Menopause is a phase of life that marks the transition when estrogen levels naturally decrease and menstruation gradually ceases. While it’s not a condition that requires a “cure,” knowing there are ways to manage menopausal symptoms can empower women to navigate this transitional phase with greater comfort and confidence.
This article explores the benefits of one treatment option: natural – or bioidentical – estrogen cream. Bioidentical estrogen creams are often considered natural in contrast to their synthetic counterparts because they closely mimic the molecular structure of hormones naturally produced by the human body.
Types of Estrogen Cream
Estrogen creams come in various formulations, each tailored to meet different needs and regulatory standards. Understanding the distinctions between these types can help women make informed decisions about their menopause management.(1)
Non-Prescription Estrogen Creams
Non-prescription or over-the-counter (OTC) estrogen creams are readily accessible and often sought for quick relief from menopausal symptoms, such as vaginal dryness and hot flashes. However, these products are not regulated by the FDA, which means their efficacy and safety have not been thoroughly researched. This lack of scientific validation and regulatory oversight raises concerns about their effectiveness and the potential for misleading claims.(2)
Prescription Estrogen Creams
Prescription estrogen creams are available in both synthetic and bioidentical formulations. Both types are approved by healthcare providers and meet FDA standards, but they differ significantly in their composition.
Synthetic estrogens are created in laboratories and may have a similar but not identical structure to the body's natural hormones. They can effectively alleviate menopausal symptoms but may differ in how the body metabolizes and responds to them.(2)
Bioidentical estrogen creams closely mimic the molecular structure of hormones naturally produced by the human body.(2)
How Natural Estrogen Creams Work
Estrogen plays a key role in regulating the normal functioning of various body organs like the heart, bones, and brain. It also influences the health of the skin and vaginal tissue by stimulating glands that produce natural lubrication. However, as women approach perimenopause, estrogen levels decline, leading to thinner, less elastic skin and vaginal lining with reduced natural moisture.(3)(4)
Bioidentical estrogen creams provide this hormone externally to manage symptoms associated with hormonal imbalance and are available as both body and vaginal creams. Estrogen body creams are typically applied to areas like the forearms, where the hormone is absorbed through the skin into the bloodstream, providing systemic relief for broader menopausal symptoms. This direct absorption often requires lower doses than oral medications, delivering targeted relief with minimal dosing.
Vaginal estrogen creams are applied directly to the vaginal area, where they act locally to restore moisture, elasticity, and comfort. This targeted approach is particularly effective for addressing symptoms like vaginal dryness, irritation, and discomfort during intercourse.
Benefits of Natural Estrogen Cream for Menopause
As women enter perimenopause, estrogen levels begin to decline. Restoring lost estrogen through HRT, such as bioidentical estrogen cream, can help decrease the risk of several health conditions, including cancer, osteoporosis, cardiovascular diseases, and type 2 diabetes.(3)(4)
Other potential benefits include the following:
Reduced urine leaks
Better lubrication
Decreased vaginal irritation
Improved skin elasticity
Fewer and/or milder hot flashes
Improved skin texture and elasticity
Lower prevalence of mood disorders
Reasons to Use Natural Estrogen Cream
Natural or bioidentical estrogen creams are specifically formulated to replenish estrogen directly where it's most needed. These creams are available as body and vaginal creams.
Vaginal estrogen creams are primarily used to address vaginal symptoms of menopause, which include dryness, irritation, and discomfort during intercourse. Approximately 50% of women over 50 experience vaginal dryness, with a significant percentage reporting discomfort during sexual activities.(3)(4)
While natural estrogen creams offer a safe and effective way to manage menopausal symptoms, it's essential to consult with a healthcare professional before starting treatment. Healthcare providers can ensure an accurate diagnosis and develop a personalized treatment plan to address specific health needs effectively.