Protocol Service
Female Hormone Optimization
Vaginal Estrogen in Scarsdale, NY
Protocol Health prescribes vaginal estrogen for vaginal dryness, painful sex and recurrent urinary symptoms after menopause, at our Scarsdale, NY clinic and by telehealth. It treats the tissue directly with very low absorption into the bloodstream.
Consultation $249, or $349 with blood work.
Medically reviewed by Richard Dentico, MD, Medical Director
★ 5.0 on Google · 107 reviews (as of October 2026) · Physician-led, family-owned
Our Scarsdale clinic serves Westchester County (HRT for women in Westchester). Telehealth in NY, NJ, CT, FL and CA.
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Vaginal Estrogen at Protocol Health
Before you book
How vaginal estrogen differs from HRT
Systemic HRT treats whole-body symptoms such as hot flashes. Vaginal estrogen is a low-dose cream applied locally to treat the thinning of vaginal and urinary tissue that follows menopause. Absorption is very low, which is why it suits many women who do not want, or cannot take, systemic hormones.
Who is vaginal estrogen for?
Women with local symptoms after menopause.
- Vaginal dryness or pain with sex
- Recurrent urinary symptoms after menopause
- Women who want to avoid systemic hormones
- Women already on HRT with persistent local symptoms
What to know
Local treatment for a local problem.
Not for hot flashes. It does not treat whole-body symptoms.
Ongoing. Symptoms tend to return if it is stopped.
Review. Your provider reviews your history before prescribing.
What it treats
Dryness. Vaginal dryness and irritation.
Painful sex. Pain from thinned tissue.
Urinary symptoms. Recurrent urinary symptoms after menopause.
Local, low dose. Very low absorption into the bloodstream.
Starting vaginal estrogen
In the Scarsdale clinic or by telehealth where appropriate.
- Consultation. Symptoms and history, privately.
- Plan. Cream and schedule.
- Prescription. Sent to the pharmacy.
- Follow-up. A check on symptoms.
Common questions
Vaginal Estrogen: frequently asked questions
Is vaginal estrogen absorbed into the body?
Very little. It is a low-dose local treatment.
Does vaginal estrogen help hot flashes?
No. It treats local tissue; hot flashes need systemic treatment.
Can I start by telehealth?
Yes, for eligible patients.

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