Estring

How to use Estring

Using Estring is simple and convenient. Your healthcare provider will provide you with a prescription and instructions on how to insert and remove the vaginal ring. Here are the general steps for using Estring:

• Wash your hands thoroughly with soap and water.
• Remove the Estring from its protective pouch.
• Hold the ring between your thumb and index finger, and gently squeeze it together.
• Insert the folded ring into your vagina as far as it comfortably goes. You may choose to stand with one foot on a chair, lie down, or sit with your knees bent.
• Once inserted, Estring will slowly release estrogen over a period of 90 days. You can leave it in place during sexual intercourse and while urinating, no need to remove it. If you choose to remove it, you may simply rinse it off with water and replace it into your vagina after sex (or anytime it falls out).
• After 90 days, remove the ring by hooking your finger through the ring and gently pulling it out. It will collapse on itself as it is removed and should not hurt.

Remember to follow the instructions provided by your healthcare provider for the specific dosage and duration of Estring use.

Estring Side Effects

Like any medication, Estring may cause side effects in some women. Common side effects of Estring may include:

• Headache
• Vaginal discharge
• Vaginal discomfort or irritation
• Breast pain or tenderness
• Nausea
• Abdominal pain
• Back pain

These side effects are usually mild and temporary. However, if you experience any severe or persistent side effects, it is important to contact your healthcare provider.

Serious side effects are rare but can include an increased risk of blood clots, stroke, heart attack, and certain types of cancer. Contact your doctor immediately if you experience:

• Chest pain with or without shortness of breath, weakness or fatigue
• Severe headache
• Changes in vision or speech
• Signs of an allergic reaction (swelling of the face, tongue, mouth or throat)

If you experience any of the above warning signs of a serious side effect, contact your healthcare provider immediately.

Estring Contraindications

While Estring is generally safe and effective, there are some contraindications and precautions to consider. Estring should not be used if you have any of the following conditions:

• Known or suspected breast cancer or any estrogen-dependent cancer.
• Abnormal vaginal bleeding that has not been evaluated by a healthcare provider.
• Known or suspected pregnancy.
• History of blood clots or current thrombosis (blood clotting disorder).
• Liver disease or impaired liver function.
• Allergy or hypersensitivity to any components of Estring.

It is important to discuss your medical history and any existing conditions with your healthcare provider before starting Estring treatment to ensure it is safe and appropriate for you.