What is the most effective estrogen cream for vaginal atrophy?
Both estriol and estradiol vaginal creams are highly effective for treating vaginal atrophy. The best choice depends on personal health history, availability, and your doctor’s recommendation.
Detailed Medical Explanation
Estriol and estradiol are the two main types of oestrogen used in vaginal creams. Both are proven to relieve dryness, discomfort, and other symptoms of atrophy. Estriol may have a lower risk of systemic absorption. Prescribers select based on your needs, past medical history, and local availability. BNF: Estradiol | BNF: Estriol.
Clinical Context
Most women respond well to either estriol or estradiol cream. Regular review with your GP or specialist helps optimise outcomes and safety.
Evidence-Based Approaches
UK guidelines recommend both types. The choice is individualised. RCOG: Vaginal Oestrogen Options.