Q: Is there a “natural” replacement for Premarin?

In a sense, the most “natural” replacement for lost estrogen is estrogen, which is a prescription product (like Premarin or Estrace vaginal cream, Estring, Vagifem, or the non-estrogen Osphena).

You asked. Dr. Barb answered.If, for a number of reasons, you prefer not to take that path, the next-best option is to maintain vaginal tissues by using a moisturizer regularly, two to three times a week. Moisturizers are designed to bring more moisture--no surprise--into the vagina to prevent the progressive dryness that occurs in menopause with the absence of estrogen.

Both Emerita and Prevaleaf Oasis are natural vaginal moisturizers.

Shop Comfort and Vaginal Health Products

One more option might be an oral nutritional supplement, Stronvivo, which some research shows improves vaginal moisture. It does this by improving blood flow, and that circulation also supports tissue health.

 

 


Dr. Barb DePree MD
Dr. Barb DePree MD

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18 Responses

Dr Barb
Dr Barb

September 01, 2020

Janet, Premarin should help integrity of skin, if anything, and will not make it worse. Mostly skin condition is a result of aging and genetics. Premarin is not a risk for breast cancer and in fact, women who have had a hysterectomy (and don’t use progesterones), like you, have less chance of breast cancer than women who didn’t use premarin. You can continue safely if this is helpful to you and your menopausal symptoms.

Janet
Janet

August 31, 2020

Had a hysterectomy years ago, only ovaries left. No HRT at the time. Years later suffered menopause symptoms and put onto Premarin. Been on this for 7 years or more. I suffer from extremely dry and thin skin. If bumped bleeds and bruises easily. Also on Blood pressure tablets. Could premarin be reason for my dry and thin skin. I’m looking for an alterative as I’ve been told continual use of premarin can lead to breast cancer. Regards Janet UK.

Dr Barb
Dr Barb

March 25, 2020

Gita, There is no risk in continuing on premarin and if there are symptoms that it is helping then continuing is likely a good idea. The risk is if a woman has known heart disease and then later starts estrogen that there is risk, but for women who started early in menopause and have continued there isn’t added heart disease risk. This is what we call the ‘timing hypothesis’, there is a window of time that it is safest to initiate estrogen therapy, and that window is early in menopause. The oral estrogen (vs transdermal), like premarin has a small increased risk of blood clot formation, so that is a risk that should be assessed for each individual. And, no there isn’t a natural source of estrogen, estrogen is prescription only.

Gita
Gita

March 25, 2020

I m 67 yrs old. Got hysterectomy done 30 yrs ago. Overies were removed too. Since then, taking one pill Premarin.625
Since I am now a heart patient and CRT-D was implanted due to heart failure 4 yrs ago, please suggest if I should still take Premarin .625 ?
I have heard its bad for heart condition🤔

Dr Barb
Dr Barb

January 14, 2020

Barbara, we carry a number of vaginal moisturizers on our site https://middlesexmd.com/collections/vaginal-moisturizers You can also speak to your provider about prescription options mentioned in this post.

Barbara
Barbara

January 14, 2020

Where can I purchase vaginal moisturizer, and what are the names?

Dr Barb
Dr Barb

November 13, 2019

Remi, Hair loss can be a side effect of both menopause and hormone replacement. There are alternatives to Premarin including hormonal and non-hormonal options. If you would like to continue with a product containing estrogen, you will need to discuss this with your provider. If you would like to stay away from hormones, using a moisturizer will help maintain vaginal tissue.

Remi
Remi

November 13, 2019

Noticed significant hair loss with Premarin. What alternative do I have

Dr Barb
Dr Barb

October 28, 2019

Jill, Premarin is safe to use following treatment of skin cancer.

Dr Barb
Dr Barb

October 28, 2019

Karen, yes. Premarin (both oral and vaginal) would likely help reduce the occurrence of bladder infections.

Karen
Karen

October 28, 2019

I keep a bladder infection and my doctor thinks premarin will help. Could you give me your opinion on that?

Jill
Jill

October 28, 2019

Hello,
I’d like to ask if it is safe to continue with Premarin having had an inguinal lymphadenectomy following skin Cancer. I am 64 years old and suffer very badly with side effects if I dont take HRT every other day.
Thank you

Caroll
Caroll

October 21, 2019

I have hyperkerotosis/ a urethral caruncle/vaginal and anal prolapse/vulva skin thickening. I was prescribed Premarin 0.625 twice weekly. Are natural moisturuzers as effective as estrogen and what are the side effects of natural moisturizers?

Dr Barb
Dr Barb

October 21, 2019

Caroll-There are no side effects from using moisturizers. Premarin cream should restore atrophic vaginal and vulvar tissues, moisturizers are designed to preserve moisture in the vagina, they don’t really serve exactly the same purpose. Some women using premarin cream also benefit from adding a moisturizer.

Barbara
Barbara

January 10, 2019

Barbara, we carry several options on our website: https://middlesexmd.com/collections/vaginal-moisturizers

Dr Barb
Dr Barb

January 10, 2019

I am not familiar with the term ‘uterine wall weakening,’ that is not a clinical term we use. Maybe there has been some discussion about vaginal wall weakening, that might be a description used for the diagnosis of pelvic organ prolapse (which includes a cystocele and/or rectocele, for instance). If that is the case the pelvic floor exercise devices can be of benefit.

Jackie
Jackie

January 10, 2019

Hi, I have been diagnosed with my uterine wall weakening, Would your product help with the strengthening of the walls? I really don’t want to use Premarin, Thanks, Jackie

Barbara
Barbara

January 10, 2019

Where can I buy natural moisturizer crean

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