| Usage |
Usage
Here are the instructions rewritten for clarity:
1. Begin by washing and thoroughly drying your hands before handling the ring.
2. Insert the ring high into the vagina as per the provided instructions.
3. Typically, the ring should remain in place for 90 days. After this period, if treatment needs to continue, remove the old ring and replace it with a new one. It's important not to exceed the 90-day usage period.
4. Adhere to the prescribed dosing schedule diligently.
5. When inserted correctly, the ring should not be noticeable and should not interfere with sexual intercourse. If you can feel the ring or experience slight discomfort, it might indicate improper placement. Gently adjust the ring higher using your finger.
6. If the ring accidentally falls out of the vagina, rinse it with lukewarm water and reinsert it. If this happens frequently, contact your doctor for guidance.
7. To remove the ring, hook your finger through it and gently pull it out. If you encounter difficulties, consult your doctor for assistance.
8. Dispose of the used ring in the trash; do not flush it down the toilet.
9. Keep in mind that it may take 2 to 3 weeks before you experience the full benefits of this medication. If your condition does not improve or worsens, inform your doctor.
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| Side Effects |
Side Effects
Immediate medical attention is crucial if you experience signs of an allergic reaction.
When using the Estring Vaginal Ring, you may encounter the following side effects: nausea, vomiting, bloating, increased vaginal discharge, breast tenderness, headache, or weight fluctuations. If any of these symptoms persist or worsen, promptly inform your doctor or pharmacist.
Notify your doctor without delay if you experience any severe side effects, including:
• Changes in mental state or mood, such as experiencing depression or memory issues.
• Discovery of breast lumps.
• Unusual vaginal bleeding, which could manifest as spotting, breakthrough bleeding, or prolonged/recurrent bleeding.
• Unusual vaginal irritation, itching, odor, or discharge.
• Severe stomach or abdominal pain.
• Persistent nausea or vomiting.
• Yellowing of the eyes or skin.
• Dark-colored urine.
• Swelling in the hands, ankles, or feet.
• Increased thirst and urination.
In rare cases, this medication may pose a risk of serious complications related to blood clots, such as heart attacks, strokes, deep vein thrombosis, or pulmonary embolism. Be vigilant and seek immediate medical attention if needed.
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| Precaution |
Precaution
Avoid using Estring if you:
1. Have an allergy to estradiol.
2. Experience unusual vaginal bleeding that has not been evaluated by a healthcare professional.
3. Suffer from liver disease.
4. Have a history of heart attack, stroke, or blood clot.
5. Possess an elevated risk of blood clots due to a heart condition or a hereditary blood disorder.
6. Have a history of hormone-related cancer or cancer of the breast, uterus/cervix, or vagina.
Additionally, refrain from using Estring if you are pregnant. Notify your doctor promptly if you become pregnant during the course of treatment. Using this medication can heighten the risk of blood clots, stroke, or heart attack. Your risk is even greater if you have high blood pressure, diabetes, high cholesterol, are overweight, or smoke. Estring is not intended for preventing heart disease, stroke, or dementia, and in fact, it may increase your risk of developing these conditions.
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