Why symptoms can appear early
Estradiol increases glycogen in vaginal cells, feeding Lactobacillus and lowering pH.
During the transition, flora can shift, allowing yeast or BV to flare before stabilizing.
What to do now
Continue Oestra® and add an oral Lactobacillus acidophilus probiotic.
Medical options if symptoms are strong/recurrent: fluconazole (Diflucan) via PCP/urgent care or OTC miconazole (Monistat).
Natural option: Manuka honey vaginally once daily (antifungal; disrupts biofilms).
Timing tip: Separate Oestra® from honey/antifungals (e.g., Oestra® AM, treatment PM) so they don’t interfere.
Outlook As tissues thicken and pH normalizes, yeast/BV typically become less likely.
