Starting the Conversation

You are uncomfortable because of the vaginal dryness, burning, itching, and sometimes painful or urgent need to urinate that come after menopause. But if you can talk to your doctor about your postmenopausal symptoms, you can treat them.


If you feel that you have any of these symptoms, ESTRING® (estradiol vaginal ring) may be able to help. Take the first step toward treatment. Use the guide below to help you start the conversation with your doctor.


Discussion Guide

Conversation starters

  • I have some questions about symptoms that I have been experiencing lately.
  • I’ve been experiencing the urgent need to urinate. Sometimes it even hurts. Is this normal?
  • I know that menopause causes changes like mood swings and hot flashes, but I've been feeling some other things lately and am wondering if they are normal?
  • I’ve been experiencing some vaginal discomfort, and I’m wondering if there is anything I can do about it.

Tips for your appointment

  • Before you go, make a list of the symptoms you’re experiencing and a list of any medications you are taking.
  • Print out the discussion guide and take it with you to your appointment.
  • Make sure that you get answers to every question you have. If you don’t understand something, don’t be afraid to ask your doctor to explain it again.

Next Section: Side Effects and Risk Factors >

INDICATION

ESTRING® (estradiol vaginal ring) is used after menopause to treat moderate to severe vaginal itching, burning and dryness, painful intercourse, urinary urgency, and painful urination due to urogenital atrophy.

Important Safety Information

Estrogens increase the risk of cancer of the uterus. It is important that you report any unusual vaginal bleeding to your doctor right away. Do not use estrogens with or without progestins to prevent heart disease, heart attacks, strokes, or dementia. Using estrogens with or without progestins may increase your risk of heart attack, stroke, breast cancer, or blood clots. Using estrogens with or without progestins may increase your risk of dementia, based on a study of women aged 65 years or older. Estrogens should only be used for as long as needed. You and your healthcare provider should talk regularly about whether you still need treatment with ESTRING.


ESTRING should be removed after 90 days of continued use.

Do not use ESTRING if you have unusual vaginal bleeding, have or have had cancer of the breast or uterus, had a stroke or heart attack, have or have had blood clots or liver problems, are allergic to any of its ingredients, or think you may be pregnant.

The most frequently reported side effects are headaches, increased vaginal secretions, vaginal discomfort, abdominal pain, and genital itching.

Call your healthcare provider right away if you have any of the following warning signs: breast lumps, unusual vaginal bleeding, dizziness and faintness, changes in speech, severe headaches, chest pain, shortness of breath, pain in your legs, or changes in vision.

Carefully follow instructions for use. If you have difficulty removing ESTRING, contact your healthcare provider right away.

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