HRT is the treatment for low levels of estrogen in a woman's body. Vaginal creams used to treat this condition are usually applied two or three times a week. Estrogen tablets may be given alone if the uterus has been removed. Otherwise, estrogen may be combined with progestin. Skin patches of estrogen may be used instead of pills. The patches only need to be changed once or twice a week, so they can be more convenient to use.
A woman with this condition can also use these measures to help prevent irritation of the vagina.
Estrogen creams can cause vaginal spotting. The cream itself may also be irritating. Estrogen pills and patches may cause the following side effects:
These side effects generally go away within a month or so after starting HRT, as the body adjusts.
Without treatment, this condition and its symptoms will not go away. With treatment, symptoms will improve for as long as the treatment lasts. Normal vaginal moisture usually returns after 2 to 4 weeks of vaginal cream therapy.
Once treatment has eliminated the symptoms, be sure to make follow-up visits to the doctor. At least once a year, the doctor should do a pelvic examination and physical. Report any new or worsening symptoms to the doctor.