DEAR DOCTOR K: Vaginal estrogen cream cures my vaginal dryness. But I hear estrogen is risky for the heart. Should I be concerned?
DEAR READER: Basically, I wouldn't worry. Here's why. Vaginal estrogen cream is one form of hormone therapy (HT). HT is estrogen taken alone or with other female hormones to treat the symptoms of menopause. "Systemic" HT involves hormones that enter the blood and travel throughout the body. It is the most effective treatment for postmenopausal hot flashes and vaginal symptoms, including vaginal dryness.