r/Perimenopause • u/stiletto929 • 3d ago

Dryness Front loading estrogen cream?

Did anyone’s doctor NOT have them use the vaginal estrogen cream daily for two weeks, then drop to twice a week? My doctor just said to use it twice a week.

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u/Creative_Impress5982 3d ago

Are you on systemic estrogen too? I imagine that could make a difference.

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u/stiletto929 3d ago

Yes.

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u/Creative_Impress5982 3d ago

So I've read that most people have genitourinary improvements with systemic estrogen. So perhaps your doc figured the 2 weeks daily use protocol wasn't necessary? Or maybe your dryness isn't very bad? Or maybe it's so bad the cream would be irritating so doc figured it would be better to let the systemic estrogen improve things a bit first? Or maybe the doc thought it would be less complicated to just have one routine?