You are listening to You Are Not Broken, the only podcast that combines science, medicine, and psychology to re-educate your brain and help you live your best love life.

And I'm your host, board certified female urologist, Dr. Kelly Casperson.

Hey, everybody, it's Kelly Casperson. I'm a urologist, and today I wanted to show you vaginal estrogen.

So this is a tube of estradiol cream. This is the generic. It is estradiol 0.01% is the only

percentage that you can get. I am a practicing urologist in the United States of America,

so everything I say is American-based. Some countries don't carry the generic. Some countries,

it's over-the-counter. Wouldn't that be great? A girl can dream. But currently in the United

States of America, this is a prescription. The reason is because it's a hormone, which is regulated by the FDA,

and it is prescription only, so you need a doctor nurse practitioner, physician, physician,

etc. This is one tube of 42 grams. It really only comes in one size, one percentage. It's kind of

easy. Now, you can get vaginal estrogen in other formulations.

You can get it in tabs, Vagifem. You can also get it in a ring called estring, or you can get it

in the cream. There's two options in America, brand name Premarin, which is conjugated estrogen

cream. Sometimes that's cheaper, but a lot of times

it's more expensive. Then there's the brand name Estrace, which is just Estradial, but brand name.

I don't recommend it. It's very expensive. And then number three, my favorite is the generic

estradiol. So when you go to see your doctor or provider, make sure it's the generic. It's going to be

the cheapest. Next thing to do is to go on your phone and to get the good RX app. The good RX app shows you what cash price is in your town. You have to type in estradile vaginal cream, the 42.5 gram tube, and then you type of your zip code, it'll tell you the cheapest.

There's no reason to be paying over $100 for this ever again.

It is generic and cheap, but you might have to go to your pharmacist and say, I want to pay cash,

here's my coupon on the Good RX, don't charge my insurance.

It's yesterday when we thought that insurance was going to give you the best price for your pharmaceuticals. It is not that

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