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Estring
Estring
Estrogen vaginal ring

Get your Estring medication filled online

Through Felix, you can get Estring prescribed by a licensed healthcare practitioner with free delivery to your door.

At a glance
Estradiol
2mg; 1 ring per pack
Why Felix
Prescribed by a Canadian healthcare professional
Build a treatment plan that fits your lifestyle
Support and resources along your journey
Free and fast shipping to your door
WARNING: This product contains nicotine. Nicotine is highly addictive. This product is intended for smoking cessation only. Do not use if you are under 18 years of age.
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What is
Estring
?

Estring is a vaginal estrogen insert (also called a ring), which is used to treat postmenopausal vaginal and urinary symptoms that are associated with being estrogen deficient.

For people that still have intact uteri, Estring may be recommended for use alongside progestin therapy. This is done to reduce the risk of endometrial hyperplasia (overgrowth of the lining of the uterus) from occurring.

For more resources, including a full list of the risks and benefits of Estring, please review the product monograph.

How does
Estring
work?

During menopause and postmenopause the body naturally produces less estrogen. In some cases, estrogen production may even cease.

Estring works by helping to replace that missing estrogen from the body. In turn, this helps reduce the symptoms associated with postmenopause.

The ring that is inserted into the vagina releases estradiol at an even, stable rate to help maintain consistent hormone levels in the patient’s body.

What is
Estring
used to treat?

Estring is indicated for use as a method for treating symptoms associated with postmenopause in women with low estrogen levels.

Estring is also used in tandem with progestin to help prevent overgrowth of the lining of the uterus (endometrial hyperplasia), in women that still have an intact uterus.

How do you take
Estring
?

Estring can be inserted by the patient into the vagina. This can be done by the patient themselves, or if needed, by their healthcare professional. Estring is meant to be worn continuously for 90 day cycles.

There will be instructions provided alongside your prescription, which will show you how to correctly insert the ring. Be sure to follow these instructions as closely as possible, since they will ensure your ring is inserted safely and effectively.

Most Estring users and their partners do not experience discomfort during intercourse, so it is not necessary that the ring be removed. If Estring should cause you or your partner discomfort, you may remove it before intercourse.

It’s important to note that Estring the maximum length of continuous usage for Estring is 2 years. After that point, your practitioner may need to suggest an alternative medication to continue your treatment plan.

How long does
Estring
last after you take it?

What are the common side effects of
Estring
?

The most common side effects that can occur when taking Estring include:

  • Vaginal bleeding/spotting
  • Headache
  • Vaginal discharge
  • Urogenital itching
  • Vaginal discomfortHeadaches
  • Breast tenderness or enlargement
  • Swelling of the legs
  • Spotty darkening of the skin (melasma)

Other possible side effects include:

  • Toxic shock syndrome
  • Adherence to the vagina, making removal difficult
  • Blockage of the bowel
  • Vaginal erosion/ulceration

If these side effects become severe or you start to experience any symptoms of toxic shock syndrome or a blocked bowel, be sure to talk to your healthcare practitioner right away. They may be able to suggest an alternative medication that may work better for you.

MHT is the most effective treatment for menopausal symptoms and has been shown to prevent bone loss.

In menopausal women who start appropriately-dosed MHT prior to age 60 OR within 10 years of their last period, the health benefits outweigh the risks.

Risks of MHT are considered very rare (~1 case per 1000 to 10,000 women on MHT per year) and may include:

  • risks of stroke or blood clots in legs or lungs with oral estrogen (much lower risk with estrogen gel or patch)
  • risks of dementia in women older than 65 years,
  • risk of breast cancer (less than ~1 case per 1000 women on MHT per year)  

These conditions are all rare, but they highlight the importance of having a full discussion with your healthcare practitioner; especially if you’re experiencing moderate to severe side effects.

Individualization is key, and your MHT treatment plan should be reassessed (at least) once a year to monitor your health, as well as ensure that you are on the correct dosage and formulation. Your practitioner can help you find balance between treating your symptoms safely, and avoiding increased risks.

Who shouldn't take
Estring
?

There are certain people that shouldn’t use Estring, including:

  • People with a history or family history of breast or endometrial cancers
  • People that have been diagnosed with hyperplasia (overgrowth of the lining of the uterus)
  • People that have experience undiagnosed or abnormal genital bleeding
  • People with liver disease
  • People that have or have had blood clotting disorders
  • People are pregnant or believe they may be pregnant
  • People that are breastfeeding
  • People that have had a stroke, heart attack, or coronary artery disease
  • People that have or have had porphyria (a blood pigment disease)
  • People with certain types of congenital coagulation abnormalities (i.e. protein C, protein S, or antithrombin deficiency)
  • People that have an allergy or intolerance to estradiol or any of the other ingredients in Estring

In addition to these people, there are others that should be cautious about taking Estring. Talk to your healthcare practitioner before starting Estring if you:

  • Have a history of allergies or intolerances to any other medications or substances
  • Have a history of breast disease, breast biopsies, or a family history of breast cancer
  • Have experienced any unusual or undiagnosed vaginal bleeding
  • Have a history of uterine fibroids or endometriosis
  • Have a history of liver disease or jaundice
  • Have experienced itching related to estrogen use or during pregnancy
  • Have a history of migraines
  • Have a history of high blood pressure
  • Have a personal or family history of blood clots
  • Have a personal history of heart disease or stroke
  • Have a history of kidney disease, asthma, or epilepsy
  • Have diabetes
  • Are pregnant or may be pregnant
  • Are breastfeeding
  • Have or may have a vaginal infection
  • Smoke
  • Have been diagnosed with a rare disorder, where you have a deficiency of enzymes involved in the production of heme (porphyria)
  • Have a history of bone disease
  • Have had a hysterectomy
  • Have a family history of angioedema

If any of these conditions apply to you, your healthcare practitioner may suggest an alternative medication that could work better for you.

Please note, if you have any x-ray procedures of the lower abdominal tract the Estring should be removed, as the barium sulfate core is visible on x-ray.

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We’d love to tell you more

Health Canada regulations require us to confirm your patient status to access further information on Estring.
The drug identification number (DIN) is easy to find. It’ll be printed on your Estring packaging and the receipt from your pharmacist.

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How Felix works

Step 1

Tell us about your health

Answer a few simple questions about your health.

Step 2

Build your treatment plan

Choose from a wide range of treatments to create your treatment plan.

Step 3

Get your treatment

We’ll deliver your treatment directly to your home for free in discreet packaging.

Step 4

Ongoing care and support

Connect with your healthcare practitioner any time you need them.

Step 1

Tell us about your health

Answer a few simple questions about your health.

Step 2

Receive a treatment plan

Your healthcare practitioner will build a personalized plan just for you.

Step 3

Get your treatment

We’ll deliver your treatment directly to your home for free in discreet packaging.

Trusted by over 1 million Canadians

Very easy and professional experience. Quick response from the doctor and easy ordering, billing and shipped and delivered on time. Hassle free.
Warren
Customer
Great service and products. Everything always arrived in a timely manner.
Tim
Customer
Simple, respectful, professional with good follow up and guidance, and fast service and delivery.
Scott
Customer
Best place to get birth control. No more annoying doctor visits
Savannah
Customer
Within an hour . . . a doctor contacted me to make sure that particular medication was what I wanted. Doctor was friendly and knowledgeable. Within minutes . . . being confirmed my order was put through and I received my medication after 2 days.
Samantha
Great service! I really appreciate being able to put my auto-refill on pause.
Rowan
Easy and simple.
Pete
Customer
The best service!!! So happy I never have to try and get myself to the pharmacy anymore. This is the future!!!
Paige
The whole process of signing up with Felix, the online visit, and getting my prescription in the mail was very easy and very convenient.
Paul
Customer
Super convenient, and amazing customer service! The team always responds +++ fast and answers every question and concern. Very pleased with Felix!
Nicole
Customer
Discreet, quick, very professional, and feels totally safe. This is such a convenient service and I'm a huge fan already.
Nicky
Customer
Sign up was a breeze, and items shipped faster than expected. A positive, painless experience from start to finish!
Jon
Customer
Felix gets you into contact with doctors discreetly online to address personal matters that you'd rather not go to a doctor in person to see, you get the prescription best suited to your needs, and they'll deliver it to your local pharmacy or even your house!
Matt
Customer
Very quick and easy to do. Can ask the doctor any questions about the medication.
Maren
Customer
The process was a whole lot easier and faster than I imagined. And the doctor was absolutely helpful and answered relatively fast. I highly recommend Felix.
Kristian
Customer
Super convenient and affordable! Much easier than having to book a doctors appointment and wait to get a prescription filled.
Jillian
Customer

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Frequently asked questions

Felix 101

What is Felix?

Felix is Canada’s first truly integrated healthcare platform. We provide on-demand treatment for everyday health needs like weight loss, mental health, sexual health, and more. Founded in 2019, our digital-first approach to healthcare includes everything from diagnosis to prescription — all accessible from the comfort of home.

Does Felix replace my doctor?

No. Felix provides a faster, hassle-free way for you to get a prescription to certain medications but our service does not replace your primary care provider. For matters that extend beyond obtaining a prescription lifestyle medication safely and easily, we encourage you to consult your primary health practitioner in person — whether for checkups, personal health concerns, or to inform them about the medications you are currently using.

Can I be accurately assessed remotely?

Absolutely. Our online assessments have been designed to ask all the necessary questions required for diagnosis. We've worked with specialist to create an assessment process that can provide sufficient information for the healthcare practitioner to determine whether or not you are eligible for a prescription and craft an appropriate treatment plan.

It's an emergency. What do I do?

Call 911 or proceed to your nearest emergency room immediately. Felix is not intended for medical emergencies. Once the emergency has been addressed or resolved, contact your prescribing practitioner to inform them of your experience as this may impact your current treatment plan.

Who can use Felix?

Anyone who is 18 years or older older (16 or older for acne and birth control prescriptions), and is located in Alberta, British Columbia, Manitoba, Newfoundland and Labrador, Nova Scotia, Prince Edward Island, Saskatchewan or Ontario. We cannot ship treatments outside of these provinces at this time.

Online Visits

How does the visit work?

After creating an account, you will complete a medical assessment for evaluation by one of the Felix healthcare practitioners. 

During your assessment, you will have the opportunity to send your practitioner questions via secure messaging.  

In most cases, practitioners will complete your assessment with secure messaging alone but sometimes they may determine you require an audio or video visit and/or further diagnostic testing to help determine the best treatment plan for you. 

If your practitioner has determined a prescription treatment is appropriate, they will approve your visit and write you a prescription. Our pharmacy will then ship your prescription to your home.

You’ll be able to message your healthcare practitioner if you have questions or want to make changes to your treatment at any time.

Do I need to complete my online visit at a scheduled time?

No. We use an asynchronous telemedicine model so you can complete your online visit in your own time and we save your progress so you can come back later to finish it.

If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.

Does the online visit require a phone or video appointment?

Most assessments do not require a phone or video conversation. Once a prescriber has reviewed the info in your assessment they will respond to you via secure instant messages that you can access within your Felix account.  

If you are completing a visit in the mental health or weight loss categories, your healthcare practitioner may require a phone or video call to discuss your medical profile further during the assessment process.

How quickly will a healthcare practitioner review my online visit?

You can expect to receive a response from a healthcare practitioner within 24 hours of submission. If you’ve been waiting longer than this, please email hello@felixforyou.ca and we’ll look into it.

Can I just get the treatment and skip the online visit?

No. A visit with a licensed healthcare practitioner is required for all treatments currently provided through Felix’s service.

Please email our Customer Support team at hello@felixforyou.ca and they will be able to assist you with the transfer.

Privacy and Security

Is my information private and secure?

Yes, your security is paramount to Felix’s mission. Personal health information provided during your medical assessment is strictly and legally confidential between you and the Felix healthcare practitioner.

Beyond that, all your account information (including the medical assessment, credit card, and shipping information, etc.) is also stored safely and securely. Felix is compliant with all federal and provincial health privacy legislation. It is our duty to protect your data with comprehensive security infrastructure and stringent data policies to ensure it stays private and secure.

Read more on our Privacy Policy.

Is this legal?

Yes! In Canada, only a licensed healthcare practitioner can write a prescription, and only a registered pharmacist can fill that prescription. We are supported by leaders in the Canadian pharmacology and specialized medical fields. Felix adheres strictly to all the regulations set forth by all applicable Colleges of Pharmacists and Colleges of Physicians and Surgeons in which we operate.

Is this safe?

Absolutely. All prescriptions obtained via Felix are provided by licensed Canadian healthcare practitioners—the same as you would get at a hospital, doctor’s office, or clinic. These practitioners do not provide prescriptions unless they deem it medically safe and appropriate to write them based on your medical profile and assessment answers. Our assessments have been crafted by the practitioners on our medical team. Finally, all Felix Pharmacies are provincially accredited just like any retail pharmacy.

How is my privacy protected?

Your privacy is our top priority. All your data is 256 bit SSL/TLS encrypted, and we take significant steps to keep your data secure. You can read our Privacy Policy for more information. 

Shipping

How long will it take to get my treatment?

Not long. After completing your assessment, a practitioner will generally respond within 24 hours, and often much sooner.

Treatment plans will be processed within 2-3 business days of your approval date if there is nothing blocking fulfillment.

All packages are shipped via Express Post, which usually takes 2-3 business days. You will receive an email with your tracking number once your treatment has been shipped.

Is your packaging discreet?

Absolutely. All Felix shipments arrive in a nondescript blister package so you can have your treatment shipped wherever makes sense for you as long as there is someone there to sign for it.

Do I have to be home to receive my package?

A signature upon delivery may be required.

How much does it cost to ship my treatment?

There is currently no cost to have your treatment shipped to you from our Felix Pharmacy network.

What courier do you use for shipping?

Our pharmacy partners use Canada Post and/or Purolator for shipping.

Pricing and Payment

How much is the online visit?

Felix charges a fee for the online visit. In most cases the fee is $40 but varies by treatment category. The visit fee includes a prescription valid for up to a year (depending on the condition) and on-going support from the healthcare practitioner or pharmacist.

How much will my treatment cost?

It depends. Treatment costs vary but will be in line with what you would pay at a pharmacy in person. You will see the estimated cost of your treatment before insurance, during the online visit but will only be charged once approved. Once approved, your treatment and payment will be processed within one to two days.

Keep in mind that you won’t necessarily need to pay the full price yourself. If you have insurance, Felix’s partner pharmacies will bill your insurer directly. You may also be eligible for financial support in your province.

What payment methods do you accept?

We accept all major credit cards for any aspect of your treatment not covered by insurance or other financial support

Insurance

Am I covered by my insurance?

Treatment coverage varies greatly between different insurance plans.

The good news is that if you are covered, Felix can bill your insurer directly, and then process your treatment plan at no additional cost to you. We recommend that you upload your private and/or provincial benefit card during the online visit so that our pharmacy partner can apply any coverage you are eligible for before processing your treatment plan.

Insurance coverage for treatment plans through Felix doesn't include the cost of your visit.

Is the online visit covered by my insurance or provincial health plans?

A Felix online visit is considered asynchronous since it is conveniently completed through a secure chat bases system. Currently, asynchronous visits are not covered by insurance or provincial health plans so you will be charged a visit fee, depending on the category of treatment you are requesting.

Is the medication covered by my insurance or provincial health plans?

Medication coverage varies greatly between different plans, provinces, and has specific criteria that determine eligibility. For private insurance, we recommend contacting your benefits administrator with your details and the Drug Identification Number (DIN) and the drug name to determine your coverage.

For more details on provincial health plan coverage see below:

Alberta: Learn more about AHCIP here. Search for covered drugs here.

British Columbia: Learn more about MSP here. Search for covered drugs here.

Manitoba: Learn more about MHSIP here. Search for covered drugs here.

Newfoundland and Labrador: Learn more about MCP here. Search for covered drugs here.

Nova Scotia: Learn more about MSI here. Search for covered drugs here.

Ontario: Learn more about OHIP+ here. Search for covered drugs here.

Prince Edward Island: Learn more about Health PEI here. Search for covered drugs here.

Saskatchewan: Learn more about Saskatchewan Health Coverage here. Search for covered drugs here.

Is birth control covered by OHIP in Ontario?

OHIP+ covers some birth control for eligible residents of Ontario who are under 25 years old and do not have private insurance. You can check if your birth control medication is covered here. Make sure to upload your Ontario health card during your online visit so our pharmacy partners can apply your coverage directly.

Have more questions? We’ve got answers.
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