Compound Library

Hormones / Women's HRT

Estriol (E3)

Weakest natural estrogen, primarily produced during pregnancy. Used in compounded HRT and vaginal creams for menopausal symptoms with potentially lower breast cancer risk than E2. Popular in tri-estrogen formulations. Strong evidence for vaginal atrophy treatment.

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Educational reference only. This page does not diagnose, prescribe, or replace care from a licensed professional. Laws, availability, and clinical appropriateness vary by location.
Reference doseVaginal cream: 0.5–1mg topically 2–3x weekly. Oral: 1–2mg daily.
Half-life1 hours
Risk flaglow
Regulatory noteReview required

Side effects and watch-outs

  • Minimal systemic effects at vaginal doses
  • Breast tenderness (oral)
  • Uterine stimulation at high oral doses
  • Headache