How to Get & Use HRT Cream

Getting an HRT cream online

Applying a body (systemic) estradiol cream

• Use clean, dry, unbroken skin: inner arm, inner thigh or lower abdomen. Never the breasts or face.
• Measure exactly: one pump or the marked applicator dose your prescription states.
• Rub in over a palm-sized area until it disappears, then let it dry for a few minutes.
• Rotate sites day to day to keep absorption even and limit irritation.
• Wash your hands afterwards and cover the area before hugging children or pets.
• Apply at the same time each day; evening works well for most people.

Applying a vaginal cream

• Most women apply at bedtime so the cream stays in place.
• Fill the applicator to the prescribed mark, or use a fingertip if your prescriber allows.
• Low-dose local creams usually start nightly for about two weeks, then drop to two or three times a week.
• Systemic vaginal creams such as Alumei are used once daily as prescribed.

What to expect

Hot flashes and sleep often improve within two to four weeks. Vaginal dryness can take four to twelve weeks. Early side effects such as breast tenderness, spotting or mild bloating usually settle within the first couple of months. Report any heavy or persistent bleeding, chest pain, leg swelling or sudden severe headache to a clinician immediately.