154. Vaginal Estrogen Options for Menopause Compared: FDA Approved and Compounded

Hormone Optimizing Warrior M.D. · Sep 18, 2026 · 28m

Every vaginal estrogen product treats the inside. Only one of them treats the outside.

Last week, I made the case that vaginal estrogen does not stay where you put it. This week, I go through what is actually available, and what each option can and cannot do for you.

We cover the creams, the inserts, the ring, and the one FDA approved product that contains no estrogen at all. One of these treats something none of the others can touch, which is why I keep prescribing it despite the mess.

I also get into compounded formulations and read the ingredient list on a common estradiol cream so you can…