Prices include next-day delivery and prescription
|1 tube (80g)||£48.99|
|2 tubes (80g)||£89.99||Save £8|
|3 tubes (80g)||£124.99||Save £22|
More information about Estriol Cream (Gynest)
Estriol cream is a type of topical hormone replacement therapy (HRT). It comes in the form of an intravaginal cream and is specifically used to treat vaginal problems in postmenopausal women.
At HealthExpress we offer the 0.01% strength of Estriol cream (Gynest), however if you regularly use the 0.1% strength (Ovestin) then you should speak to your doctor before purchasing.
Menopause is the time period 12 months after a woman’s last period. It’s a natural part of ageing and occurs due to a hormonal imbalance. In particular, the ovaries begin to produce less of the hormone oestrogen (estrogen), otherwise known as one of the ‘female hormones’, which is what causes menopausal symptoms.
One of the many things that oestrogen is responsible for is the condition of the vaginal lining, ensuring it is elasticated and lubricated. This means as oestrogen levels drop during menopause, the vagina becomes drier. This vaginal dryness causes uncomfortable symptoms such as soreness, itching, pain during sex and needing to urinate more often. It also elevates the risk of recurrent vaginal infections such as urinary tract infections (UTIs), cystitis, thrush and bacterial vaginosis.
Estriol, sometimes spelt oestriol, targets these symptoms. Estriol is a steroid hormone and a weaker form of oestrogen. It works by supplementing the vaginal tissues with a form of oestrogen to improve elasticity and lubrication in the vagina.
Estriol and Estradiol are different bioidentical forms of oestrogens. Estradiol, whilst weaker than oestrogen, is a stronger form of hormone replacement than Estriol. This means it may be more effective for those who need a stronger dose of HRT. However, it may not be suitable for all women and Estriol is a great alternative for that reason.
Estradiol is an active ingredient of many HRT medications both on its own and combined with synthetic progesterone (norethisterone). It is available at HealthExpress in brands such as Elleste, Kliovance, Kliofem, Evorel Conti & Sequi, Femoston and Zumenon.
Estriol cream comes with a plastic applicator that you screw on to the tube. The initial dose of Estriol is one applicatorful applied daily for 3–4 weeks, then it can be reduced to 1 applicatorful twice weekly.
Estriol works best when it is applied at night time.
A comprehensive set of instructions including diagrams is available in the patient information leaflet.
A brief guide to administering Estriol cream is as follows:
It’s important you clean the applicator thoroughly after each use. Each time, pull the plunger out of the applicator barrel and clean with mild soap and warm water (not boiling). Rinse the soap off thoroughly.
If you forget a dose, take the missed dose as soon as you remember. Do not take two doses of Estriol in a day. If you take more Estriol than you should, seek immediate medical attention even if you feel fine.
As with most prescription medicines, Estriol cream can cause some side effects.
Common side effects of Estriol include:
If you experience any more severe adverse effects or think you’re having an allergic reaction, stop taking Estriol and speak to your doctor as soon as possible.
For a comprehensive list of side effects, please refer to the patient information leaflet which is available online or in the box with your medication.
Estriol is available for menopausal women who have vaginal atrophy symptoms. However, having certain pre-existing conditions may mean Estriol is not suitable for you.
You should not take Estriol if you have or have had:
You should also not use Estriol cream if you are pregnant, breastfeeding or think you may be pregnant.
Your doctor may also want to monitor you if you have any long-term conditions such as asthma, epilepsy, diabetes, fibroids, endometriosis or high blood pressure.
If you are not sure if any of these contraindications apply to you, you should speak to your doctor before purchasing Estriol.
Estriol cream contains arachis oil which is peanut oil. Therefore, you should not use Estriol cream if you have a peanut or soy allergy. The cream also contains benzoic acid, which can irritate your skin, eyes and nostrils if it comes into contact with it.
Because Estriol is a vaginal cream, it could interfere with your barrier contraception. If you use male or female condoms, you should check with your doctor if Estriol cream is suitable for you.
Estriol may also interact with other medications you take, including prescription, over-the-counter, herbal and recreational drugs.
You should be particularly cautious if you take:
If you’re not sure what medication you take, speak to your doctor or pharmacist.
With some HRT treatments, there is a slight increased risk of blood clots such as deep vein thrombosis (DVT). This is a condition where a blood clot occurs in one of the deep veins in the leg and has the potential to dislodge and travel to the lung, where it can form a fatal blockage known as a pulmonary embolism.
It’s important to remember that this research demonstrates an association, and doesn’t mean all women taking HRT will develop a blood clot. In addition, the risk is incredibly low, especially for oestrogen-only HRT treatments and for HRT that is absorbed into the skin (patches, gels and creams).
If you’re worried about blood clots, you should consult with your doctor.
Taking Estriol does increase your risk of developing gynaecological and urogenital cancers including breast cancer, ovarian cancer and endometrial cancer (uterine cancer). However, the risk is low for all types of HRT but it is particularly low for oestrogen-only treatments like Estriol. In fact, you are still at a much greater risk of these types of cancer if you have a high BMI or smoke.
Whilst the risk is low, it’s still important to consider what treatment is best for you and work closely with your doctor. You should also check regularly for any abnormal symptoms. It could be nothing, but it also could reduce your risk of any fatal conditions.
You can buy Estriol 0.01% (Gynest) cream online here at HealthExpress for the treatment of vaginal symptoms of menopause. All you have to do is fill out our quick, confidential medical questionnaire that will be reviewed by one of our UK registered doctors. Once they have approved you for treatment, the medication will be sent right to your door the next day.
|Product name||Estriol Cream (Gynest)|
|Manufacturer||PHARBIL Waltrop GmbH|
|Description||Vaginal HRT cream to treat vaginal atrophy as a result of menopause|
|Exemption||Subject to medical prescription|
|Available dosage||One applicatorful each night|
|Application||Women going through menopause|
|Posology||Consult patient leaflet|
|Alcohol consumption||No known interaction|
|When pregnant/breastfeeding||Not recommended, speak to your doctor|
Note: Decisions about treatment are for both the prescriber and the person to jointly consider during the consultation. However, the final decision will always be the prescriber’s.
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