EstroGel and Breastfeeding

If you are taking EstroGel and breastfeeding or plan to start breastfeeding, it is important to know that the estrogen in this medication does pass through breast milk in low amounts. Although these amounts are probably too low to cause significant problems in a nursing infant, they may decrease the production and quality of breast milk. Before taking EstroGel, breastfeeding women should talk to their healthcare providers.

 

Can I Use EstroGel While Breastfeeding?

EstroGel® (estradiol gel) is a prescription hormone replacement medication used to treat menopause symptoms. It is not recommended for women who are breastfeeding. Therefore, make sure to check with your healthcare provider before taking EstroGel if you are breastfeeding.
 

Problems With EstroGel and Breastfeeding

The estrogen hormone in EstroGel is absorbed through the skin, enters the bloodstream, and can pass through breast milk. However, it passes through breast milk in amounts that are probably too low to cause significant or long-lasting problems in nursing infants.
 
More importantly, the estrogen hormones in EstroGel may decrease the production and quality of breast milk. It is for this reason that estrogen-containing medications (including EstroGel and many birth control pills) are not usually recommended for women who are breastfeeding.
 

Talking With Your Healthcare Provider About EstroGel and Breastfeeding

You should talk with your healthcare provider about EstroGel and breastfeeding. Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, you and your healthcare provider can make a shared decision about EstroGel and breastfeeding that is right for you.
 
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Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;