DESCRIPTION
Estring vaginal rings contain estradiol. Estradiol (a form of estrogen) is a female sex hormone necessary for many processes in the body. Estring releases estrogen that is absorbed directly through the skin of the vaginal wall. This is used after menopause to treat moderate to severe menopausal changes in and around the vaginal area such as dryness, burning, and itching of the vaginal area, urgency or irritation with urination, and pain during sexual intercourse). Estring is an off-white, soft, flexible ring with a center that contains 2 mg of estradiol. The ring releases estradiol into the vagina in a consistent, stable manner for 90 days. It should be removed after 90 days of continuous use. If continued therapy is required, the ring should be replaced.
BEFORE USING ESTRING VAGINAL RING
You should not use Estring if you are allergic to estradiol, or if you have: unusual vaginal bleeding that has not been checked by a doctor; liver disease; a history of heart attack, stroke, or blood clot; an increased risk of having blood clots due to a heart problem or a hereditary blood disorder; or a history of hormone-related cancer, or cancer of the breast, uterus/cervix, or vagina. Do not use Estring if you are pregnant. Tell your doctor right away if you become pregnant during treatment. Using this medicine can increase your risk of blood clots, stroke, or heart attack. You are even more at risk if you have high blood pressure, diabetes, high cholesterol, if you are overweight, or if you smoke. Estring should not be used to prevent heart disease, stroke, or dementia. This medicine may actually increase your risk of developing these conditions.
HOW TO USE ESTRING VAGINAL RING
Wash and dry your hands before handling the ring. Insert the ring high into the vagina as directed. The ring is usually left in place for 90 days and then removed and replaced with a new ring if treatment is to be continued. Do not leave a ring in place for longer than 90 days. Follow the dosing schedule carefully. If the ring is put in properly, you should not be able to feel it and it will not interfere with sexual intercourse. If you are able to feel the ring or feel slight discomfort from the ring, it may mean that the ring is not high enough. Gently push the ring higher with your finger. If the ring falls out of the vagina, rinse the ring with lukewarm water and put it back into the vagina. Contact your doctor if the ring falls out often. The ring is removed by hooking your finger through the ring and gently pulling it out. Contact your doctor if you have trouble removing the ring. Discard the used ring in the trash. Do not flush it down the toilet. It may take 2 to 3 weeks before you get the full benefit of this medication. Tell your doctor if your condition does not improve or if it worsens.
SIDE EFFECTS
Get emergency medical help if you have signs of an allergic reaction. These are the side effects when using Estring Vaginal Ring: Nausea/vomiting, bloating, increased vaginal discharge, breast tenderness, headache, or weight changes may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Tell your doctor right away if you have any serious side effects, including:
Mental/mood changes (such as depression, memory loss), breast lumps, unusual vaginal bleeding (such as spotting, breakthrough bleeding, prolonged/recurrent bleeding), unusual vaginal irritation/itching/odor/discharge, severe stomach/abdominal pain, persistent nausea/vomiting, yellowing eyes/skin, dark urine, swelling hands/ankles/feet, increased thirst/urination. This medication may rarely cause serious problems from blood clots (such as heart attacks, strokes, deep vein thrombosis, pulmonary embolism).
COMMON QUESTIONS
HOW DO I STORE THIS ESTRING VAGINAL RING?
Store at room temperature. Do not remove the ring from the pouch until ready for use. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
WHAT SHOULD I AVOID WHILE USING ESTRING?
Avoid smoking. It can greatly increase your risk of blood clots, stroke, or heart attack while using Estring. Avoid using other vaginal products without your doctor’s advice. Grapefruit and grapefruit juice may interact with estradiol and lead to unwanted side effects. Avoid the use of grapefruit products.
Estring vaginal ring is an insert that contains a female hormone. This medicine helps relieve symptoms of vaginal irritation and dryness that occurs in some women during menopause. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. Make sure to check out www.USHparmacy.com and place your order for your affordable medications. USA Script Helpers is dedicated to providing Americans safe and approved medications. Buy online at USA Script Helpers or contact us at our toll-free number 1 (888) 646-7749 for assistance.
