Hi, I'm Dr. Steven Hausman of Hausman Technology Keynotes. And I will be speaking with you about estrogen cream. Estrogen is a hormone that is used to control symptoms such as hot flashes and vaginal dryness in women who are undergoing menopause. It comes in tablet, patch and cream form. Pills and patches are used for hot flashes and night sweats. But the cream is preferred for treating vaginal dryness, itching or burning and painful urination. Estrogen cream has been shown to increase vaginal blood flow and increase the thickness and stretchiness of the vagina in post menopausal women. As a result, estrogen cream provides more effective relief than lubricants and moisturizers. It has also been found very effective in treating atrophy related pain during sex. The improvement in vaginal health usually occurs within a few months of beginning therapy. While oral estrogen have been shown to increase the risk of cancer of the ovaries, stroke and blood clots. The side effects of estrogen cream are generally minimal. Some of the estrogen from the cream may also enter your blood stream from the vagina and travel elsewhere in the body. It is not yet certain whether the estrogen cream can relieve hot flashes or cause any serious side effects. However with any drug, risks seem to be dependent on the length of the time the drug is used and the amount of estrogen per dose. Thus it should be used for the least amount of time needed and at the lowest does that is effective. You should also tell your doctor or pharmacist about any other prescription and no-prescription medications, vitamins and nutritional supplements you're already taking. Since they can interact with the estrogen. You should speak with your doctor every three to six months to decide if you need to use a lower dose of estrogen or stop using it altogether.