Estradiol Vaginal Cream is commonly prescribed to relieve Menopause symptoms such as vaginal dryness and irritation.

While it can be effective in providing relief, it is important to be mindful of potential side effects that may arise.

These side effects vary in severity and occurrence, with some being more common and mild while others are rare but severe.

This article outlines the side effects of Estradiol Vaginal Cream 0.01, categorizing them based on their severity and likelihood of occurrence.

About Estradiol Vaginal Cream

Estradiol is a type of Hormone Replacement Therapy (HRT) that compensates for the reduced levels of Estrogen Hormone.

Estradiol is available in multiple forms, such as pills, patches, gels, and vaginal creams.

Estrogen Hormone has an extensive impact on different body parts, including breasts, ovaries, brain, and cardiovascular systems.

Since Estradiol Vaginal Cream contains Estrogen, it can have various potential side effects.

Being informed about these effects can enable individuals to adopt a proactive approach to preventing them and effectively managing their impact.

Fact:
Estradiol also plays a critical role in male sexual function, being essential for modulating libido, erectile function, and sperm production.

Side effects of estradiol vaginal cream

Estradiol Vaginal Cream is associated with certain side effects ranging from mild to severe.

The most frequently reported side effects of Estradiol Vaginal Cream include headaches, vaginal irritation or itching, fluid retention, and nausea and vomiting.

Listed below are other Estradiol Vaginal Cream side effects one may experience, classified according to their seriousness.

Mild Estradiol vaginal cream side effects

Joint pain
Joint pain

While it is generally safe and well-tolerated, some potential mild side effects may occur.

These side effects can include:

  • Stuffy nose, sore throat, Asthma getting worse, Coughing
  • Breast tenderness
  • Joint pain, feeling weak, back and neck pain, pain in limbs, muscle pain, leg cramps
  • Common cold symptoms, flu-like symptoms
  • Dizziness
  • Skin rash, Itching, red patches
  • Diarrhea, inflammation of the pancreas, stomach flu, Carbohydrate intolerance
  • Stomach pain, Constipation

Severe Estradiol vaginal cream side effects

Severe side effects of Estradiol vaginal cream are relatively uncommon; however, they should still be treated with utmost seriousness.

These side effects can include:

  • Migraine, Depression, Anxiety
  • Sinus infection
  • Nipple pain, Breast lumps
  • Upper Respiratory infection
  • Vaginal bleeding
  • Severe allergic reaction, Swollen face or throat, Hypersensitivity reactions
  • Ear infection, Fungal, and other infections
  • Jaundice
  • Conjunctivitis
  • Contact lens intolerance

Associated risks for severe diseases

In addition to the side effects, Estradiol Vaginal Cream also poses increased risks for some severe diseases.

Some of these include:

  • Breast cancer 
  • Endometrial cancer
  • Ovarian cancer
  • Coronary artery disease
  • Venous Thromboembolism (blood clot in a vein, usually in the legs)
  • Dementia

Possible interactions with other medicines and conditions

Estradiol Vaginal Cream has the potential to interact with certain conditions and medications, which may result in side effects or a decrease in effectiveness.

Some of these include:

  • Antifungal medications or Corticosteroids
  • Aromatase inhibitors such as Anastrozole, Exemestane, Letrozole 
  • Breast cancer medicines such as Fulvestrant, Tamoxifen, Toremifene
  • Medicines used to treat Osteoporosis such as Raloxifene
  • Antifibrinolytics used to prevent bleeding such as Tranexamic acid
  • Estradiol Vaginal Cream may also interfere with certain laboratory tests, such as the metyrapone test, potentially leading to inaccurate results.
  • Known allergy to Estradiol or its components
  • Abnormal genital bleeding, blood clotting disorders such as deep venous thrombosis or pulmonary thromboembolism.
  • Cardiovascular disease (a stroke).
  • Protein C or S  or Antithrombin deficiency
  • Thrombophilic disorders
  • Pregnancy

Managing Estradiol Vaginal Cream side effects

If you experience any Estradiol Vaginal Cream side effects, immediately stop using it and inform your doctor.

Prompt recognition and intervention can effectively manage these side effects.

Here are a few strategies you can consider when you experience Estradiol Vaginal Cream side effects:

Adhere to the prescribed dosage

Consult a doctor
Consult a Gynaecologist doctor

It is important to use the cream as instructed by your doctor.

Avoid using less or more than the recommended amount.

Overdose of Estradiol vaginal cream may cause nausea, vomiting, breast tenderness, abdominal pain, drowsiness and fatigue, and withdrawal bleeding.

In the event of an overdose, the recommended course of action is to discontinue using Estradiol Vaginal Cream 0.01%, and receive appropriate symptomatic care.

Address the symptoms

To alleviate certain symptoms, you can consider taking additional medications such as painkillers.

However, it is crucial to consult with your doctor before doing so.

Utilize a moisturizer

You may find relief from vaginal dryness by using a water-based lubricant or moisturizer. 

These products can help alleviate the discomfort associated with dryness in that area.

Monitor your symptoms

Keep a record of any changes or new symptoms that you may experience.

This information will be valuable for your doctor in managing your treatment.

You may need an adjusted dosage or alternative treatment option.

Warning:
Overweight women with a history of using Estradiol should avoid it after menopause. Fat tissues carry increased levels of Estrogen; hence they are at risk of more than needed exposure to the hormones.

Conclusion

Estradiol Vaginal Cream is a form of hormone therapy used to alleviate symptoms associated with menopause.

While it can effectively provide relief, it also carries potential side effects.

The severity and occurrence of side effects can vary among individuals, and not everyone may experience them.

Common Estradiol Vaginal Cream side effects may include headache, nausea, vomiting, vaginal irritation, itching, and fluid retention.

A few severe allergic reactions can be swelling of the face or throat, breast lumps, a heightened risk for breast and ovarian cancer, and memory loss.

If you experience any side effects while using Estradiol Vaginal Cream, it is important to discontinue its use immediately and notify your doctor.

Your doctor may need to make adjustments to your dosage or recommend an alternative treatment option.

Knowledge of Estradiol Vaginal Cream side effects empowers individuals to take proactive measures to prevent and effectively manage their consequences.

Recommended Article:
Read our In-depth Analysis of Estradiol Side Effects to gain a better understanding.

Frequently Asked Questions

Who should not use Estradiol cream?

Estradiol cream is not recommended for everyone. It should be avoided if you have an allergy to Estradiol or any other ingredients in the cream, a history of blood clots, liver disease, or a history or risk for breast, uterine, or ovarian cancer.

What are some common side effects of Estradiol Vaginal Cream?

Some common side effects of Estradiol Vaginal Cream include headache, vaginal discomfort, discharge, headache, breast tenderness, nausea, abdominal pain, back pain, mood changes, and fluid retention.

Are there any Estradiol Vaginal Cream side effects on penis?

Estradiol Vaginal Cream is primarily prescribed for women to alleviate vaginal symptoms associated with Menopause. It is not advised or intended for application on the penis. Moreover, Estradiol has been found to have an inhibitory effect on penile erection. Therefore, applying Estradiol Vaginal Cream to the penis is not considered a wise practice.

Citations:
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