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Estriol 1mg Cream
Estriol 1mg Cream Product information
£21.95 (£21.95 per boxes)
| 1mg | |
|---|---|
| 1 boxes | £21.95 |
| 2 boxes | £35.95 |
| 3 boxes | £48.95 |
Targeted relief for vaginal dryness and discomfort during and after menopause
Vaginal dryness, irritation, or soreness during and after menopause is common, but it shouldn’t be something you have to put up with. These symptoms are part of a condition known as urogenital atrophy (UA).
Estriol Cream offers targeted, local relief that helps restore comfort with minimal impact on the rest of your body.
Find out how Estriol Cream can help
Product Information for Estriol 1mg Cream
What is Estriol Cream?
Estriol Cream is a first-line treatment designed to help women and people assigned female at birth who are peri- or postmenopausal and experiencing symptoms like vaginal dryness, itching, or discomfort during sex. It contains a gentle form of oestrogen that works locally to ease these symptoms.
Active Ingredient
- Estriol 1mg per gram
How It Works
The natural decline in oestrogen during menopause or after ovary removal can cause vaginal tissues to become thin, dry, and sore [1]. Estriol Cream delivers oestrogen directly to the affected area. It can be applied inside the vagina or to the vulval and perianal regions. This helps rebuild natural moisture, reduce irritation, and improve comfort during sex.
Typical Results
Most women feel relief within 1–2 weeks. After 3–4 weeks of regular use, many report significantly less dryness and discomfort. After 4 weeks, most people can reduce their dose and still control these symptoms.
Key Benefits
- Works exactly where it’s needed with very little hormone entering the rest of the body
- Helps soothe dryness, itching, and discomfort
- Supports healthy vaginal tissues and improves comfort during sex
- Simple and easy to use at home
- Usually used twice a week after the first month or so
Available Dosages and Strengths
Estriol Cream is a white cream, available in a 15g tube with an applicator. Each tube provides approximately 15 to 30 doses depending on frequency of use. The cream contains 1mg of estriol per gram.
For more detailed information, see the Directions for Use section and always read the Patient Information Leaflet included with your medication.
What is Estriol Cream and what does it do?
Estriol Cream is a local hormone treatment used to relieve vaginal symptoms caused by reduced oestrogen levels during and after menopause. These can include dryness, soreness, itching, and pain during sex.
Unlike systemic HRT, Estriol Cream works directly at the site of symptoms.
How does Estriol Cream work?
Estriol is a naturally occurring oestrogen. When applied inside the vagina, it binds to local cells, helping tissues regain thickness, strength, and natural moisture. This restores balance, reduces irritation, and helps protect against infections.
What to expect when starting treatment
- Weeks 1–2: Dryness and itching begin to ease. Sex may become more comfortable. Some mild side effects (e.g., discharge or irritation) may occur but usually settle.
- Weeks 3–4: Vaginal tissues become stronger and better hydrated. Discomfort typically reduces further.
- Week 5 and beyond: You may switch to a maintenance schedule of a couple of doses per week.
Estriol 1mg Cream reviews
How to use Estriol 1mg Cream
Dosage
- Initial dose: One full applicator daily for 2–3 weeks
- Maintenance dose: 2–3 times per week as directed by a healthcare provider
How to apply
- Wash your hands thoroughly before and after use.
- Fill the applicator with cream from the tube.
- Assume a comfortable position (lying down or standing with one leg raised).
- Insert the applicator into the vagina gently and fully.
- Press the plunger to release the cream.
- Remove and clean the applicator.
You may also apply a small amount of cream externally to the vulva or perianal area using a clean fingertip, if advised.
Side effects of Estriol 1mg Cream
Overview
Common side effects (may affect up to 1 in 10 people):
- Mild vaginal discharge
- Irritation, burning, or itching
Uncommon or rare:
- Vaginal thrush
- Rash
- Nausea
Side effects with unknown frequency:
- Spotting or light bleeding
- Breast tenderness
Serious side effects from vaginal oestrogen are rare, as it works mainly in the vaginal area.
Stop using Estriol Cream and seek medical help if you experience:
- High blood pressure
- Yellowing of the skin or eyes (jaundice)
- Severe headaches
- Signs of a blood clot (like leg swelling, redness, or pain)
- Any other serious symptoms listed in the leaflet
Always read the Patient Information Leaflet that comes with your medicine. It contains full details on side effects, usage, and safety.
For further support, contact our Healthcare Advisors on 01295 262925 or email help@oxfordop.co.uk.
Warnings and Precautions
Let us know before starting Estriol Cream if you have or have had any of the following:
- Uterine fibroids
- Endometriosis or thickened womb lining
- Increased risk of blood clots
- Family history of breast or oestrogen-sensitive cancer
- Liver issues
- High blood pressure
- Gallstones
- Migraines or epilepsy
- Lupus (SLE), asthma, or otosclerosis
- Diabetes
- Heart or kidney problems
- Hereditary angioedema
Also, tell us if you're on Hepatitis C treatments like Ombitasvir/Paritaprevir/Ritonavir with or without Dasabuvir, as they may affect liver test results when combined with oestrogen-based medication.
New developments in the management of vulvovaginal atrophy [3] suggests that Estriol is a safe and effective option for managing symptoms of vulvovaginal atrophy when used as directed. It may also be suitable for women with a history of breast cancer.
It can be considered a first-choice hormonal treatment, particularly for women who can’t use other hormone treatments. However, always consult your specialist team before starting any hormonal treatment if you have a personal or family history of hormone-sensitive cancers.
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No. If you're experiencing symptoms like vaginal dryness or pain during sex linked to menopause, we can prescribe treatment. See your GP if symptoms persist.No. If you're experiencing symptoms like vaginal dryness or pain during sex linked to menopause, we can prescribe treatment. See your GP if symptoms persist.
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Most women notice some relief in a few weeks, with full benefits in up to 3 months. Consistency is key.
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Yes, symptoms of urogenital atrophy can return. Long-term management is often needed.
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We recommend that you speak to your GP or cancer specialist before starting any hormonal treatment, especially if you have a history of hormone-sensitive cancer. In some cases, vaginal oestrogen is still suitable under medical supervision.
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Yes, mild irritation or discharge is common early on and usually improves. See a doctor if it persists or worsens.
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If your symptoms return or don’t improve as expected, speak to us, your GP or menopause specialist. Another treatment may be needed.
Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)
References:
- Christmas M, Huguenin A, Iyer S. Clinical Practice Guidelines for Managing Genitourinary Symptoms Associated with Menopause. Clin Obstet Gynecol. 2024 Mar 1;67(1):101-114. doi: 10.1097/GRF.0000000000000833. Epub 2023 Dec 21. PMID: 38126460.
- Aspen. Estriol 1mg/g cream: Patient Information Leaflet [Internet]. Medicines.org.uk; [cited 2025 Jun 4].
- Donders GGG, Donders FHWV. New developments in the management of vulvovaginal atrophy: a comprehensive overview. Expert Opin Pharmacother. 2023 Apr;24(5):599-616. doi: 10.1080/14656566.2023.2194017. Epub 2023 Mar 28. PMID: 36951262.
- British National Formulary. Estriol [Internet]. London: NICE; [cited 2025 Jun 4].
All hormone replacement therapy should be initiated after a discussion with a health care professional face to face as they will also need to take your blood pressure and weight. Blood tests may also be requested. This is followed after three months with a follow-up appointment. Online prescribing can only be done once this has happened.
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Authored on July 11, 2025
Robert Bradshaw (Pharmacist) - MRPharms BSc(Hons) Pharmacy
Superintendent Pharmacist
GPhC Number: 2036118
Reviewed on July 11, 2025