[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"newproduct-vaginal-estrogen-cream":3,"accordion-request":297,"trustpilotData":1101,"nds-homepage-menopause-care":1104,"steps-how-it-works":1128,"productCards":1199},{"productsV4Collection":4},{"items":5},[6],{"sys":7,"description":9,"symptoms":23,"productVariantsCollection":117,"slug":119,"name":120,"price":121,"sku":119,"mpn":122,"form":123,"stripeData":124,"metaTitle":129,"metaDescription":130,"jsonLd":131,"activeIngredient":297,"administrationRoute":297,"mechanismOfAction":297,"dosageForm":297,"drugClass":297,"shopImage":298,"productFaqItemsCollection":301,"treatmentInformationItemsCollection":629,"productCarousel":1057},{"id":8},"35jxWEWDs0hF6Y8oDPl8VP",{"json":10},{"data":11,"content":12,"nodeType":22},{},[13],{"data":14,"content":15,"nodeType":21},{},[16],{"data":17,"marks":18,"value":19,"nodeType":20},{},[],"Vaginal Estrogen Cream is a safe, comfortable way to target urogenital menopause symptoms. Its localized application relieves vaginal dryness, itching, and burning, while also supporting urinary health and helping to prevent frequent urinary tract infections (UTIs).","text","paragraph","document",{"json":24},{"data":25,"content":26,"nodeType":22},{},[27,34,110],{"data":28,"content":29,"nodeType":21},{},[30],{"data":31,"marks":32,"value":33,"nodeType":20},{},[],"Target urogenital menopause symptoms:",{"data":35,"content":36,"nodeType":109},{},[37,49,59,69,79,89,99],{"data":38,"content":39,"nodeType":48},{},[40],{"data":41,"content":42,"nodeType":47},{},[43],{"data":44,"marks":45,"value":46,"nodeType":20},{},[],"Frequent UTIs","heading-5","list-item",{"data":50,"content":51,"nodeType":48},{},[52],{"data":53,"content":54,"nodeType":47},{},[55],{"data":56,"marks":57,"value":58,"nodeType":20},{},[],"Vaginal 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menopause.",{"mpn":122,"sku":119,"url":125,"name":120,"@type":132,"brand":133,"image":137,"offers":140,"review":230,"sameAs":266,"@context":276,"category":277,"material":123,"description":278,"manufacturer":279,"aggregateRating":280,"additionalProperty":285,"isAccessoryOrSparePartFor":295},"Product",{"logo":134,"name":135,"@type":136},"https:\u002F\u002Fbywinona.com\u002Fsvg\u002Fwinona-icon.svg","Winona","Brand",[138,139],"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F4dp7MFZoObVvTww8jyV1aj\u002F374d67c99bee29c551c2f1c1506dac2a\u002Fvaginal-estrogen-cream.webp","https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F7nUN6XVPAmXwkIMZW2gdWN\u002F4b6476278aa472b13e1979d8fe9858e2\u002Fvaginal-estrogen-cream.webp",{"@type":141,"offers":142,"seller":167,"lowPrice":147,"highPrice":161,"offerCount":169,"availability":148,"itemCondition":170,"priceCurrency":149,"priceValidUntil":171,"shippingDetails":172,"hasMerchantReturnPolicy":227},"AggregateOffer",[143,158],{"sku":144,"name":145,"@type":146,"price":147,"availability":148,"priceCurrency":149,"additionalProperty":150},"WIN-VAG-ESTRO-20G","Vaginal 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struggled for years to get my primary care team to listen to me about my weight gain, urinary, and vaginal symptoms during perimenopause, and now that I'm in full menopause, those symptoms are even worse. It took one day--ONE DAY--from the time I started the process with Winona to the time I had a treatment plan. I could not be any happier with my experience.",{"@type":238,"bestRating":239,"ratingValue":239},"Rating","5","2024-11-25",{"@type":232,"author":242,"reviewBody":244,"reviewRating":245,"datePublished":246},{"name":243,"@type":235},"Christina","From being reluctant to start Winona to having the best experience. Hot flashes are completely gone, mental clarity has improved, vaginal dryness definitely improved. Having a physician to guide with effects of the medication is a plus. A downfall was starting my period after 7 months, but I understand the reason for this. All part of the process. I am so happy that I am feeling back to myself again.",{"@type":238,"bestRating":239,"ratingValue":239},"2024-11-13",{"@type":232,"author":248,"reviewBody":250,"reviewRating":251,"datePublished":252},{"name":249,"@type":235},"L.B.","I've been using Winona estrogen\u002Fprogesterone cream for over a year and love that I feel normal again! I no longer have morning hot flashes, night sweats and just an overall feeling of being dry and brittle. I also started using the vaginal estrogen cream and let me just say that my husband and I couldn't be happier! y doctor always responds to my questions and request within 24 hours regardless of the day of the week. I recommend Winona wholeheartedly!",{"@type":238,"bestRating":239,"ratingValue":239},"2024-03-10",{"@type":232,"author":254,"reviewBody":256,"reviewRating":257,"datePublished":258},{"name":255,"@type":235},"Christa Wagman","I started Winona after years of using another companies creams and having minimal menopausal symptom relief. I was suffering from insomnia, hot flashes, night sweats,anxiety,body\u002Fjoint pain, vaginal dryness and pain with intercourse to the point, I lost my libido. After starting Winona, all my symptoms are gone and my sex drive and energy are back again ! I am so thankful I took the leap and tried Winona. Winona Does an awesome job of answering any questions you may have along your journey and will work with you to help you feel your best. I just wish I would have switched years ago and not had to deal with Menopause symptoms as long as I did.",{"@type":238,"bestRating":239,"ratingValue":239},"2024-06-24",{"@type":232,"author":260,"reviewBody":262,"reviewRating":263,"datePublished":265},{"name":261,"@type":235},"Lisa M","Some of my symptoms that I had been experiencing before starting HRT, were Hot flashes and vaginal dryness and dry skin. I have seen a great improvement in know hot flashes at night time, and my overall dryness has improved after 10 weeks into the HRT! Hopefully with continue use my fatigue and brain fog will improve as well! Overall I have had good results so far!",{"@type":238,"bestRating":239,"ratingValue":264},"4","2024-05-01",[267,268,269,270,271,272,273,274,275],"https:\u002F\u002Fwww.facebook.com\u002FByWinona","https:\u002F\u002Fwww.instagram.com\u002FByWinona","https:\u002F\u002Fwww.linkedin.com\u002Fcompany\u002Fbywinona","https:\u002F\u002Fwww.trustpilot.com\u002Freview\u002Fbywinona.com","https:\u002F\u002Fwww.tiktok.com\u002F@bywinona","https:\u002F\u002Fx.com\u002Fby_winona","https:\u002F\u002Fwww.youtube.com\u002F@bywinona","https:\u002F\u002Fwww.pinterest.com\u002Fbywinona\u002F","https:\u002F\u002Fwww.facebook.com\u002Fgroups\u002Fwinonawomen","https:\u002F\u002Fschema.org\u002F","Health & Wellness > Personal Care > Feminine Care > Vaginal Care","Winona’s Vaginal Estrogen Cream acts directly in the vagina to treat symptoms such as dryness, itching, irritation, and painful sex. Most patients notice improvements almost immediately. Available in 20G and 45G sizes for flexible treatment options.",{"name":135,"@type":168},{"@type":281,"bestRating":239,"ratingValue":282,"reviewCount":283,"worstRating":284},"AggregateRating","4.7","2811","1",[286,289,292],{"name":287,"@type":153,"value":288},"Ingredients","Estradiol USP, C12 - 15 alkyl benzoate, caprylic\u002Fcapric triglycerides, cetyl alcohol, ethylhexylglycerin, glycerin USP, glyceryl stearate, hydroxyethyl acrylate\u002Fsodium acryloyldimethyl taurate copolymer, oleic acid, olive oil, PEG-100 stearate, polymethylsiloxane, purified water, stearic acid, trolamine NF, and vitamin E acetate.",{"name":290,"@type":153,"value":291},"HSA\u002FFSA Eligible","Yes",{"name":293,"@type":153,"value":294},"Application","Using the applicator (about 1cm\u002F0.5in of cream) apply once daily for 2 weeks, and then progress to 1g applied 2x per week. The usual dosage range of Vaginal Cream is 2 to 4 g (marked on the applicator) daily for one or two weeks, then gradually reduced to one half initial dosage for a similar period.",{"name":296,"@type":132},"Winona Treatment Plan",null,{"url":299,"title":300,"description":116},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F42jnUNRaKSk5J1IScQ2hev\u002Fa165ee952bbf48bda16a36f5ed768b89\u002FVaginal_estrogen.png","Vaginal estrogen",{"items":302},[303,318,333,348,363,378,403,418,433,448,463,478,493,508,523,538,554,569,584,599,614],{"sys":304,"content":306,"title":317,"entryTitle":317},{"id":305},"6OfbXX2s2d4tm9gLEERqIz",{"json":307},{"nodeType":22,"data":308,"content":309},{},[310],{"nodeType":21,"data":311,"content":312},{},[313],{"nodeType":20,"value":314,"marks":315,"data":316},"Vaginal Estrogen Cream is formulated to treat the genitourinary symptoms of menopause (GSM). This includes vaginal dryness, thinning of the vaginal walls (atrophy), itching, burning, and pain during intercourse (dyspareunia). It may also help reduce the frequency of recurrent urinary tract infections (UTIs).",[],{},"What specific symptoms does Vaginal Estrogen Cream treat?",{"sys":319,"content":321,"title":332,"entryTitle":332},{"id":320},"39mY7MahCY9VXc5c8YqDF5",{"json":322},{"nodeType":22,"data":323,"content":324},{},[325],{"nodeType":21,"data":326,"content":327},{},[328],{"nodeType":20,"value":329,"marks":330,"data":331},"During menopause, declining estrogen levels cause the vaginal tissues to become thinner, less elastic, and drier. Vaginal Estrogen Cream delivers a low dose of bioidentical estrogen directly to these tissues, helping restore their thickness, lubrication, and natural function.",[],{},"How does vaginal estrogen work?",{"sys":334,"content":336,"title":347,"entryTitle":347},{"id":335},"GXEqVvjS3nfGkjAnh221S",{"json":337},{"nodeType":22,"data":338,"content":339},{},[340],{"nodeType":21,"data":341,"content":342},{},[343],{"nodeType":20,"value":344,"marks":345,"data":346},"Vaginal Estrogen Cream is applied directly to the vaginal canal to specifically target urogenital symptoms, while hormone therapy body cream is used on external skin, such as the wrists, for systemic absorption. ",[],{},"How is Vaginal Estrogen Cream different from Estrogen Body Cream?",{"sys":349,"content":351,"title":362,"entryTitle":362},{"id":350},"H7o3rEr5tRNjZTzRuwiu8",{"json":352},{"nodeType":22,"data":353,"content":354},{},[355],{"nodeType":21,"data":356,"content":357},{},[358],{"nodeType":20,"value":359,"marks":360,"data":361},"The cream is typically applied to the vagina using the supplied applicator. Your physician will provide a specific dosing schedule — often daily for the first few weeks, then reduced to a few times a week for maintenance.",[],{},"How do I apply the Vaginal Estrogen Cream?",{"sys":364,"content":366,"title":377,"entryTitle":377},{"id":365},"6yr3vX5JAZRhC8NyI3lMZ",{"json":367},{"nodeType":22,"data":368,"content":369},{},[370],{"nodeType":21,"data":371,"content":372},{},[373],{"nodeType":20,"value":374,"marks":375,"data":376},"Most women begin to feel relief from symptoms like dryness and itching within a few weeks. Full benefits, including restored vaginal tissue health and reduced pain during intercourse, may take up to 8–12 weeks.",[],{},"How long does it take for vaginal estrogen to work?",{"sys":379,"content":381,"title":402,"entryTitle":402},{"id":380},"1ozxPyQcHoD4TEUsRqVk6t",{"json":382},{"nodeType":22,"data":383,"content":384},{},[385],{"nodeType":21,"data":386,"content":387},{},[388,392,398],{"nodeType":20,"value":389,"marks":390,"data":391},"Vaginal Estrogen Cream is best applied ",[],{},{"nodeType":20,"value":393,"marks":394,"data":397},"after",[395],{"type":396},"italic",{},{"nodeType":20,"value":399,"marks":400,"data":401}," intercourse to avoid timing concerns. The cream is dispensed inside the vagina at night before sleep, which allows time for proper absorption with less interruption. When the cream is used before intercourse, waiting at least 1–2 hours allows the medication to settle. For oral sex, a longer window is recommended — about 4 hours — to limit residual transfer.",[],{},"How long should I wait to have sex after applying this estradiol cream?",{"sys":404,"content":406,"title":417,"entryTitle":417},{"id":405},"2YwZ144BU71gVd2tUVdwmB",{"json":407},{"nodeType":22,"data":408,"content":409},{},[410],{"nodeType":21,"data":411,"content":412},{},[413],{"nodeType":20,"value":414,"marks":415,"data":416},"There’s a small possibility that trace amounts of the cream may come into contact with your partner during sexual activity. ",[],{},"Can Vaginal Estrogen Cream affect my partner during sex?",{"sys":419,"content":421,"title":432,"entryTitle":432},{"id":420},"3FtqQ3X3j4Lu6RfOM7FQyz",{"json":422},{"nodeType":22,"data":423,"content":424},{},[425],{"nodeType":21,"data":426,"content":427},{},[428],{"nodeType":20,"value":429,"marks":430,"data":431},"Vaginal Estrogen Cream is primarily used to relieve localized symptoms of menopause like dryness, itching, and pain during intercourse. By improving vaginal health and comfort, it may indirectly enhance libido or desire by making sexual activity more enjoyable. ",[],{},"Can Vaginal Estrogen Cream help with low libido?",{"sys":434,"content":436,"title":447,"entryTitle":447},{"id":435},"53LDSR0JslHvTe2naRsoX5",{"json":437},{"nodeType":22,"data":438,"content":439},{},[440],{"nodeType":21,"data":441,"content":442},{},[443],{"nodeType":20,"value":444,"marks":445,"data":446},"Because vaginal estrogen is a localized treatment with very low systemic absorption, side effects are uncommon. Some women may experience temporary breast tenderness or light spotting when starting treatment. If you experience any persistent side effects, please consult with your Winona physician.",[],{},"What are the potential side effects of vaginal estrogen?",{"sys":449,"content":451,"title":462,"entryTitle":462},{"id":450},"300ZQXd4rvMkc3fvUmWrXi",{"json":452},{"nodeType":22,"data":453,"content":454},{},[455],{"nodeType":21,"data":456,"content":457},{},[458],{"nodeType":20,"value":459,"marks":460,"data":461},"Yes, the estradiol used in our Vaginal Estrogen Cream is bioidentical, meaning it’s molecularly identical to the estrogen your body naturally produces.",[],{},"Is the estrogen in this vaginal cream bioidentical?",{"sys":464,"content":466,"title":477,"entryTitle":477},{"id":465},"2FHdI6jKgbQc429nxceHjE",{"json":467},{"nodeType":22,"data":468,"content":469},{},[470],{"nodeType":21,"data":471,"content":472},{},[473],{"nodeType":20,"value":474,"marks":475,"data":476},"Vaginal Estrogen Cream is a prescription-only medication. A physician’s guidance ensures the treatment is appropriate for your symptoms and that the correct dose is used. Over-the-counter options are typically non-hormonal moisturizers, not medications.",[],{},"Do I need a prescription for Vaginal Estrogen Cream, or can I buy it over the counter?",{"sys":479,"content":481,"title":492,"entryTitle":492},{"id":480},"53KgdDDAaKyfZI4vXdO4dB",{"json":482},{"nodeType":22,"data":483,"content":484},{},[485],{"nodeType":21,"data":486,"content":487},{},[488],{"nodeType":20,"value":489,"marks":490,"data":491},"If you miss a dose, apply it as soon as you remember. However, if it’s closer to the time of your next scheduled dose, skip the missed one and continue your regular routine. Do not use a double dose.",[],{},"What should I do if I miss a dose?",{"sys":494,"content":496,"title":507,"entryTitle":507},{"id":495},"1th9Bqh5tKwyS57cLIW8nH",{"json":497},{"nodeType":22,"data":498,"content":499},{},[500],{"nodeType":21,"data":501,"content":502},{},[503],{"nodeType":20,"value":504,"marks":505,"data":506},"Unfortunately, Winona cannot provide additional applicators. You can purchase them online from vendors like Amazon if you need more. ",[],{},"What should I do if I need a new applicator for my Vaginal Estrogen Cream?",{"sys":509,"content":511,"title":522,"entryTitle":522},{"id":510},"6XpNYp1FbIeem3A0MTesAI",{"json":512},{"nodeType":22,"data":513,"content":514},{},[515],{"nodeType":21,"data":516,"content":517},{},[518],{"nodeType":20,"value":519,"marks":520,"data":521},"You can get your prescription by completing our online onboarding process. This starts with a free intake where you'll answer questions about your health and symptoms. A board-certified doctor will then review your information to determine if you are a candidate for treatment and, if so, will issue a prescription for Vaginal Estrogen Cream.",[],{},"How do I get a prescription for Vaginal Estrogen Cream?",{"sys":524,"content":526,"title":537,"entryTitle":537},{"id":525},"6ZtuNUJPigc7xIxVLbZ0KZ",{"json":527},{"nodeType":22,"data":528,"content":529},{},[530],{"nodeType":21,"data":531,"content":532},{},[533],{"nodeType":20,"value":534,"marks":535,"data":536},"Once your prescription is issued, there’s a 24-hour review period before the pharmacy begins processing your order. The pharmacy typically prepares your medication within 1–3 business days, followed by shipping, which takes another 1–3 business days. On average, most patients receive their Vaginal Estrogen Cream within about 5 business days.",[],{},"How long will it take to receive my Vaginal Estrogen Cream?",{"sys":539,"content":541,"title":552,"entryTitle":553},{"id":540},"6URHF5jcbgqqnGCyXAodtV",{"json":542},{"nodeType":22,"data":543,"content":544},{},[545],{"nodeType":21,"data":546,"content":547},{},[548],{"nodeType":20,"value":549,"marks":550,"data":551},"Your Vaginal Estrogen Cream is delivered directly to your door. Standard shipping is free on all prescriptions. If you need your medication sooner, expedited options are available at checkout, including USPS Priority (2–3 business days) or FedEx Overnight for an additional fee.",[],{},"How are the products shipped, and is there a cost?","How are the products shipped, and is there a cost? -vaginal-estrogen-cream",{"sys":555,"content":557,"title":568,"entryTitle":568},{"id":556},"2gUUhLBBN9QSswyuzqgR9l",{"json":558},{"nodeType":22,"data":559,"content":560},{},[561],{"nodeType":21,"data":562,"content":563},{},[564],{"nodeType":20,"value":565,"marks":566,"data":567},"While Winona is currently unable to bill insurance companies directly, you can use your HSA (Health Savings Account) or FSA (Flexible Spending Account) card to pay for your Vaginal Estrogen Cream at checkout. You’ll also have access to receipts and documentation that you can use to submit and file a claim with your insurance provider for possible reimbursement.",[],{},"Can I use my insurance, FSA, or HSA to pay for Vaginal Estrogen Cream?",{"sys":570,"content":572,"title":583,"entryTitle":583},{"id":571},"4nZ736PLEg0GdGFjqfcb5p",{"json":573},{"nodeType":22,"data":574,"content":575},{},[576],{"nodeType":21,"data":577,"content":578},{},[579],{"nodeType":20,"value":580,"marks":581,"data":582},"The active ingredient in your Vaginal Estrogen Cream, estradiol, is FDA approved. The final medication itself is prepared for you by a state-licensed compounding pharmacy that follows strict quality standards. This allows for personalized dosages not available in pre-packaged, mass-produced medications.",[],{},"Is Vaginal Estrogen Cream FDA approved?",{"sys":585,"content":587,"title":598,"entryTitle":598},{"id":586},"2qulY3GWrPvkwg1lIQvPqy",{"json":588},{"nodeType":22,"data":589,"content":590},{},[591],{"nodeType":21,"data":592,"content":593},{},[594],{"nodeType":20,"value":595,"marks":596,"data":597},"Your treatment is personalized, and ongoing care is included. If you feel your dosage needs adjustment, you can discuss this with your doctor anytime via messaging in the secure Patient Portal. Adjustments are free, and your doctor will work with you to find the right dosage for your needs.",[],{},"What if I feel my dosage of Vaginal Estrogen Cream needs to be adjusted?",{"sys":600,"content":602,"title":613,"entryTitle":613},{"id":601},"vuJaV7vjh3te5GgMW0ooo",{"json":603},{"nodeType":22,"data":604,"content":605},{},[606],{"nodeType":21,"data":607,"content":608},{},[609],{"nodeType":20,"value":610,"marks":611,"data":612},"Your Winona subscription includes unlimited, 24\u002F7 messaging with your board-certified doctor. You can ask questions about your Vaginal Estrogen Cream, discuss your symptoms, or request dosage adjustments at any time through the secure Patient Portal.",[],{},"What kind of medical support is included with my Vaginal Estrogen Cream prescription?",{"sys":615,"content":617,"title":628,"entryTitle":628},{"id":616},"30bivZkaVH1eqsHXBBCNiQ",{"json":618},{"nodeType":22,"data":619,"content":620},{},[621],{"nodeType":21,"data":622,"content":623},{},[624],{"nodeType":20,"value":625,"marks":626,"data":627},"To reorder your Vaginal Estrogen Cream, log in to the Patient Portal and contact the Patient Care Team. Your physician will review and approve your request for additional refills before filling the prescription.",[],{},"How can I reorder my Vaginal Estrogen Cream?",{"items":630},[631,651,724,925,945],{"sys":632,"title":634,"entryTitle":635,"content":636},{"id":633},"v5Z38nqw9YF0Hc7v5X79v","Description","Description - vaginal-estrogen-cream",{"json":637,"links":647},{"nodeType":22,"data":638,"content":639},{},[640],{"nodeType":21,"data":641,"content":642},{},[643],{"nodeType":20,"value":644,"marks":645,"data":646},"Vaginal Estrogen Cream uses a simple applicator to ensure comfortable, easy application, and its quick-absorbing formula provides fast relief. This topical cream is a discreet, convenient option to improve vaginal health during the menopause transition.",[],{},{"entries":648},{"block":649,"inline":650},[],[],{"sys":652,"title":654,"entryTitle":655,"content":656},{"id":653},"4VM1oviFQBwcygr1sulObM","How to Use","How to Use -  vaginal-estrogen-cream",{"json":657,"links":715},{"nodeType":22,"data":658,"content":659},{},[660,709],{"nodeType":661,"data":662,"content":663},"ordered-list",{},[664,674,684],{"nodeType":48,"data":665,"content":666},{},[667],{"nodeType":21,"data":668,"content":669},{},[670],{"nodeType":20,"value":671,"marks":672,"data":673},"Before and after applying the cream, wash your hands thoroughly. 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