Table 3: Prescription treatments for GSM.
Vaginal Estrogen Ring |
Estring (7.5 mcg estradiol released qd) |
|
Inserted by pt or clinician every 90 days |
|
|
Vaginal Estrogen Insert |
Vagifem/Yuvafem (10 mcg estradiol) |
|
Insert 1 tablet vaginally qhs for 2 weeks, then twice weekly |
|
Imvexxy (4 mcg and 10 mcg estradiol) |
|
Insert vaginally qhs for 2 weeks, then twice weekly |
|
|
Vaginal Estrogen Cream |
Estrace (100 mcg estradiol per gram) |
|
Insert 0.5 to 1 gm vaginally qhs for 2 weeks, then twice a week |
|
Premarin (0.625 mg conjugated estrogen per gram) |
|
Insert 0.5 to 1 gm vaginally qhs for 2 weeks, then twice a week |
|
|
Ospemifene (Osphena) - SERM |
60 mg daily oral tablet |
|
|
Prasterone (Intrarosa) - DHEA |
6.5 mg nightly intravaginal suppository |