Compare Premarin Vaginal Cream vs. Estring

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

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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 vaginal dryness due to menopause.

Estring (estradiol vaginal ring) is more convenient than other forms of estrogen therapy since you only have to replace it every 3 months, but it needs to be inserted directly into the vagina.

3.3/ 5 average rating with 56 reviewsforEstring
Upsides
  • 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).
  • Many women find Estring (estradiol vaginal ring) more comfortable to use and easier to apply than creams or gels.
  • Estring (estradiol vaginal ring) may be more convenient since it is dosed once every 3 months compared to alternatives that need to taken daily or twice weekly.
  • Works directly at the site of application and safer than oral estrogen pills.
Downsides
  • 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.
  • Estring (estradiol vaginal ring) may not be the best option if you have a narrow vagina or frequent vaginal infections.
  • The ring can fall out without you noticing.
  • Estring (estradiol vaginal ring) is only available as brand name, so can be expensive.
  • Estring (estradiol vaginal ring) All estrogen therapies increase your risk for uterine cancer, heart problems, and blood clots.
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Used for
  • Vaginal dryness and inflammation
  • Painful intercourse from menopause
  • Vaginal dryness and inflammation
Dosage forms
  • Vaginal cream, gel, or ointment
  • Vaginal ring
Price
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Reviews
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56 reviews so far
63%
saidit'sworth it
39%
saiditworked well
18%
saidit'sa big hassle

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Side effects
31possible side effects
  • Any side effect
    90%
  • Headache
    28%
  • Infection
    23%
  • Pain
    20%
  • Abdominal pain
    17%
  • Back pain
    13%
  • Pharyngitis
    12%
  • Dyspepsia
    11%
  • Flu syndrome
    10%
  • Rhinitis
    10%
  • Myalgia
    9%
  • Upper respiratory infection
    9%
  • Asthenia
    8%
  • Arthralgia
    7%
  • Insomnia
    7%
  • Sinusitis
    7%
  • Breast pain
    7%
  • Accidental injury
    6%
  • Diarrhea
    6%
  • Flatulence
    6%
  • Nausea
    6%
  • Depression
    5%
  • Pruritus
    5%
  • Vaginal moniliasis
    5%
  • Vaginitis
    5%
  • Dizziness
    4%
  • Cough increased
    4%
  • Leukorrhea
    4%
  • Leg cramps
    3%
  • Nervousness
    2%
  • Vaginal hemorrhage
    2%
See more detailed side effects
20possible side effects
  • Headache
    13%
  • Vaginal discharge
    7%
  • Back pain
    6%
  • Yeast infection
    6%
  • Upper airway infection
    5%
  • Vaginal inflammation
    5%
  • Vaginal discomfort/pain
    5%
  • Arthritis
    4%
  • Trouble sleeping
    4%
  • Stomach pain
    4%
  • Sinus infection
    4%
  • Vaginal bleeding
    4%
  • Bacterial growth in the genitals
    4%
  • Joint pain
    3%
  • Nausea
    3%
  • Flu-like symptoms
    3%
  • Bone pain
    2%
  • Bladder infection
    2%
  • Hot flashes
    2%
  • Stress
    2%
See more detailed side effects
Risks and risk factors
  • Endometrial cancer
    • Using estrogen for more than one year
  • Breast cancer
    • Personal or family history of breast cancer
    • Duration of use
  • Increased risk of blood clots and stroke
    • Personal or family history of blood clots
    • Obesity
    • Systemic lupus erythematosus (SLE)
  • Increased risk of heart disease
    • Smoking
    • Obesity
    • High blood pressure
    • High blood sugar
    • High cholesterol
    • Age 50 or older
  • Memory loss
  • Gallbladder problems
  • Serious allergic reaction
    • Prior severe allergic reaction to Premarin Vaginal Cream (Conjugated Estrogens)
  • Harm to fetus
    • Women of childbearing age
  • Pancreas swelling (pancreatitis)
    • High levels of triglycerides
See more detailed risks and warnings
  • Uterine cancer
    • Using estrogen for more than one year
    • Higher dose of estrogen
  • Breast cancer
    • Personal or family history of breast cancer
    • Using estrogen and progestin for more than one year
  • Blood clots and stroke
    • Personal or family history of blood clots
    • Smoking
    • Obesity
    • Systemic lupus erythematosus (SLE)
  • Heart disease
    • Smoking
    • Obesity
    • High blood pressure
    • High blood sugar
    • High cholesterol
    • Age 50 or older
  • Dementia
    • Age 65 or older
  • Inflammation of pancreas (pancreatitis)
    • High levels of triglycerides
See more detailed risks and warnings