Estrogen cream vs vaginal moisturizer: which is more effective?
Estrogen cream is more effective for moderate to severe vaginal dryness linked to hormonal changes, while vaginal moisturisers provide symptom relief for mild dryness. Both have different uses and benefits.
Detailed Medical Explanation
Estrogen creams restore the health and thickness of vaginal tissues by directly replacing lost hormones, providing long-term improvement in lubrication and comfort. Vaginal moisturisers (like Replens) hydrate tissues and relieve dryness, but do not address the underlying hormonal cause. For persistent symptoms, estrogen therapy is usually recommended. NHS: Hormonal vs Non-hormonal Treatment.
Clinical Context
We prescribe estrogen cream for menopausal vaginal dryness and recommend moisturisers for younger women or those with mild, non-hormonal dryness. Safety and suitability vary by individual.
Evidence-Based Approaches
Guidelines state that local estrogen is the most effective treatment for moderate to severe vaginal dryness, while moisturisers are first-line for mild symptoms. RCOG: Vaginal Dryness Treatments.