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b'Tammy\\u2019s Question: Hi. Recently, I read your article about estriol. I\\u2019m currently using a Biest Progesterone Vaginal Cream, but it\\u2019s compounded, and it\\u2019s expensive. I could use an estradiol patch and Prometrium and this therapy could be much more affordable. Would I expect a big change in that?\\nShort Answer:\\xa0First off, we don\\u2019t recommend using Biest for vaginal use. We use Estriol only for vaginal use, especially if a woman still has a uterus to minimize any spotting or bleeding issues. Switching to an Estradiol Patch and Prometrium will not produce the same results, and could cause some unwanted side effects. Using Estriol is best for vaginal dryness and pain with intercourse.\\nFor more information: read the article about the difference between Biest vs Estradiol.\\nPYHP 110 Full Transcript:\\xa0\\nDownload PYHP 110 Transcript\\nDr. Maki: Hello, everyone. Thank you for joining us in another episode of the Progress Your Health Podcast. I\\u2019m Dr. Maki.\\nDr. Davidson: And I\\u2019m Dr. Davidson.\\nDr. Maki: So we\\u2019re back in the swing of things. We\\u2019re just going to dive right back in. Now, this time, we have a question from Tammy. This is relatively pretty short, but you and I have actually had a couple of recent experiences with the estradiol patch. Let\\u2019s just dive right in, and why don\\u2019t you go ahead and read the question.\\nDr. Davidson: Like we\\u2019ve said in our other podcast, we want to say that we always change everybody\\u2019s names. We get lots of email questions from people, so we\\u2019re really trying to get to as many of them as we can. So we really love that you are sending in those questions, but know that we do change any personal information and all that jazz. Okay. So this one is from \\u201cTammy\\u201d. Hi. Recently, I read your article about estriol. I\\u2019m currently using a Biest Progesterone Vaginal Cream, but it\\u2019s compounded, and it\\u2019s expensive. I could use an estradiol patch and prometrium and this therapy could be much more affordable. Would I expect a big change in that?\\nDr. Maki: Yeah, right. So her question, she\\u2019s using right now a compounded by Biest Progesterone Vaginal Cream which based on our last episode and we are not sure about the Biest Vaginal part. We\\u2019ll segue back into that a little bit just as a refresher. So her question is, can she switch completely the types of prescriptions to the estradiol patch, also called the Vivelle patch?\\nDr. Davidson: Or CombiPatch. There are a few different names. Now, they have the generic. So Vivelle was around, but now they have generic. So just estradiol patch.\\nDr. Maki: They are all still basically estradiol. It comes in a couple of different which seems like \\u2013 and this is what we\\u2019re going to talk about \\u2013 which seems like a relatively low dose .025, .05, .075, and then, of course, Prometrium. Prometrium is commercially available progesterone, instant release progesterone. That\\u2019s something key that we\\u2019ll get to in a second. So tell me your thoughts, Dr. Davidson.\\nDr. Davidson: Well, she\\u2019s using it as a vaginal cream and she\\u2019s using a Biest. We don̵'