Menopause & GSM
Treatment Online
Vaginal estrogen therapy for genitourinary syndrome of menopause (GSM) — estradiol vaginal cream prescribed by a licensed Florida provider for $13.21. No video call needed.
Florida residents & visitors only
of Postmenopausal Women
Estradiol Cream
Provider Response
Bilingual Care
What is genitourinary syndrome of menopause?
Genitourinary syndrome of menopause (GSM) is a condition caused by declining estrogen levels during and after menopause. It affects the vaginal, vulvar, and urinary tissues — causing dryness, irritation, pain during intercourse, and urinary symptoms. Unlike hot flashes, GSM does not improve on its own and typically worsens over time without treatment.
More than half of postmenopausal women experience GSM, yet many go untreated because they don’t realize effective options exist. Low-dose vaginal estrogen therapy with estradiol cream is the gold standard treatment — it restores tissue health locally without significant systemic absorption.
Common signs and symptoms
- Vaginal dryness and irritation
- Pain during intercourse (dyspareunia)
- Burning or itching in the vulvovaginal area
- Urinary frequency, urgency, or recurrent UTIs
- Light bleeding after intercourse
- Decreased lubrication
If you experience these symptoms, vaginal estrogen therapy can provide significant relief. Treatment is safe for most women and can be prescribed through a confidential telehealth visit.
Vaginal estrogen therapy from home
Complete a detailed health questionnaire about your symptoms and medical history — takes about 5 minutes
A licensed Florida provider reviews your case and determines if vaginal estrogen therapy is appropriate
Estradiol vaginal cream prescription is sent directly to your pharmacy
Follow up to monitor symptom improvement and adjust dosing as needed
Affordable vaginal estrogen therapy
We prescribe low-dose vaginal estrogen at a fraction of brand-name prices via Cost Plus Drugs.
| Medication | Used For | Cost Plus Price |
|---|---|---|
| Estradiol vaginal cream 0.01% (42.5g) | Vaginal estrogen therapy | $13.21 |
Members save more
With a $69/mo membership, your message visit is included — so you only pay for the medication. Become a member →
Your prescription, your pharmacy. We send prescriptions to any pharmacy you choose — CVS, Walgreens, your local pharmacy, or home delivery through Cost Plus Drugs. The prices above reflect Cost Plus Drugs pricing.
Frequently asked questions
Common questions about menopause and GSM treatment at Goza Health.
What is GSM and how is it different from general menopause symptoms?
Genitourinary Syndrome of Menopause (GSM) specifically refers to vaginal and urinary symptoms caused by declining estrogen — including dryness, discomfort during intimacy, and urinary issues.
Is vaginal estrogen the same as hormone replacement therapy (HRT)?
Vaginal estrogen is a localized, low-dose treatment that stays in the vaginal tissue. It’s different from systemic HRT and carries a much lower risk profile.
How fast will I see improvement?
Many women notice improvement within 2-4 weeks, with full benefits typically seen by 8-12 weeks of consistent use.
Do I need a video call?
No. Message-based visits are private and convenient. Describe your symptoms and a licensed provider prescribes treatment within 24-48 hours.
How much does a menopause visit cost?
A single message visit costs $79. Members ($69/mo) get message visits included, so you only pay for medication.
Is vaginal estrogen safe for long-term use?
Yes. Low-dose vaginal estrogen is considered safe for long-term use and is endorsed by major medical organizations including ACOG and the North American Menopause Society.
Can I use vaginal estrogen if I have a history of breast cancer?
This is an important question for your provider. Mention your medical history in the visit form, and they will determine the best approach for your situation.
What symptoms does vaginal estrogen treat?
Vaginal estrogen effectively treats vaginal dryness, painful intercourse, burning or irritation, urinary urgency and frequency, and recurrent UTIs — all common symptoms of genitourinary syndrome of menopause.
Is vaginal estrogen different from an estrogen pill?
Yes. Vaginal estrogen is applied locally and works directly where it’s needed, with minimal absorption into the bloodstream. This is why it has a much lower risk profile than systemic estrogen therapy.
How do I apply vaginal estrogen cream?
Your provider will include specific instructions with your prescription. Generally, it’s applied using a measured applicator, typically at bedtime. Most women find it very easy to use after the first application.
At what age should I consider treatment for vaginal dryness?
GSM symptoms can begin during perimenopause (often in your 40s) and become more common after menopause. There’s no specific age requirement — if symptoms affect your quality of life, treatment is appropriate.