Hormone Ring: Estrogen Ring Review In 2020

Hormone Ring: Estrogen Ring Review In 2020 | MenopauseCoach.com

With the development of menopausal syndrome, the main approach to its treatment and prevention of disorders provoked by a lack of estrogen in a woman’s body is HRT. Estrogens are considered to be an essential medicine, helping well with the severe climacteric. But, it should be borne in mind that when treating with such drugs, it is necessary to be regularly observed by a doctor, as well as periodically undergo examinations.

Estrogen hormone is an indispensable part of HRT in the climacteric period (HRT vaginal ring). The medications that contain exclusively estrogen are prescribed for long-term application to women after surgery to remove the uterus – hysterectomy. Hormones to treat menopausal symptoms can be used not only orally, but some drugs are also available in the form of vaginal suppositories, topical creams, gels, and a vaginal estrogen ring.

Estrogen Vaginal Ring Overview

Due to the increased level of education of the average person in the field of medicine and health, there is hardly any individual who has not heard the concepts of “menopause” and “hormone replacement therapy”.

Treatment of climacteric syndrome with hormones, which the body is rapidly losing during this period, has been successfully used since the 60s of the last century. At the moment, much is known about human hormones, which made it possible to make this type of medical cure safer, more diverse, and wide-ranging. Various types of HRT have appeared, which successfully cope with the obligations imposed on them. One of the widely used methods of this therapy is the estrogen ring.

Estrogen Ring for Menopause Introduction

The hormone ring is one of the options for local therapy with female sex hormones. This method is more preferable when the patient, in addition to hot flashes and night sweats, suffers greatly from vaginal dryness, thinning of the mucous membranes, and, as a result, constantly experiences discomfort in the external genital area.

The estrogen ring is an elastic vaginal insert. It lends itself easily to pressure and bends under the fingers smoothly. The size of the means is modest – it does not exceed two inches. The insert fits high into the vagina and does not cause discomfort in most cases.

How the Vaginal Hormone Ring Works

The insert is placed by the doctor or patient personally deep into the vagina. It is worth noting that despite the seeming objective simplicity of this manipulation, this task may turn out to be more difficult in practice to perform. That is why if you have doubts that you will be able to perform this procedure yourself, make sure that a specialist does it.

After the estrogen ring is in the right position and warms up to body temperature, estradiol gradually begins to be released from its core. This process is continuous for 3 months. Thus, the insert affects the existing level of hormones in the body and gently affects the unpleasant manifestations of menopause.

It is not recommended to remove the estrogen vaginal ring before the expiration of the full duration of therapy, that is, 3 months. The tool does not cause discomfort to the woman and does not interfere with her daily activities. The patient does not have to limit herself. In cases where the product causes discomfort during sex, you can take it out and replace it later. If you do, be sure to rinse it off with warm water before reinserting it into your vagina. When the 3-month period has ended, the therapist must decide whether to stop or continue using the estrogen ring.

Indications For Use Of Hormone Replacement Ring

The hormone ring for menopause is used to relieve the symptoms of burning and itching in the vagina. It is one of the most effective and popular estrogen-containing products in the form of estradiol. Estradiol is a hormone with a short-term effect, which eliminates the risk of new cells forming in the endometrium.

The preparation stimulates the regeneration of the vaginal mucosa, and in addition, reinstate the natural microflora and acid balance in it – by that means it suppresses the origination of pathogenic microbes. Along with this, the level of local immunity multiplies.

Application Of The Estrogen Ring

Prior to using any hormonal agent, you need to consult a gynecologist, do an ultrasound scan and a hormonogram, conduct a gynecological examination to avoid side effects appearance and make sure there are no contraindications. If no medical contraindications are observed, you can purchase the remedy for menopausal symptoms in the pharmacy, be sure to check the expiration date. 

Preliminary to the introduction, you need to wash your hands, preferably with an antibacterial soap. Any woman can handle the insertion of an estrogen ring without any problems. It is better to use the following algorithm, a woman should:

  • choose a comfortable position: lie down, squat down, lean the back against a wall and raise a leg.
  • with clean hands, squeeze the object with the thumb and forefinger, thereby reducing its diameter.
  • insert the ring as deep as possible, like a tampon. The smooth surface will allow it to slide inside and take the desired position. With the correct placement of the hormone ring, the woman will feel as if there is no foreign object in the vagina.

The removal procedure is actually the same, just in reverse order. The tab is pried on with the index finger and pulled out. It is also possible to pull it out by holding it between the index finger and the middle finger.

Estrogen Ring Side Effects

Although the vaginal tab contains minimal doses of the hormone estrogen, it is still a hormonal drug that is serious medicine and can have negative effects on the female’s menopausal body. So, the most typical estrogen ring side effects that the hormone insert can have are:

  • soreness of the mammary glands;
  • swelling of tissues;
  • hair loss;
  • prolonged headaches;
  • nausea, vomiting;
  • the upset stomach of an incomprehensible nature;
  • atypical vaginal spotting.

If any of the symptoms described above occurs, a menopausal lady should immediately seek the advice of her attending physician. If the malaise is very strong, do not hesitate, but call an ambulance.

Contraindications To Hormone Ring Use

Estrogen ring therapy should in no way be started without first consulting your doctor. This uncompromising rule must be strictly followed since the vaginal tab has a number of contraindications for use, neglect of which will be fraught with consequences. So, here are serious contraindications to the application of estrogen rings:

  • the presence of allergies to the main component of the drug – estradiol or to any part of the estradiol vaginal ring;
  • the presence of angioedema in the distant or recent past in the patient’s health history;
  • existing problems with blood clotting, blood clots, any liver or heart problems;
  • poor eyesight, due to problems with the blood vessels of the eye;
  • increased thickness of the mucous membrane of the uterus – the endometrium;
  • a tendency to vaginal bleeding;
  • pregnancy and breastfeeding period;
  • the presence of complex physiological features that can have a negative impact on the course of therapy with a vaginal estrogen ring (a narrow vagina or vaginal infection that can provoke irritation, ulcers, or provoke estrogen ring prolapse).

A menopausal woman should tell her doctor about all of her medications (prescription and over-the-counter ones, dietary supplements, vitamins, etc.) and health problems. The decision to initiate hormone insert therapy should be carefully considered and made only by a licensed physician. Only they can say that it is safe for a woman to take estradiol vaginal ring with all existing medications and health problems. It is not recommended to start, stop, or change the dose of any medication, and hormone rings in particular, without talking to your doctor.

Hormone Ring Menopause Advantages and Disadvantages

The estrogen ring has objective advantages and disadvantages to its use. This list was compiled after a thorough estrogen ring review. Please, read it before deciding to start vaginal insert therapy.


  • this is an objectively effective way to restore the balance of hormones in the female body. It is especially effective in relieving symptoms such as vaginal dryness and persistent discomfort in the genital area.
  • numerous experts believe that this is one of the safest HRT methods due to its short duration;
  • the estrogen ring has a low percentage of the hormone in its composition. It only releases one-tenth of the amount of estrogen that creams, patches, and pills produce.
  • the device is extremely easy to use and does not require constant care, as soon as the patient has inserted it into the vagina, she can forget about it for the next 3 months.
  • the chance that the ring will or will be affected by another drug is negligible. This is because the dosage is small and is absorbed directly into the menopausal woman’s bloodstream.


  • wearing a hormone ring takes time to get used to it;
  • the ring can move when a woman is trying to defecate;
  • the agent can cause discomfort when having sex;
  • the estrogen ring may fall out and the female would need to put it back on her own;
  • the tab should not be used by menopausal women who have or still have cancer of the reproductive system, cardiovascular disease, or are prone to high blood calcium levels.

Estrogen Ring and Weight Gain

The estrogen ring can promote weight loss, provided that normal estradiol levels are replenished. The tool compensates for the deficiency of essential substances and supports the body, returning its functions to normal. Under the influence of estradiol, the level of cortisol drops several times, which ultimately leads to a decrease in the deposition of adipose tissue. The organs get rid of excess fat, and the figure acquires a sharper outline. Also, with a normal amount of useful estrogen, sleep is normalized and stress levels are reduced, which has a beneficial effect on muscles. They recover well at night, their tone is normalized, cells do not disintegrate, being replaced by fat cells. For best efficiency, the application of the estrogen ring for weight loss should be under the supervision of a doctor after taking tests and in combination with sports loads.

Estrogen is a natural group of hormones in the female body that supports the ability to ovulate, become pregnant, give birth to a child, and contours a girl’s body with characteristic features. Even small fluctuations up or down lead to disturbances in the work of a woman’s body, including the appearance of excess weight. Controlling hormonal levels and timely therapy for problems in it with the help of a hormone ring is a real opportunity to maintain health, youth, and a beautiful figure.

Storage and Disposal of HRT Rings

In order to fully experience the therapeutic effect of using an estrogen ring, it must be properly stored until the moment when a woman is about to insert it into the vagina. So, for this, you need to keep the product in its original packaging tightly closed. If the packaging is damaged, the hormone ring cannot be used. It is not recommended to store the insert in the bathroom due to humidity, it can affect the quality of the product.

Disposal of the hormone ring should be approached responsibly. It is strictly forbidden to flush the product down the toilet. The best way to get rid of unnecessary drugs is to participate in a drug return program. To do this, talk to your pharmacist or contact your local waste disposal office to inquire about take-back programs in your area.

For the latest information on this, it is recommended that you visit the FDA’s website for the safe disposal of medicines.

Bottom Line

The vaginal ring is an effective method of local HRT therapy, provided that the patient follows all the recommendations for the use of the product and has carried out all the necessary examinations and tests. The estrogen ring works well for menopausal symptoms such as vaginal dryness and thinning of the vaginal mucosa.


🧑‍⚕️ What specialty doctor can prescribe estrogen ring?

Check with your gynecologist to determine if an estrogen ring is right for you.

How does the estrogen ring work?

Estring is a slightly opaque, soft, flexible vaginal ring with a center that contains 2 mg of estradiol (an estrogen hormone). It releases estradiol into the vagina in a consistent, stable manner for 90 days.

🔗 How do you remove estrogen rings?

Use your finger to find the bottom part of the ring, loop your finger through the ring, and gently pull it out.

💰 How much does the estrogen ring cost?

The most common version is covered by 93% of insurance plans at a co-pay of $35.00-$67.50, however, some pharmacy coupons or cash prices may be lower. The lowest  price  is around $460.68

🩹 Can vaginal atrophy be reversed?

Currently, hormone therapy is the best way to reverse vaginal atrophy, but it’s not right for many women. Options include prescription vaginal estrogen cream, an estrogen tablet inserted into the vagina, or a vaginal estrogen ring.

👱‍♀️ At what age does a woman stop producing estrogen that needs to be put on the estrogen ring.

For most women, this happens between the ages of 45 and 55 years. As the ovaries stop producing hormones like estrogen, progesterone, and testosterone, the body responds and adapts.

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Hormone Ring: Estrogen Ring Review In 2020
Average rating:  
 1 reviews
by Emma on MenopauseCoach.com

I didn't know about the hormone ring before. I will definitely ask

my gynecologist if I can use a hormone ring.


Emma J. Johnson

Menopause consultant and sex therapist, media personality, author, woman health expert.

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