- Product overview
- Why Estradiol
- How it works
- Treatment process
- Explore other treatments
- Why REG3N
- Common questions
- Treatment information
Generic for Estrace®
From $26/mo*
*Billed quarterly with a three-month commitment paid up front.
WHY ESTRADIOL
Estrogen production declines over time. Estradiol can help restore it.
Supports vaginal tissue
After menopause, vaginal tissue thins and becomes fragile. In a trial of 550 postmenopausal women, low-dose estradiol cream significantly restored tissue health compared to a placebo cream.
Source: Kroll et al., "A Randomized, Multicenter, Double-Blind Study to Evaluate the Safety and Efficacy of Estradiol Vaginal Cream 0.003%," Menopause (2018)
Can reduce dryness and pain
Women also reported real improvements in daily comfort. Pain during intercourse decreased at weeks 8 and 12. Vaginal dryness improved by week 12. Vaginal pH — a key measure of tissue health — dropped by 1.36 points versus 0.53 with placebo.
Source: Kroll et al., Menopause (2018) & Archer et al., Journal of Women's Health (2018)
Published study facts
Lower systemic absorption
At low doses, it has less systemic absorption compared to oral estrogen and no demonstrated increase in risk of breast cancer, heart disease, or blood clots.
Biehl et al., "A Systematic Review of the Efficacy and Safety of Vaginal Estrogen Products," Menopause (2019) & Pinkerton, "Hormone Therapy for Postmenopausal Women," NEJM (2020)
Charts and graphics are illustrative representations intended to communicate published research findings and the known pharmacologic properties of the referenced medication. Visualizations may simplify, normalize, or model study data for educational purposes and should not be interpreted as guarantees of individual clinical outcomes or expected results.
HOW ESTRADIOL WORKS
Replenish estrogen.
Restore vitality. Estradiol works locally on vaginal tissue. This can support tissue health, sexual function, and urinary health.

Estrogen delivered locally
Estradiol cream is applied directly to vaginal tissue. It absorbs locally, with decreased risk of elevating estrogen levels elsewhere in the body.
Healthy pH restored
As acidic pH returns, Lactobacillus can thrive again. This protective bacteria may help ease dryness, painful sex, recurrent UTIs, and incontinence.
Tissue revitalized
Vaginal, urethral, and bladder tissue absorbs estradiol locally. This can help restore epithelial thickness, moisture, and acidic pH.
Step 1
Medical intake
Answer a guided set of questions covering your medical history, current medications, goals, and treatment preferences.
A few minutes
Step 2
Doctor review
A U.S.-licensed, board-certified physician reviews your intake and recommends a medication, if appropriate.*
Within 72 hours
Step 3
Fast shipping
Approved medications ship directly to your door in discreet packaging.
2-5 business days
Step 4
Unlimited messaging
Your doctor is available via chat any time for additional support. Video consults available. The same prescription framework as REG3N's medical team. *Some states may require a synchronous audio and/or video consultation prior to a prescription being approved.
Up to 12 months
Proactive care
Doctor-led treatment plans designed around your goals. No wait lists. No insurance required.
Transparent pricing
No membership fees, no hidden costs. You pay only after a doctor prescribes treatment.
Board-certified doctors
Access to specialist physicians, licensed in your state. Unlimited messaging for up to 12 months.
Curated by longevity experts
Every protocol is built by medical experts, based on longevity research from REG3N's science team.
What is estradiol?
Estradiol cream (generic for Estrace®) is an FDA-approved topical estrogen prescribed for certain symptoms related to menopause, including vaginal dryness and painful sex.
How do you use estradiol?
Estradiol cream is inserted into the vagina using the included applicator. Your doctor determines the dosage based on your needs and medical history.
What are the side effects of estradiol?
The most frequently reported side effects are local irritation, burning, itching, vaginal discharge, and occasional spotting. These are typically mild and tend to appear in the first weeks of use, resolving as the tissue adjusts. Tell your doctor if side effects persist or feel disruptive.
Who shouldn't use estradiol?
Estradiol cream should not be used by people with a history of hormone-sensitive cancers (such as breast or uterine cancer), as estrogen exposure can increase the risk of recurrence. It is also not recommended for people with unexplained vaginal bleeding, a history of blood clots, stroke, or active liver disease. Your doctor will review your full medical history before prescribing.
Disclaimer: This page is intended for educational purposes only and is not intended to provide medical advice, diagnosis or treatment. Medication eligibility and prescriptions are determined solely by licensed medical providers based on clinical appropriateness. Not all individuals will qualify for medication-based treatment. Always consult a licensed healthcare professional before beginning any wellness program.
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