Estriol with Aloe Vera

Cream

0.3% / 1%

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Disclaimer: Images are for reference only; actual products may vary.

Product Overview

Estriol with Aloe Vera Cream is a compounded topical formulation used to address vaginal atrophy, dryness, irritation, and itching. Aloe vera, a plant-derived extract, enhances hydration and supports epithelial repair, contributing to overall skin and mucosal health.

Estriol2-6

Micronized estriol is a bioidentical form of estriol (E3), one of the three naturally occurring estrogens in women, along with estradiol and estrone. Estriol is considered the weakest estrogen, exhibiting lower receptor binding affinity and a shorter duration of action compared to estradiol (E2). Despite its lower potency, estriol has demonstrated potential skin-related effects, including support of dermal thickness and elasticity. It is commonly used in combination with estradiol in postmenopausal women with estrogen deficiency. Estriol is most often compounded in a transdermal cream, which allows for gradual dose adjustments.

Aloe Vera1,7

Aloe vera is derived from the gel found within the leaves of plants typically grown in hot, dry regions such as Africa, Asia, and the Canary Islands. It has been utilized for its pharmacological and cosmetic properties. Therapeutically, aloe vera exhibits systemic activity, including digestive support and properties associated with anticancer and antidiabetic use, and is applied topically for its antioxidant and anti-inflammatory effects. These properties contribute to skin protection and support wound healing. Aloe vera gel contains approximately 75 compounds, including vitamins (A, C, E, and B12), enzymes (amylase, catalase, and peroxidase), minerals (zinc, copper, selenium, and calcium), sugars (mannose-6-phosphate and glucomannans), anthraquinones, fatty acids, and hormones.

Estriol2-6

Estriol acts by binding to estrogen receptors alpha (ERα) and beta (ERβ) in estrogen-responsive tissues, particularly the vaginal epithelium, bladder, urethra, and pelvic floor musculature.

Mechanisms and Effects: 

  • Can help restore vaginal epithelial thickness and improves cell maturation index
  • Can improve blood flow, elasticity, and lubrication of vaginal tissues
  • Locally can improve thickening of dermal-epidermal junction, potentially improving skin firmness
  • May exert cytoprotective and anti-inflammatory effects on urogenital tissues

Aloe Vera1,7

Aloe vera has several major compounds including aoesin, aloin, and emodin. These compounds are thought to have protective properties when applied topically through antioxidant and anti-inflammatory activities. These properties on the skin are facilitated by aloe vera’s ability to upregulate TFGβ1, bFGF, and Vegf-A expression in fibroblasts and increase keratinocyte proliferation and differentiation by lysosomal membrane stability. It also increases type IV collagen. Aloin is believed to protect the skin through its antioxidant properties by decreasing IL-8 production, DNA damage, and reactive oxygen species formation. It exerts anti-inflammatory activity by inflammatory cell infiltration, increasing CD4+/CD8+ ratio lymphocytes, and improving epidermal thickness and collagen deposition.

Common2-7

Estriol

  • Transient burning, itching, or discharge
  • Spotting or light bleeding (usually resolves quickly)
  • Increased vaginal secretions

Systemic (rare at low doses):

  • Breast tenderness
  • Headache
  • Nausea
  • Edema

 

Aloe Vera

  • May cause redness, burning, stinging sensation—dermatitis

Contraindications2-7

  • Hypersensitivity or intolerance to estriol or aloe vera or any of its excipients

Estriol

Active or history of estrogen-dependent cancers (e.g., breast, endometrial) — unless use is explicitly approved by an oncology or menopause specialist

  • Active or recent thromboembolic disease
  • Undiagnosed abnormal genital bleeding
  • Severe liver dysfunction

Precautions2-7

Use caution in:

  • Women with a history of estrogen-sensitive malignancy
  • Liver disease
  • Migraines with aura
  • Uncontrolled hypertension

Store at 20°C to 25°C (68°F to 77°F) in a dry place, away from heat and light. Keep out of reach of children.

  1. Sánchez M, González-Burgos E, Iglesias I, Gómez-Serranillos MP. Pharmacological Update Properties of Aloe Veraand its Major Active Constituents. Molecules. 2020 Mar 13;25(6):1324.
  2. Cynthia A. Stuenkel, Susan R. Davis, Anne Gompel, Mary Ann Lumsden, M. Hassan Murad, JoAnn V. Pinkerton, Richard J. Santen, Treatment of Symptoms of the Menopause: An Endocrine Society Clinical Practice Guideline, The Journal of Clinical Endocrinology & Metabolism, Volume 100, Issue 11, 1 November 2015, Pages 3975–4011, accessed July 2025 through: https://doi.org/10.1210/jc.2015-2236 
  3. North American Menopause Society (NAMS) Position Statement on Hormone Therapy (2022) Supports vaginal estrogen (including estriol) for GSM with minimal systemic risks; accessed July 2025 through: https://www.menopause.org/docs/default-source/professional/2022-nams-ht-position-statement.pdf 
  4. NIH DailyMed, Estriol; accessed July 2025 though:  https://dailymed.nlm.nih.gov/dailymed/search.cfm?labeltype=all&query=estriol
  5. Estriol: A Comprehensive Guide for Patients; accessed July 2025 through: https://clinicaltrials.eu/inn/estriol/  
  6. Rzepecki AK, Murase JE, Juran R, Fabi SG, McLellan BN. Estrogen-deficient skin: The role of topical therapy. Int J Womens Dermatol. 2019 Mar 15;5(2):85-90. Accessed July 2025; doi: 10.1016/j.ijwd.2019.01.001. PMID: 30997378; PMCID: PMC6451761
  7. Surjushe A, Vasani R, Saple DG. Aloe vera: a short review. Indian J Dermatol. 2008;53(4):163-6.

WPPL operates as a 503A compounding pharmacy and prepares individualized prescription medications pursuant to provider direction. Compounded preparations are not reviewed, tested, or approved by the FDA.

This listing also includes commercially manufactured products for convenience; these items are not compounded by our pharmacy and are sold as provided by their manufacturers. Actual products in stock at time of dispensing may vary due to supply chain variability. Any statements regarding non-compounded products are manufacturer-supplied, have not been evaluated by the FDA, and are not intended to diagnose, treat, cure, or prevent any disease. WPPL does not verify or endorse any therapeutic claims made by manufacturers. Please refer to original labeling for complete product information.

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