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What should I know before using the vaginal estrogen ring for menopause?

Donna Hill Howes, RN
Family Practitioner

If you have a family history of breast cancer or a family history of liver porphyria, a vaginal estrogen ring may not be a good option for you.

Vaginal estrogen rings can worsen diabetes.

If you have had a blood clot, a heart attack, a stroke or transient ischemic attack (TIA), endometrial cancer, a hypercoagulation (increased blood clotting) disorder, impaired kidney function, impaired liver function, or a uterine fibroid, a vaginal estrogen ring may not be a good option for you.

If you have had breast cancer, you should not use a vaginal estrogen ring.

If you have had cholestatic jaundice associated with estrogen use or pregnancy, a vaginal estrogen ring may not be a good option for you.

If you are or may be pregnant, you should not use a vaginal estrogen ring.

This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.

Before using the vaginal estrogen ring for menopause, you should know the following:

  • The vaginal estrogen ring is used to treat vaginal dryness and painful intercourse associated with menopause.
  • The low-dose variety does not raise the levels of estrogen in the blood, so it has very little risk of side effects.
  • The high-dose variety can be used to treat other symptoms, such as hot flashes.
  • The ring is placed in the vagina (by yourself or your physician) and left there for 90 days.
  • The ring does not usually interfere with intercourse.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.