Vaginal estrogen cream or suppositories can ameliorate sexual side effects but do not provide systemic benefits like bone protection or relief from night sweats.

“there's also topical estrogen products so you do have some women who say look I just do not want to take estrogen under any shape or form I don't want any you know I don't want any um uh estrogen in my body but these vasomotor pardon me these vaginal symptoms are problematic then you can use vaginal estrogen cream or vaginal suppositories of estrogen again that won't give you any of the bone protection that won't stop the night sweats or anything like that but using vaginal estrogen products alone will at least ameliorate the sexual side effects”