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Country
  • India
  • United Kingdom
Brand
  • Estogel
  • Testogel
  • Testogel Pump
Strength
  • 0.06% w/w
  • 16.2 MG/G (20.25 mg per pump)
  • 50mg per 5g
Name Country Strength Pack Size USD Cart
Estogel - estradiol - 0.06% w/w - 80g Gel Estrogel/​Estogel estradiol Brand India 0.06% w/w 80g Gel DR $52.99 Add
Testogel - testosterone - 50mg per 5g - 30 sachets Testogel testosterone Brand United Kingdom 50mg per 5g 30 sachets DR $172.99 -
Testogel - testosterone - 50mg per 5g - 30 sachets Androgel/​Testogel testosterone Brand United Kingdom 50mg per 5g 30 sachets DR $172.99 -
Testogel Pump - testosterone - 16.2 MG/G (20.25 mg per pump) - 60 Doses Testogel/​Testogel Pump testosterone Brand United Kingdom 16.2 MG/G (20.25 mg per pump) 60 Doses DR $158.57 -

Some of the items on this page may be marked "Requires Authorization". Why's this? Kiwi must verify the customer's medical history in order to ensure the medication is necessary and used according the direction of a licensed medical practitioner. If you have already demonstrated this, then you may be able to view this product. If not, please email us using the contact page. Medicines have benefits and some have risks. Always read the label and use only as directed. If symptoms persist or you have side effects see your health professional. Brands and generics both contain the same active ingredient(s) and are medically equivalent. Some brands are marketed under different names by the same manufacturing country depending on the country of origin.

Estogel (estradiol) is a topical estrogen-replacement therapy, predominantly used by menopausal women. Less commonly this product may be used in other low-estrogen scenarios, and sometime in either gender to help treat some types of cancer.

Estogel is very similar---including in name---to EstroGel. It's basically the same product, with the difference being manufacturing location and possibly some inactive ingredients.

Both Estogel and EstroGel are estrogen-only or estrogen-alone treatments. Women who have an intact uterus will most likely want to also take a progestogen along with estrogen supplements, to reduce risk of uterine and ovarian cancer. Women who have had their uterus removed do not need to worry about a progestogen.

Using Estogel

Estogel comes in a metered-dose pump. After priming the pump---which consists of pressing the pump down three times and discarding any gel that comes out---it will consistently deliver the exact same amount of medication with each pump depression.

Standard treatment is:

  • Press the pump down fully one time, using the other hand to catch the gel that comes out.
  • Apply the gel to the skin of an arm, either from the wrist to the shoulder or from the elbow to the shoulder.
  • Spread the gel thin but do not massage it into the skin.
  • Allow the gel to dry for five minutes before covering it with clothing.
  • Wash hands with soap and water to prevent others from being exposed to the hormone.

The most common dosage strength is a single pump, though two pumps is not unusual and three or more are not unheard of. With a single pump administration is just once a day; with more than one dosage may be once a day or a doctor may advise twice-per-day application.

Things to avoid with Estogel:

  • The gel will be flammable until dry; avoid smoking or open flames.
  • Do not allow other individuals to handle the gel or contact the arm the gel was applied to for at least one hour; estrogen can be harmful to others.
  • Avoid showering, bathing, swimming, or otherwise getting the application site wet for as long as possible after application.
  • Do not apply this or any estrogen-containing product directly to the breasts.
  • Do not apply Estogel directly in or near the vagina.

The majority of women notice improvements after six weeks of treatment, often much sooner. If no improvements are noticeable after six weeks of using Estogel, a doctor should be consulted. It may be that dosage needs to be raised, or another type of estrogen treatment may be tried.

For most women Estogel works fine, alleviating symptoms of:

  • Hot flashes
  • Sweating
  • Night sweats
  • Vaginal dryness
  • Vaginal itching
  • Painful intercourse

Estogel may alleviate other menopause symptoms, such as anxiety or depression, or reducing the risk of osteoporosis. It has not been approved for such symptoms, however.

Who Should Not Take Estogel

Estogel may be inadvisable in patients who:

  • Have unexplained vaginal bleeding
  • Have had a heart attack or stroke
  • Have a history of blood clots
  • Have a history of estrogen-positive cancer
  • Have a bleeding disorder
  • Have a history of liver impairment

Patients who have the above should definitely speak with a doctor prior to starting treatment; a doctor can better assess the situation and fully explain all risks associated with Estogel use.

Likewise women who have only vaginal issues with menopause should not rely on Estogel to treat them; more direct application methods, such as creams or suppositories directly applied to the vagina, are preferred. If other menopause symptoms are also bothersome, however, Estogel is a good choice.

Adverse Reactions

Side effects from Estogel are unusual but do happen on occasion. Fortunately most are mild and transient, meaning they stop occurring as the body adjusts to treatment. Most commonly reported are:

  • Bloating
  • Stomach cramps
  • Headache
  • Tender or painful breasts
  • Fluid retention
  • Mild hair loss

The above are not cause for concern unless severe enough to be disruptive.

Rarely more serious side effects develop. If experiencing the following a doctor should be consulted:

  • Unusual vaginal bleeding
  • Severe headaches
  • Symptoms of blood clots
  • Confusion
  • Changes in vision
  • Breast lumps

Very rarely severe side effects happen, which warrant emergency medical attention, such as a heart attack. Other adverse effects---such as liver impairment---can develop into something very serious, but are screened for at doctor checkups and can usually be managed with relative ease if caught early. All patients taking Estogel should be sure to attend all doctor checkups.

Also double-check with a doctor or pharmacist before taking other medications; many can interact with Estogel.

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