Intrarosa is a medication that falls under the category of vaginal products. It is specifically designed to help women who are experiencing certain symptoms associated with menopause. The active ingredient in Intrarosa is prasterone, a naturally occurring hormone in the body. Prasterone, also known as dehydroepiandrosterone (DHEA), is converted into estrogen and testosterone in the body, playing a vital role in maintaining hormonal balance.

Intrarosa is primarily used to treat a condition known as dyspareunia, which is the medical term for pain during sexual intercourse. This condition can occur due to various factors, such as decreased estrogen levels during menopause. Intrarosa works by delivering prasterone directly to the vaginal tissues, where it is converted into estrogen and testosterone. These hormones help improve vaginal tissue health, elasticity, and lubrication, thereby reducing pain and discomfort during intercourse.

Additionally, Intrarosa may also be used to alleviate other vaginal symptoms associated with menopause, such as dryness, itching, and burning sensations. By restoring hormonal balance in the vaginal area, Intrarosa aims to improve overall sexual well-being and enhance the quality of life for women experiencing these symptoms.

Intrarosa is typically prescribed for postmenopausal women who are experiencing dyspareunia or other vaginal symptoms associated with menopause. As women age, their estrogen levels naturally decline, leading to various changes in the body. These changes can result in discomfort during sexual intercourse and vaginal dryness. Intrarosa offers a targeted solution by delivering hormones directly to the vaginal tissues, addressing the underlying causes of these symptoms.

It is important to note that Intrarosa is only recommended for women who have gone through menopause and are not using birth control methods that contain hormones. It is always best to consult with a healthcare professional to determine if Intrarosa is the right treatment option for your specific needs.


Dyspareunia, often referred to as painful intercourse, is a condition characterized by persistent or recurrent pain before, during, or after sexual intercourse. This discomfort can range from mild to severe, and it may vary in intensity, duration, and location. The pain experienced can be sharp, burning, throbbing, or aching, and it can affect different parts of the genital region, including the vulva, vagina, penis, or pelvis.

Warnings and Precautions

It’s crucial to understand the potential risks and precautions associated with Intrarosa before initiating treatment. Here are some important considerations to keep in mind:

Pregnancy and Breastfeeding

Since Intrarosa has not been specifically studied in pregnant women, there is limited information available regarding its safety profile. As a result, healthcare providers generally advise against using Intrarosa during pregnancy unless the potential benefits outweigh the risks.

Due to the lack of clinical data, it is difficult to determine the exact risks to the unborn child when using Intrarosa during pregnancy. However, given the potential hormonal effects, it is advisable to err on the side of caution and avoid using this medication while pregnant.

Vaginal Bleeding

Intrarosa may cause vaginal bleeding. If you experience any unexpected or prolonged vaginal bleeding while using this medication, consult your doctor immediately. They will be able to evaluate the situation and determine the appropriate course of action.

Endometrial Hyperplasia

Intrarosa should not be used in women with a history of endometrial hyperplasia (a thickening of the uterine lining). This condition can increase the risk of developing endometrial cancer. It’s important to inform your healthcare provider about any pre-existing medical conditions before starting Intrarosa.

Breast Cancer

Individuals with a history of breast cancer should exercise caution when considering Intrarosa. The medication may have estrogen-like effects on breast tissue, potentially increasing the risk of recurrence. Consult with your doctor to evaluate the potential benefits and risks associated with Intrarosa treatment.

Cardiovascular Disease

Women with a history of cardiovascular disease should discuss the use of Intrarosa with their healthcare provider. Estrogen-like medications, such as Intrarosa, may increase the risk of stroke, heart attack, blood clots, and other cardiovascular complications. Your doctor can assess your individual cardiovascular health and determine if Intrarosa is a suitable option for you.

Liver Problems

Intrarosa is metabolized by the liver, so individuals with existing liver problems should exercise caution when using this medication. Liver function tests may be necessary before initiating treatment to ensure the medication is safe for use.

Allergic Reactions

If you have a known allergy to prasterone (the active ingredient in Intrarosa) or any other components of the medication, it is essential to avoid using it. Allergic reactions may include rash, itching, swelling, severe dizziness, or difficulty breathing. Seek immediate medical attention if you experience any signs of an allergic reaction.

Common Side Effects

As with any medication, it’s crucial to be aware of the possible side effects before starting treatment with Intrarosa. By having a thorough understanding of the potential risks, women can make informed decisions about their health and work closely with their healthcare providers to manage any adverse effects that may occur.

Vaginal Irritation and Discomfort

One of the most commonly reported side effects of Intrarosa is vaginal irritation and discomfort. Some women may experience itching, burning, or redness in the vaginal area. This can be distressing and may require medical attention to alleviate the symptoms.

Vaginal Bleeding

Another side effect that some women may experience while using Intrarosa is vaginal bleeding. This can manifest as spotting or light bleeding between periods. It’s important to consult with a healthcare professional if this occurs to determine the underlying cause and appropriate course of action.


Headaches are a known side effect of Intrarosa. Women who experience persistent or severe headaches should consult their healthcare provider to rule out any underlying causes and explore alternative treatment options if necessary.


In some cases, women may experience nausea as a side effect of Intrarosa. This can range from mild discomfort to persistent feelings of queasiness. If nausea becomes severe or persists, it’s important to seek medical advice for proper management.

Breast Tenderness

Breast tenderness is another possible side effect of Intrarosa. Some women may experience sensitivity or soreness in their breasts while using this medication. Regular breast self-exams and routine check-ups with a healthcare provider are essential for monitoring any changes or abnormalities.

Abdominal Pain

Abdominal pain can occur as a side effect of Intrarosa. Women who experience persistent or severe abdominal pain should consult their healthcare provider to evaluate the cause and determine the appropriate course of action.

Changes in Mood

It’s important to note that some women may experience changes in mood while taking Intrarosa. These changes can range from mild mood swings to more significant shifts in emotions. Open communication with healthcare professionals is crucial for addressing any concerns related to mood changes.

Other Possible Side Effects

While the aforementioned side effects are more commonly reported, it’s essential to recognize that individual experiences may vary. Other potential side effects of Intrarosa include dizziness, back pain, urinary tract infections, and changes in sexual desire. It’s important to consult a healthcare provider for a comprehensive understanding of the possible effects of this medication.

Remember to always communicate openly with your healthcare provider and seek medical advice if you have any concerns or experience any adverse effects.

Drug Interactions

While Intrarosa is generally safe and effective, it is important to be aware of its potential drug interactions to ensure optimal therapeutic outcomes and avoid any adverse effects.

CYP3A4 Inducers

Intrarosa is primarily metabolized by the enzyme CYP3A4. Therefore, the concurrent use of Intrarosa with strong CYP3A4 inducers, such as Dilantin and Tegretol, may decrease the plasma concentration of prasterone. This can potentially reduce the efficacy of Intrarosa. It is advisable to consult with your healthcare provider if you are taking any medications known to be strong CYP3A4 inducers.

CYP3A4 Inhibitors

Conversely, CYP3A4 inhibitors can increase the plasma concentration of prasterone, leading to potential adverse effects. Examples of CYP3A4 inhibitors include ketoconazole, itraconazole, and clarithromycin. If you are prescribed a CYP3A4 inhibitor while using Intrarosa, your healthcare provider may need to adjust the dosage of Intrarosa to ensure safety and efficacy.

Hormonal Contraceptives

It is important to note that Intrarosa is not intended for use as a hormonal contraceptive. There are no known drug interactions between Intrarosa and hormonal contraceptives. However, if you are using hormonal contraceptives along with Intrarosa, it is crucial to follow the instructions provided by your healthcare provider and discuss any concerns or potential interactions.

Topical Vaginal Products

Intrarosa is a vaginal insert, and its effectiveness may be affected by the use of other vaginal products simultaneously. To avoid any potential interactions, it is recommended to wait at least two hours after using Intrarosa before using any other vaginal products (such as Divigel). This includes creams, gels, suppositories, and douches.

Systemic Corticosteroids

Concurrent use of Intrarosa with systemic corticosteroids, such as prednisone, may lead to increased levels of corticosteroids in the body. This can potentially increase the risk of adverse effects associated with corticosteroid use. If you are prescribed systemic corticosteroids while using Intrarosa, your healthcare provider will monitor you closely and adjust the dosage as necessary.


Intrarosa has not been studied in patients receiving anticoagulant therapy. If you are taking anticoagulant medications, such as warfarin, it is important to inform your healthcare provider before starting Intrarosa. Close monitoring of your coagulation parameters may be necessary to ensure your safety.

By being aware of possible interactions and discussing them with your healthcare provider, you can maximize the benefits of Intrarosa while minimizing any risks. Remember to always follow your healthcare provider’s instructions and report any unusual symptoms or concerns promptly. With the right knowledge and guidance, you can achieve optimal outcomes in managing dyspareunia and improving your overall quality of life.


The recommended dosage of Intrarosa is one vaginal insert daily at bedtime. It is important to follow your healthcare provider’s instructions carefully regarding the duration of treatment. Typically, the duration of treatment may vary based on individual needs and response to the medication.


To use Intrarosa vaginal inserts, follow these steps:

  1. Wash your hands thoroughly before handling the vaginal insert.
  2. Remove the vaginal insert from its package.
  3. While lying on your back with your knees bent, gently insert the vaginal insert into the vagina as far as it comfortably goes using your fingers.
  4. Wash your hands again after inserting the vaginal insert.
  5. Dispose of the used vaginal insert properly.

Missed Dose

If you miss a dose of Intrarosa, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to make up for a missed one.

By following the recommended dosage and usage instructions provided by your healthcare provider, you can optimize the benefits of Intrarosa in managing dyspareunia associated with menopause. Remember to consult your healthcare provider for personalized guidance and address any concerns or questions you may have. With the proper knowledge and guidance, you can make informed decisions about your menopausal health.


Intrarosa should be stored in a cool and dry place, away from direct sunlight and moisture. The ideal temperature for storing Intrarosa is between 15°C and 30°C (59°F and 86°F). It is important to keep the medication out of reach of children and pets to prevent accidental ingestion.

To further protect the medication from moisture, it is recommended to store Intrarosa in its original packaging. The blister packs are designed to provide a barrier against moisture and ensure the integrity of the medication. Do not remove the tablets from the blister packs until you are ready to use them.

When storing Intrarosa, avoid exposing it to extreme temperatures. Do not refrigerate or freeze the medication, as this can affect its stability and effectiveness. Additionally, do not store Intrarosa in the bathroom or any other area with high humidity, as moisture can degrade the tablets.

It is important to check the expiration date on the packaging before using Intrarosa. Expired medication may not provide the desired therapeutic effects and can potentially be harmful. If you notice that the medication has expired or is damaged, consult your healthcare provider for proper disposal.

IMPORTANT NOTE: The information provided here is for educational purposes only and is not intended to serve as medical advice, diagnosis, or treatment recommendations. It should not be taken as an endorsement of any specific medication or treatment. Individual health conditions and responses to treatment can vary greatly; therefore, this information should not be seen as a guarantee of safety, suitability, or effectiveness for any particular individual. Always consult with a healthcare professional for personalized medical advice and before making any decisions regarding your health or treatment plans.

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