Lara Briden's Forum

Hi,
I'm a certified nurse midwife and saw a lovely lady 4 years menopausal. She had been taking progesterone & testosterone cream from a compounding pharmacy, but felt it was losing it's effectiveness. She was experiencing night sweats and vaginal dryness. I started her on some estradiol cream vaginally but she started having spotting, so she stopped the estradiol cream. She is wondering what she should do from here. Any ideas?

In general, estradiol should be combined with oral progesterone, rather than a progesterone cream. To protect the uterine lining and prevent build-up and bleeding.