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What Is Estrace Vaginal Cream?

Estrace Vaginal Cream is a prescription estrogen medicine containing estradiol 0.01%, equal to 0.1 mg per gram. It is indicated for moderate to severe symptoms of vulvar and vaginal atrophy due to menopause. The cream is placed in the vagina with the supplied applicator.

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What Is Estrace Vaginal Cream?

Estrace Vaginal Cream is a prescription estrogen medicine containing estradiol 0.01%, equal to 0.1 mg per gram. It is indicated for moderate to severe symptoms of vulvar and vaginal atrophy due to menopause. The cream is placed in the vagina with the supplied applicator.

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How Does Estrace Act in Vaginal Tissue?

Estradiol is the principal endogenous estrogen during the reproductive years. Estrogens bind nuclear receptors in estrogen-responsive tissues and alter gene transcription. In vaginal tissue after menopause, estrogen treatment restores estrogen-responsive tissue changes associated with reduced estrogen levels.

Who Is Treated With Estrace Vaginal Cream?

Estrace Vaginal Cream is used after menopause for moderate to severe vulvar and vaginal atrophy symptoms. Systemic absorption occurs with vaginal use, so systemic estrogen warnings and contraindications are considered during treatment.

How Is Estrace Vaginal Cream Dosed?

The usual initial range is 2 g to 4 g daily for one or two weeks, followed by gradual reduction to one-half of the initial amount for a similar period. After restoration of the vaginal mucosa, a maintenance dose of 1 g one to three times weekly can be used.

What Serious Risks Are Linked to Estrace?

Estrace carries boxed warnings covering endometrial cancer, cardiovascular disorders, breast cancer, and probable dementia associated with estrogen therapy. Contraindications include unexplained genital bleeding, breast cancer, estrogen-dependent neoplasia, active or prior deep vein thrombosis or pulmonary embolism, arterial thromboembolic disease, liver disease, specified thrombophilic disorders, and pregnancy.

Frequently Asked Questions About Estrace

What medicine is in Estrace Vaginal Cream?

Estrace Vaginal Cream contains estradiol 0.01%, equal to 0.1 mg per gram.

What does Estrace Vaginal Cream treat?

It treats moderate to severe vulvar and vaginal atrophy symptoms due to menopause.

What is the maintenance dose of Estrace Vaginal Cream?

Current labeling lists 1 g one to three times weekly after restoration of the vaginal mucosa.

Does Estrace Vaginal Cream enter the bloodstream?

Yes. Systemic absorption occurs, so systemic estrogen warnings are considered during treatment.

References

DailyMed - ESTRACE (estradiol) cream. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=dfc41fcd-c5ba-4b25-b647-cf04d3988b3e. Date Accessed September 30, 2026.

ESTRACE Cream (estradiol vaginal cream USP 0.01%) Prescribing Information. AbbVie. https://www.rxabbvie.com/pdf/estrace_pi.pdf. Date Accessed September 30, 2026.

Estradiol. PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/Estradiol. Date Accessed September 30, 2026.

Estrogen Therapy. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK541051/. Date Accessed September 30, 2026.

Estrogen Vaginal. MedlinePlus. https://www.medlineplus.gov/druginfo/meds/a606005.html. Date Accessed September 30, 2026.