Do not exceed 1 serving of Estro-Life Cream daily. We have received wonderful reviews for our Estro-Life cream over the years pertaining to vaginal moisture and less painful sex. For use as a vaginal moisturizer, apply externally only. This should be applied to the vulva of the vagina. Apply 1/4 a tsp of the Estriol cream to the vagina daily for 7 -10 days (10 for extreme cases of atrophy). Maintenance: Apply 2-3 times per week. Continued use is needed to maintain results. We recommend that the cream not be applied internally. Please read further into our FAQ page as it contains important details/considerations while using Estro-Life Cream.