Patient Instructions
Applying Topical Hormone Cream: Bi-Est (Estrogen)
-First, wash your hands with soap and water
How to Apply: estrogen cream should be applied once per day unless otherwise instructed by your physician. If your Bi-Est also contains progesterone, it is best to apply in the evening. Anytime up until the hour of bedtime is a good time.
Where to Apply: estrogen may be applied vaginally, or to your inner thighs, calf, or abdomen
**Please note: In order to prevent breast sensitivity and pain, do not apply estrogen anywhere on or near the breast. We advise to not apply estrogens to the chest area and neck.
Always Remember
- * Limit your contact with other people or animals for 30min after applying estrogen cream. It is possible to transfer transdermal hormones to others if it is not fully absorbed.
- * Wash hands immediately after applying estrogen cream
- * Do not mix or layer over other hormone creams or skin lotions
- * Do not bathe or shower for 40min after applying cream
- * Do not exercise or promote sweating for 2 hours after application
- * Always be sure to follow the directions provided by your pharmacy and physician.
Please contact our medical office if you have any questions: 813-445-7342
Topical Hormones: Gels and Creams
Topical hormones come in a variety of dispensing devices. The most common devices include a pump, large syringe, Topi-Click, and single dose packets. When dispensing your hormone gel/cream it is important to understand how much you are supposed to apply.
Here is a breakdown of how standard dispensing devices measure:
Pump: 4 pumps = 1 ml
Topi-Click: 4 clicks = 1 ml
Syringe: Syringes are typically measured in increments so you can measure the amount you dispense by pushing the plunger 1ml. Syringes designed to dispense topical hormones do not require a needle, the cream is dispensed through a nipple at the bottom of the syringe. The syringe plunger is pushed down to dispense the cream in measured doses. Syringes typically have lines marking 1ml measurements and come in various sizes to accommodate dosage amounts. If you need assistance reading the measurements on the syringe contact Defy Medical.
How to convert your hormone strength from % to milligrams.
Sometimes pharmacists prefer to note the strength of the hormone cream in percentages rather than milligrams (mg). For example, it may be written on the label: Testosterone 10% gel 30ML. This is simply a different way of writing the strength. Here is how it works:
To convert the % into milligrams simply move the decimal to the right one time.
Using testosterone 10% gel 30 ML as an example, we can interpret this to mean “testosterone 100 milligrams (mg) per milliliter (ml). There are 30 ml in the order which means you have thirty 100 mg doses. If you are prescribed to “apply ½ ml every day” this means you are applying 50 mg and your 30 ml supply will last 60 days. Remember, the cream is 100 mg per ml and you are applying ½ ml (50 mg). Contact Defy Medical staff if you need clarification on your dosage instructions.
Store your topical hormones at room temperature. Keep in the original closed container in a dark, cool, and dry place away from children. Discard unneeded medicine.
Be sure to follow the dosage prescribed by your doctor located on the medication label.
Topi-Click® Dispensing Instructions