Hello, and I am pleased to help, use of my answers are for educational purposes only.
Well with the Vagifem this is an estrogen that does not get that absorbed and using this ONLY twice per week is safe and you really do not need to worry about uterine cancer or polyps with this Estrogen
Also, you can use an Over the counter vaginal Moisturizer called Replens that works
And, a good pH probioitic I like is RepHresh.
And, also for lubrication - Body massage oil with vitamin E also works
I hope this helps
So your doctor is correct that Vagifem will affect the Uterus Less than Estrace or Premain
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Thank you for your quick response. It sounds like you would advise to continue with the vagifem. Is that correct? Also, you mentioned estrace and premarin, but I had used estriol cream which is compounded by womens international pharmacy. What is your experience with estriol versus estradiol preparations? Also, do you recommend repHresh over Luvena?
Thank you. I will try using RepHresh along with the vagifem to possibly limit vagifem use to once a week.
Any brand recommendations for the vit E cream?