Q: Is there a nonprescription alternative to Premarin?

You note that the Premarin you’re using several times each week is expensive, and wonder about a nonprescription alternative. It’s the estrogen contained in that treatment that makes it both a successful treatment and available by prescription. The tissues of the vulva and vagina are very receptive to the healing effects of estrogen, and nothing else is equally effective.

Vaginal moisturizers

Vaginal moisturizers offer benefit to retain moisture especially when the vulva and vagina are healthy; they aren’t able to reverse the atrophy that occurs in menopause. If you’d like to try a vaginal moisturizer, be sure to use it very consistently, two to three times a week. 

You can experiment with a moisturizer to see whether it helps to maintain comfort. 




Dr. Barb DePree MD
Dr. Barb DePree MD

Author



2 Responses

Dr Barb
Dr Barb

June 15, 2020

Jodi, for the treatment of vulvodynia I prescribe a compounded product of estradiol and testosterone, a cream applied directly to the involved area. A careful exam is needed to make sure this is the proper diagnosis.

*sorry for the delayed response, we had power outages for several days due to storms.

Jodi
Jodi

June 15, 2020

Hello Dr. Dupree,

I was on a zoom call with Revel today and I just learned from you about vulvadynia. I go once a year to my Kaiser doctor and she always said it is dryness that’s causes pain, but no one has answered my question about the awful burning inside and I don’t call that pain. I am having a phone apt with my gynecologist tomorrow and I want to suggest what you said with a cotton swab test and treating the specific area. What other products do you sell or suggest to apply regularly. I have tried hormone cream which burns more and coconut oil which is a temporary relief. Appreciate any more info and thanks for the zoom talk today. I will purchase your book as well.

Leave a comment

Comments will be approved before showing up.