My insurance does not cover Vagifem.
Substitutes to Vagifem:
1. Estrogen alone via a pill (Premarin, Ogen, Estrace or ethinyl estradiol), a cream (Premarin or Dienestrol), or as a transdermal or skin patch (Estraderm or Estracomb).
2. Cyclical therapy: Estrogen taken daily via a pill or via a patch and a separate progesterone pill (such as Provera) for a certain number of days per month.
3. Continuous therapy: Estrogen plus low dose progesterone in one or two pills taken every day.
But please do not change/alter the medication that your doctor has prescribed without first seeking his or her advice, please well & safe!
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