08/03/2026
Have you been prescribed va**nal estrogen cream but weren’t told exactly where or how to apply it? You’re not alone. In this video, Susan Winograd, MSPT, pelvic floor physical therapist, explains exactly how to apply estrogen cream for maximum benefit — both internally and externally.
Susan breaks down why the pelvic floor is like a three-layer hammock of muscles, and why the tissues surrounding the va**nal opening, l***a, and urethra all have estrogen receptors — meaning they need nourishment too, not just the tissues inside the va**na. As estrogen declines during perimenopause and menopause, these tissues can become thinner, drier, and more fragile, contributing to symptoms like va**nal dryness, painful in*******se, urinary urgency, and frequent UTIs.
You’ll learn:
✔️ Why estrogen cream should be applied both internally and externally
✔️ Step-by-step guidance on proper application technique
✔️ How va**nal estrogen differs from systemic hormone therapy
✔️ How long it typically takes to start working
✔️ How healthy tissue supports better bladder, bowel, and sexual function
This video is for informational and educational purposes only and is not a substitute for medical advice. Always consult your healthcare provider regarding your specific prescription and treatment plan.