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Estring (Estradiol Vaginal Ring)
Manufactured by: Pfizer  This product requires a valid prescription
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Estring (Also known as Femring) is an estrogen replacement system for relief of the vaginal problems that often occur after menopause, including vaginal dryness, burning, and itching, and difficult or painful intercourse. Estring / Femring is also prescribed for postmenopausal urinary problems such as difficulty urinating or urinary urgency. Because estrogen replacement therapy is not advisable if you are in any danger of developing cancer, your doctor should take a complete medical and family history--and do a complete physical exam--before prescribing Estring / Femring. As a general rule, you should have an examination at least once a year while using Estring.
Each Estring / Femring (Estradiol Ring) is left in place for 3 months. Press the Estring / Femring into an oval and insert it as deeply as possible into the upper third of the vagina. The exact position is unimportant as long as you don't feel the ring. If the ring causes discomfort, it is probably not far enough inside. If the ring slips down into the lower part of the vagina, push it back up with your finger. If it falls out, rinse it in warm water and reinsert it.
When replacing the ring, simply hook a finger through it and pull it out. If the ring is not replaced after 90 days, the dose of estrogen will gradually decline and your symptoms will return.
Do not use Estring or Femring if there is any chance that you have breast cancer or any other cancer stimulated by estrogen. Also avoid Estring if there is a possibility that you are pregnant. Do not use Estring if you have unexplained genital bleeding, and avoid it in the event of an allergic reaction.
Estrogen replacement therapy is associated with a slight increase in the chances of heart disease, high blood pressure, blood clots, gallbladder disease, certain forms of cancer, and excessive calcium levels. Estrogen is also suspected of increasing the risk of breast cancer, although this remains controversial.
Store Estring / Femring at room temperature.
Estring / Femring side effects cannot be anticipated. If experience any side effects, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue using Estring / Femring.
More common side effects may include:
Abdominal pain, arthritis, back pain, flu-like symptoms, headaches, insomnia, joint pain, nausea, sinus inflammation, upper respiratory tract infections, vaginal discharge, vaginal discomfort or pain, vaginal inflammation or bleeding, yeast infection
Less common side effects may include:
Abnormal bleeding from the uterus, allergic reaction, bone pain, breast pain, bronchitis, chest pain, diarrhea, fainting, family stress, gas, genital itching or eruptions, hemorrhoids, hot flashes, inability to hold urine, indigestion, middle ear infection, migraine, painful urination, skin inflammation, sore throat, stomach inflammation, swelling of legs, toothache, urinary tract infection.
Estring / Femring must not be used during pregnancy and is not intended for nursing mothers.
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