But for women who go through menopause at a normal age, the decision to use hormone replacement therapy long term is more complicated. The problem is knowing how long is too long. The current thinking for treatment of menopausal symptoms is to try non-hormonal strategies first to avoid the potential risks associated with hormone replacement therapy, such as blood clots to the brain, heart and legs, as well as breast cancer and dementia in certain high-risk women.
And if you can't manage symptoms with non-hormonal strategies, then your doctor might use the hormone replacement therapy, but only for a few years when symptoms are likely to lessen anyway. The most common length of time is around three years but no longer than The best advice I can give is if you are having disabling symptoms and nothing else is working you should discuss a plan that will work for you with your doctor.
There is no one-size-fits-all solution. Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view.
It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs. Is Premarin safe for long-term use? Estrogens with or without progestins should be used at the lowest effective dose for the shortest duration consistent with treatment goals and risks for the individual woman.
Premarin Vaginal Cream is only used in and around the vagina; however, the risks associated with oral estrogens should be taken into account. The side effects below are grouped by how serious they are, and how often they may occur during treatment. These are not all the possible side effects of Premarin Vaginal Cream.
For more information, ask your healthcare provider or pharmacist for advice about side effects. Links to all outside sites are provided as a resource to our visitors. Pfizer accepts no responsibility for the content of the sites that are not owned and operated by Pfizer. About Premarin Vaginal Cream To treat moderate to severe painful intercourse due to menopause. How It Works. How to Apply. Order Free Applicators. Possible Side Effects.
Why Premarin Vaginal Cream? After menopause, changes to the vagina can cause pain during intercourse, called dyspareunia. Illustration of vaginal wall cells. Slide to see before 12 weeks of treatment Slide to see after 12 weeks of treatment. How It Helps Watch the video to take a closer look at how Premarin Vaginal Cream works in the body to help rebuild vaginal walls. Dosing Information for Painful Intercourse To treat moderate to severe painful intercourse, a symptom of vulvar and vaginal atrophy VVA due to menopause, Premarin Vaginal Cream can be applied twice a week or in a cyclic regimen of 21 days of therapy, followed by 7 days off therapy, using a 0.
To help you remember to apply your prescribed dose, you could set reminders. Check out other videos about Premarin Vaginal Cream. Instructions for Use. Wash with mild soap and warm water. Common Treatment Questions. How do I apply Premarin Vaginal Cream? The applicator is designed to help measure your prescribed dosage. Premarin Vaginal Cream uses a non-liquefying base. How much should I use?
How often should I apply Premarin Vaginal Cream? To treat moderate to severe painful intercourse due to menopause, Premarin Vaginal Cream can be applied twice a week or in a cyclic regimen of 21 days on therapy, followed by 7 days off therapy, using a 0. To treat vulvar and vaginal atrophy VVA , Premarin Vaginal Cream should be applied in a cyclic regimen of 21 days on therapy, followed by 7 days off therapy.
Generally, women should be started at the 0. Dosage adjustments 0. You can apply the cream at any time of day that works for you in accordance with your prescribed treatment schedule. You may want to consider picking a time of day to apply Premarin Vaginal Cream and sticking to it.
For example, on the twice-a-week regimen, you might choose Monday and Thursday evenings, right before bed. How long until I start to feel a difference with painful intercourse?
Ordering Free Replacement Applicators. The tools to help you stick with your treatment plan.
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