Save $20 on your EstroGel prescriptions!

Sign up now!

You will become eligible for up to $20 off your EstroGel prescription and each of your next 2 refills. Simply complete the information below and a brief survey each month for the next 2 months. After you complete each survey, you will be able to print a customized $20 coupon for your next EstroGel prescription refill. Some restrictions may apply. See below for complete eligibility rules.



Let's get started!

All information provided must be in the name of the person receiving the prescription for EstroGel. Your name and e-mail address, along with your password (created below), will help identify you in further communications for this program. Returning participants sign in here.

First name*:
Last name*:
E-mail*:
Address 1:
Address 2:
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State:	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
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*Providing an invalid name or e-mail address will restrict your ability to participate in this coupon program. During this program, an e-mail reminder will be sent to you each month.
Create a password:
Confirm password:
Validation question†: (select and answer 1 of the following 5 questions)
Select One What is your mother's maiden name? Where were you born (city, state)? What is your pet's name? In what month were you born? What make and model was your first automobile?
Answer:
†This question will be used if, when you revisit our site as a part of the program, you have forgotten your password. Once answered correctly, your password will be e-mailed to you.
I understand that by answering these questions I am consenting to participate in the EstroGel coupon program. I also consent to the collection of personal information by ASCEND Therapeutics. I acknowledge that to administer the program, ASCEND will need to track my prescription activity associated with the redemption of coupons and to use my personal information to send correspondence in connection with the program.
The information you provide in this form will be used in accordance with ASCEND Therapeutics' privacy policy.

IMPORTANT SAFETY INFORMATION

EstroGel is indicated in the treatment of moderate to severe vasomotor symptoms associated with menopause and in the treatment of moderate to severe symptoms of vulvar and vaginal atrophy associated with menopause. When prescribing solely for the treatment of symptoms of vulvar and vaginal atrophy, topical vaginal products should be considered.

Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are using EstroGel. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual vaginal bleeding to find the cause.

Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots.

Do not use estrogens with or without progestins to prevent dementia. Using estrogens with or without progestins may increase your risk of dementia.

EstroGel should not be used if you have unusual vaginal bleeding, currently have or have had certain cancers, had a stroke or heart attack in the past year, currently have or have had blood clots, currently have or have had liver problems, are allergic to EstroGel or any of its ingredients, or think you may be pregnant.

The most commonly reported adverse events include headache, breast pain, irregular vaginal bleeding or spotting, stomach/abdominal cramps, bloating, nausea and vomiting, and hair loss.

You and your healthcare provider should talk regularly about whether you still need treatment with EstroGel.

Please see full patient information (PDF).

This web site is intended for U.S. residents only.
EstroGel® is a registered trademark of LaSalle Laboratories, Inc. ©2007 ASCEND Therapeutics, Inc. All Rights Reserved.