it makes its way to the vulva and to the vestibule around the opening.

And so patients love it.

It's very, very safe.

Again, no generic, very expensive.

This is a lower dose DHEA from my friend Kelly Kasperson for the vulva.