Compare Premarin Vaginal Cream vs. Femring

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Premarin Vaginal Cream
(conjugated estrogens)

Femring
(estradiol acetate vaginal ring)

Relieves vaginal dryness and pain due to menopause. Premarin Vaginal Cream (Conjugated Estrogens) works well for vaginal problems caused by menopause, and it has fewer side effects than estrogen pills.Relieves hot flashes and vaginal dryness due to menopause. Femring (Estradiol Acetate Vaginal Ring) is a vaginal ring that may be less of a hassle than estrogen pills, gels, patches, or vaginal creams, but comes with the same side effects.
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected

Not enough reviews for this treatment. Help someone out, leave a review!

Have you used Premarin Vaginal Cream (conjugated estrogens)?
Worth itNot sureNot worth it
Reviews for Femring
39%
+11% better vs. Premarin Vaginal Cream
16%
+34% better vs. Premarin Vaginal Cream
19%
+19% better vs. Premarin Vaginal Cream
Have you used Femring (estradiol acetate vaginal ring)?
Worth itNot sureNot worth it
Side effects
Premarin Vaginal CreamFemring
  • Any side effect 8%
  • Abdominal pain 5%
  • Back pain 2%
  • Excessive vaginal bleeding 14%
  • Joint pain 2%
  • Upper respiratory infection 1%
More Premarin Vaginal Cream side effects »
  • Vaginal bleeding between periods 6%
  • Abdominal distension 4%
  • Vaginal candidiasis 3%
  • Breast tenderness 4%
  • Back pain 2%
  • Uterine pain 1%
  • Urinary tract infection 2%
More Femring side effects »
How it works
Premarin Vaginal CreamFemring
Premarin Vaginal Cream (Conjugated Estrogens) is a topical medication that replaces estrogen hormones in the vagina to rebuild vaginal tissue and make vaginal sex more comfortable.Femring (Estradiol Acetate Vaginal Ring) is a vaginal ring that replaces estrogen hormones in your vagina that your body loses during menopause. Estrogen helps rebuild and maintain vaginal tissue, relieving symptoms of vaginal dryness, soreness, irritation, and painful sex.
Type of medication
Premarin Vaginal CreamFemring
Prescription onlyPrescription only
Available as
Premarin Vaginal CreamFemring
  • Vaginal cream, gel, or ointment
  • Vaginal ring
Used for
Premarin Vaginal CreamFemring
  • Vaginal Dryness And Inflammation
  • Hot Flashes And Night Sweats
Risk factors for serious side effects
Premarin Vaginal CreamFemring
  • Using estrogen for more than one year
  • Personal or family history of breast cancer
  • Duration of use
  • Personal or family history of blood clots
  • Obesity
Detailed Premarin Vaginal Cream (conjugated estrogens) risks & warnings »
  • Using estrogen for more than one year
  • Personal or family history of breast cancer
  • Duration of use
  • Personal or family history of blood clots
  • Obesity
Detailed Femring (estradiol acetate vaginal ring) risks & warnings »
Pregnancy

Research studies with real people or animals found harmful effects on unborn babies. If you’re pregnant, the risks to your unborn baby outweigh the benefits.

Research studies with real people or animals found harmful effects on unborn babies. If you’re pregnant, the risks to your unborn baby outweigh the benefits.

Pain
Premarin Vaginal CreamFemring
  • For painful sex, it can work better than over-the-counter vaginal lubricants because Premarin Vaginal Cream (Conjugated Estrogens) treats the cause of the problem (low estrogen levels), not just the symptoms (dryness).
  • If you have severe vaginal dryness, you might have pain, bleeding, or infections from repeatedly inserting the applicator.
No pain related info.
Upsides and benefits
Premarin Vaginal CreamFemring
  • Premarin Vaginal Cream (Conjugated Estrogens) relieves vaginal dryness and irritation to make sex more enjoyable.
  • Works locally in the vagina and doesn't expose the rest of your body to estrogen like pills do.
  • Premarin Vaginal Cream (Conjugated Estrogens) doesn't need to be used forever, so you can work with your doctor to see how long you’ll need to continue treatment.
  • For painful sex, it can work better than over-the-counter vaginal lubricants because Premarin Vaginal Cream (Conjugated Estrogens) treats the cause of the problem (low estrogen levels), not just the symptoms (dryness).
  • Femring (Estradiol Acetate Vaginal Ring) relieves vaginal dryness and irritation to make sex more enjoyable.
  • Works locally in the vagina and doesn't expose the rest of your body to estrogen like pills do.
  • Good option for people who don't want to take oral pills.
  • Generally works well with fewer side effects.
  • Many women think Femring (Estradiol Acetate Vaginal Ring) is easy to insert and comfortable to use.
  • In a 12-week study, Femring (Estradiol Acetate Vaginal Ring) worked well to improve vaginal problems, reduced pain during urination, and sudden urges to urinate.
  • Femring (Estradiol Acetate Vaginal Ring) slowly releases estrogen over the 90 days the ring is in place, so you only have to remove and insert a new one every three months.
Downsides and risks
Premarin Vaginal CreamFemring
  • Vaginal estrogens can weaken latex (rubber) condoms, cervical caps, and diaphragms, so you can't rely on these for birth control for 72 hours after using Premarin Vaginal Cream (Conjugated Estrogens).
  • If you have severe vaginal dryness, you might have pain, bleeding, or infections from repeatedly inserting the applicator.
  • Some of the medicine can be absorbed into your partner's skin, so you can’t have vaginal sex right after using Premarin Vaginal Cream (Conjugated Estrogens).
  • Even though Premarin Vaginal Cream (Conjugated Estrogens) is used in the vagina, it's possible some of the estrogens will get into the rest of your body and cause side effects that happen more often with estrogen pills.
  • Femring (Estradiol Acetate Vaginal Ring) may not be the best estrogen product if you have a narrow vagina or frequent vaginal infections.
  • The ring can fall out without you noticing it.
  • Increases your risk of endometrial (uterine cancer).
  • If you have your uterus, you might need to use Femring (Estradiol Acetate Vaginal Ring) with another hormone called progestin to lower your risk of uterine cancer.
  • Can be expensive since it's only available as a brand name product.
Tips from our pharmacists for people taking the medication
Premarin Vaginal CreamFemring
  • Your doctor will tell you how often to use Premarin Vaginal Cream (Conjugated Estrogens). If you're taking Premarin Vaginal Cream (Conjugated Estrogens) regularly, use it around the same time each day.
  • Attach the applicator to the tube. Once the dose is measured, insert the applicator deeply into your vagina, and press the plunger to release all the medicine. Clean the applicator after each use.
  • More effective if you use it at bedtime.
  • Consider wearing a panty liner after use.
  • Most people don't have many side effects, but temporary nausea, dizziness, bloating, and breast tenderness are possible.
  • Insert the ring as deeply as possible into your vagina. You shouldn't feel the ring once it's inserted.
  • The ring is good for 90 days in your vagina. If it falls out before the 90 days are up, just clean it with warm water and reinsert.
  • You don’t have to remove Femring (Estradiol Acetate Vaginal Ring) to treat a vaginal infection or have sex.
  • It can take up to 2 to 3 weeks to feel the full benefits.
  • Most people don't have many side effects, but temporary nausea, dizziness, bloating, and breast tenderness are possible.
  • Tell your doctor about any unusual vaginal bleeding.
Learn more
More about Premarin Vaginal CreamSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Premarin Vaginal Cream (conjugated estrogens)?
Worth itNot sureNot worth it
More about FemringSide effectsReviews & ratingsAlternativesFDA package insert
Have you used Femring (estradiol acetate vaginal ring)?
Worth itNot sureNot worth it