Each pump is "approximately" 1/4 teas of 2.5mg. Please apply the appropriate pressure to obtain this amount. You may need to measure when starting out.

There are approx 85 pumps in each bottle which is almost a 3 month supply if used everyday. Apply the cream to areas with thinner skin, such as the inner arms, back of the neck, chest, palms, or soles of the feet. Rotate application sites to optimize absorption.

For vaginal dryness: 1/4 tsp applied with a vaginal applicator (you can obtain in bulk on Amazon) once per day, morning or evening. Dryness is normally relieved in 10 to 14 days.

Once the dryness is relieved you can use the estriol cream as-needed, perhaps every two to four weeks. Another option to prevent dryness from recurring is to apply the cream once a day on a daily basis to the inner forearm.

For Fingertip Application:

Wash your hands with soap and water and dry thoroughly.

Pump our ¼ teas (2.5 mg) of cream (about enough to cover the tip of your index finger, from the last joint to the fingertip.

Locate the vaginal opening. Immediately above the vaginal opening is the urethra (a small opening where urine is eliminated from your body).

Carefully spread the cream onto the top wall of the vagina just underneath the urethral area. As the cream is spread, some may be gently inserted into the vagina: however, it is not necessary to push the cream high into the vagina. Rub this into the vaginal wall underneath the urethra as one would rub lotion into the skin.

Please consult your healthcare practitioner for dosage.

This bottle yields approximately 90 pumps.

INGREDIENTS: Purified Water, Cocos nucifera Oil(Solid Coconut Oil), Butyrospermum parkii Butter(Shea Butter), Stearic Acid, Stearyl Alcohol, Isopropyl Palmitate, Allantoin, Carbomer (Polyacrylic Acid), Herbal Active® (Natural Preservative), Sodium Bicarbonate, Dioscorea villosa (Wild Yam) Root Extract (USP Micronized Estriol 2 mg and .5 mg of  USP Micronized Estradiol), Potassium Sorbate, Aloe barbadensis Leaf Juice (Aloe Vera), Citric Acid, Methylsulfonylmethane (Dimethyl Sulfone), Sodium Hyaluronate (Hyaluronic Acid), Calcium Pantothenate (Vitamin B5), Cholecalciferol (Vitamin D3), Tocopherol (Vitamin E), Polyacrylamide (and) C13-14 Isoparaffin (and) Laureth-7 (Sepigel 305), Vanilla planifolia Fruit Extract (Vanilla Fragrance Oil).

We recommend opposing ANY estrogen replacement therapy with progesterone to counter estrogen dominance.