Estriol is the weakest of the three estrogens — 80 times weaker than estradiol. It acts locally on vaginal tissue and does not enter the bloodstream in meaningful amounts. Leading London oncologists prescribe estriol to their breast cancer survivors. However, we always recommend discussing with your doctor.

Yes. Bioidentical means the molecule is structurally identical to the estriol your body produced naturally before menopause. Your cells recognise it immediately. It's not synthetic, not horse-derived, not modified. It's the same molecule — just delivered directly where it's needed.

The active ingredient is estriol — the weakest and safest of the three estrogens your body naturally produces. Each dose contains 0.5mg of bioidentical estriol in a clean, paraben-free base. No synthetic hormones. No fragrances. No endocrine disruptors. Just the molecule your tissue is asking for.

Each dose (3 pumps) delivers 0.5mg of estriol. This is the dose used in the clinical studies showing tissue restoration. For context, estriol is 80 times weaker than estradiol — you'd need to apply 80 times as much to match the strength of a standard prescription estrogen cream.

No. Intimate Bloom™ is free from parabens, phthalates, synthetic fragrances, and endocrine-disrupting chemicals. We formulated it with the same care we'd want for our own families.

Many women on systemic HRT still experience vaginal dryness because oral hormones don't always reach vaginal tissue in sufficient amounts. Intimate Bloom™ works locally — directly on the tissue that needs it. We recommend discussing with your prescribing doctor, but estriol applied vaginally does not meaningfully increase systemic estrogen levels.

Yes. Vaginal atrophy changes the pH and microbiome of vaginal tissue, which is a leading cause of recurrent UTIs in postmenopausal women. As estriol restores the tissue, the pH normalises and the protective bacteria return. Many women report that their recurring UTIs stop entirely within a few months.

3 pumps = one dose. Apply once daily for the first 3 weeks, then reduce to 3 times per week for maintenance. Your Application Guide walks you through everything step by step — timing, technique, and what to expect in the first few days.

Each 15ml tube lasts approximately 30 days at the daily dose. Once you move to the 3x/week maintenance phase, a single tube lasts significantly longer. Your subscription ships a fresh 90-day supply automatically every 3 months — so you're always covered without having to think about it.

Yes. We recommend applying at least 30 minutes beforehand to allow full absorption. Your Returning to Intimacy Guide covers timing, positions, and how to reintroduce physical closeness comfortably — especially in the early weeks of restoration.

Lubricants should absolutely be used in conjunction with Intimate Bloom™ — especially in the early weeks while your tissue is still rebuilding. We cover exactly how to use them together in your Application Guide. As your tissue restores, most women find they need lubricant less and less.

Most women notice a reduction in burning within 2-3 weeks. Significant tissue restoration typically occurs by week 8-12. Clinical studies show 90% of women report significant improvement within 12 weeks.

Yes. Vivia works for women of all ages after menopause. Clinical studies show excellent results in women 60+. The tissue retains its cellular memory at any age — it just needs the right signal to rebuild.

It is never too late. Your vaginal cells retain their cellular memory regardless of how long the atrophy has progressed. Women who have suffered for 5+ years still report significant improvement. It may take slightly longer, but the tissue can rebuild at any stage.

No. Vivia Intimate Bloom™ is available without a prescription. In Europe, estriol is sold over the counter in pharmacies. We've made it equally accessible for American women.

Your order ships in a plain, unmarked box with no product names or descriptions visible on the outside. Expect delivery within 5-7 business days. We understand this is personal — your privacy is protected at every step.

Yes, your personal information is 100% protected because we use Shopify's enterprise-grade encryption, the same security used by millions of trusted retailers worldwide.

You'll be charged $150 every 3 months. No hidden fees, no surprises. You can cancel at any time before your next renewal by emailing us at info@byvivia.com.

You're covered by our 90-day money-back guarantee, no questions asked. If you don't notice a difference, we'll refund your first payment in full. But based on the clinical data and the thousands of women using estriol across Europe — we're confident you will.