PreparationCommon formulationsDosing
Vaginal creams
Conjugated estrogen (Premarin)0.625 mg per 1 g of creamApply 0.5 to 2 g of cream intravaginally once per day for 21 days, then stop for seven days or apply 0.5 g intravaginally twice per week (generally start with 0.5-g dose)
Estradiol (Estrace)100 mcg per 1 g of creamApply 0.5 to 4 g of cream intravaginally once per day for two weeks, then reduce to 0.5 g twice per week
Vaginal tablet
Estradiol (Imvexxy, Vagifem, Yuvafem)Vagifem and Yuvafem: 10 mcg per tablet
Imvexxy: 4 or 10 mcg per tablet
Insert tablet into vagina once per day for two weeks, then reduce to twice per week
Vaginal ring
Estradiol (Estring)2-mg ring, released as 7.5 mcg per day over 90 daysInsert ring into vagina; replace every 90 days