{"id":631616,"date":"2025-03-11T19:31:53","date_gmt":"2025-03-11T23:31:53","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=631616"},"modified":"2025-03-11T19:31:53","modified_gmt":"2025-03-11T23:31:53","slug":"estradiol-for-dogs","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/estradiol-for-dogs\/","title":{"rendered":"Can estradiol be used for dogs?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/estradiol\"><span style=\"font-weight: 400;\">Estradiol<\/span><\/a><span style=\"font-weight: 400;\"> is a natural <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/estrogens\"><span style=\"font-weight: 400;\">estrogen<\/span><\/a><span style=\"font-weight: 400;\"> that produces female secondary sexual characteristics, regulates estrus cycles, prepares the body for pregnancy, and affects organs throughout the body. All mammals and most other animals produce estradiol.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although estradiol is prescribed to women, veterinarians rarely use estradiol in animals other than female horses (mares). They consider it unsafe because of the risk of bone marrow suppression and uterus diseases. When dogs need estrogen treatment, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/estriol\"><span style=\"font-weight: 400;\">estriol<\/span><\/a><span style=\"font-weight: 400;\"> is the estrogen of choice.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/prescription\/estradiol\"><b>Save up to 80% on estradiol<\/b><\/a><\/p>\n<h2 id=\"what-is-estradiol-used-for-in-dogs\"><span style=\"font-weight: 400;\">What is estradiol used for in dogs?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Veterinarians largely avoid using estradiol in dogs. Estradiol (E2) is a natural hormone in dogs, but it\u2019s the most powerful type of estrogen. It also lasts a long time in a dog\u2019s body and can cause serious uterine diseases and suppress bone marrow. Estradiol-induced bone marrow suppression can be fatal in some cases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to estradiol, dogs also naturally produce two other types of estrogens: estrone (E1) and estriol (E3). These are less powerful than estradiol and less likely to cause side effects. Estrone is the weakest, so it\u2019s not generally used in veterinary medicine. Estriol is powerful enough to treat estrogen-responsive problems. It\u2019s weak enough that serious problems are less of a concern. For this reason, estriol is the preferred estrogen treatment in veterinary medicine. It\u2019s also the only estrogen FDA-approved for use in dogs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That doesn\u2019t mean veterinarians can\u2019t use estradiol, but its use is discouraged in favor of safer treatments. The primary use of estrogens in veterinary medicine is to treat urinary incontinence in female dogs that have had their ovaries surgically removed. Veterinarians may also use an estrogen to terminate a pregnancy, but there are safer drugs for that purpose.<\/span><\/p>\n<h3 id=\"urinary-incontinence\"><span style=\"font-weight: 400;\">Urinary incontinence<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Canine urinary incontinence has many possible causes, including behavior problems, infections, and anatomical abnormalities. One common cause is a weak urethra sphincter. Called \u201cprimary sphincter mechanism incompetence\u201d or PSMI, a weak bladder sphincter isn\u2019t strong enough to hold back the pressure of urine in the bladder. It mainly affects female dogs after they\u2019ve been spayed, and their estrogen levels drop dramatically. About <\/span><a href=\"https:\/\/www.vin.com\/apputil\/content\/defaultadv1.aspx?id=3860881&amp;pid=11242\"><span style=\"font-weight: 400;\">1 in 5<\/span><\/a><span style=\"font-weight: 400;\"> spayed bitches eventually become incontinent. The incidence is higher in large dogs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Loss of estrogen causes several changes in a female dog\u2019s body, including gradual changes to the urethra. These changes make the dog less capable of holding back urine. This doesn\u2019t happen right after a spay. It usually takes two to three years after a spay before the dog shows signs of incontinence, such as house soiling.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As a hormone replacement therapy, estrogens have been used in postmenopausal women to treat urinary incontinence. Estrogens also relieve incontinence in spayed dogs. Estrogen therapy relieves weak sphincter urinary incontinence in about 65% to 83% of dogs. So they work, but the danger of possible serious side effects in estradiol is a problem.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Among the various types of estrogen, estradiol is the least safe to use as a daily treatment in dogs. If estrogen treatment is appropriate, veterinarians use estriol instead. Veterinarians also use a drug called <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phenylpropanolamine-hcl\"><span style=\"font-weight: 400;\">phenylpropanolamine<\/span><\/a><span style=\"font-weight: 400;\"> to treat urinary incontinence.<\/span><\/p>\n<h2 id=\"is-estradiol-safe-for-dogs\"><span style=\"font-weight: 400;\">Is estradiol safe for dogs?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Estradiol is not considered safe for dogs, but veterinarians may, on rare occasions, use it. All estrogen treatment is risky in dogs, but estradiol is more likely to cause bone marrow suppression, blood disorders, and uterine diseases than other estrogens.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bone marrow suppression usually reverses after estradiol is stopped, but not always. In rare cases, bone marrow suppression may persist and get worse after estradiol is stopped. A dog could lose the ability to make blood cells (aplastic anemia) and die.<\/span><\/p>\n<h3 id=\"side-effects-of-estradiol-in-dogs\"><span style=\"font-weight: 400;\">Side effects of estradiol in dogs<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The most <\/span><a href=\"https:\/\/vcahospitals.com\/know-your-pet\/estriol\"><span style=\"font-weight: 400;\">common side effects<\/span><\/a><span style=\"font-weight: 400;\"> of estradiol and other estrogen treatments in dogs are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Appetite loss<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thirst<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anxiety<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Swollen vulva<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Low energy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drooling<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hair loss<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The most serious side effects of estradiol in dogs are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bone marrow suppression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood disorders<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Uterine infection (pyometra)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Uterine swelling (endometrial hyperplasia)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mammary tumors<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If a dog is on estradiol or any other estrogen treatment, contact a veterinarian if you notice any clinical signs of a possible serious side effect, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pale gums<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreased energy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nose bleeds<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood in the stools or urine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Unusual bleeding<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trouble breathing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreased appetite<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Depression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vaginal discharge<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive thirst<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive urination<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Signs that the dog has a serious problem requiring immediate veterinary care include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Complete loss of appetite<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Listlessness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Marked depression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarrhea<\/span><\/li>\n<\/ul>\n<h3 id=\"interactions-of-estradiol-with-other-pet-meds\"><span style=\"font-weight: 400;\">Interactions of estradiol with other pet meds<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Estradiol is rarely used in dogs. When it is, there are several possible drug interactions that can reduce its effectiveness or increase the risk of serious side effects. Make sure to tell the veterinarian about all your pet\u2019s medications, including prescription drugs, over-the-counter medications, and supplements, particularly:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other estrogens<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Some types of oral <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antifungals\"><span style=\"font-weight: 400;\">antifungal medication,s<\/span><\/a><span style=\"font-weight: 400;\"> such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ketoconazole\"><span style=\"font-weight: 400;\">ketoconazole<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/itraconazole\"><span style=\"font-weight: 400;\">itraconazole<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/macrolides\"><span style=\"font-weight: 400;\">Macrolide antibiotics<\/span><\/a><span style=\"font-weight: 400;\"> such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/clarithromycin\"><span style=\"font-weight: 400;\">clarithromycin<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/thyroid-hormones\"><span style=\"font-weight: 400;\">Thyroid hormones<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/corticosteroids\"><span style=\"font-weight: 400;\">Corticosteroids<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Some types of <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/anticonvulsants\"><span style=\"font-weight: 400;\">anticonvulsants<\/span><\/a><span style=\"font-weight: 400;\">, such as <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital\"><span style=\"font-weight: 400;\">phenobarbital<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The immune-suppressing drug <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cyclosporine\"><span style=\"font-weight: 400;\">cyclosporine<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The herbal supplement St. John\u2019s wort<\/span><\/li>\n<\/ul>\n<h2 id=\"estradiol-dosage-for-dogs\"><span style=\"font-weight: 400;\">Estradiol dosage for dogs<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Dogs are rarely given estradiol. All published dosages warn veterinarians to avoid the drug and prescribe safer treatments.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The published dosage for estradiol includes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>For pregnancy termination:<\/b><span style=\"font-weight: 400;\"> 44 mcg\/kg estradiol cypionate intramuscular injection given once OR <\/span><span style=\"font-weight: 400;\">10 mcg\/kg subcutaneous injection given once during a specific period post-breeding.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">There are no veterinary formulations of estradiol. When veterinarians use estrogens, they usually prescribe estriol, sold as a brand-name tablet called Incurin. They can prescribe tablets formulated for people or use tablets specially prepared by a compounding pharmacy.\u00a0<\/span><\/p>\n<h3 id=\"can-dogs-overdose-on-estradiol\"><span style=\"font-weight: 400;\">Can dogs overdose on estradiol?<\/span><\/h3>\n<p><a href=\"https:\/\/vetmeds.org\/pet-poison-control-list\/estrogen\"><span style=\"font-weight: 400;\">Large estradiol doses can be toxic in dogs<\/span><\/a><span style=\"font-weight: 400;\">. Repeatedly overdosing a dog with estradiol or other estrogens can cause noticeable and serious side effects, including bone marrow suppression, uterine infections, and mammary tumors.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symptoms of estrogen toxicity in dogs include hair loss, weakness, incoordination, genital swelling in female dogs, and genital atrophy in male dogs. Call a veterinarian if a dog ingests estradiol by accident or a dog on estrogen starts showing side effects.<\/span><\/p>\n<h3 id=\"can-i-give-my-dog-estradiol-every-day\"><span style=\"font-weight: 400;\">Can I give my dog estradiol every day?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Estradiol is not safe to give to a dog every day because of possible severe adverse effects. If a veterinarian prescribes daily estradiol, ask about other treatment options.<\/span><\/p>\n<h3 id=\"how-to-give-your-dog-estradiol\"><span style=\"font-weight: 400;\">How to give your dog estradiol<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Estradiol is rarely given to a dog. If estrogen therapy is needed, the veterinarian will most likely prescribe estriol (brand-name Incurin).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If a veterinarian prescribes estradiol or other estrogen, pet caregivers should expect to give oral doses every day. The veterinarian will have to regularly check the dog and adjust the doses, so keep all appointments. After the initial treatment period, doses will be gradually reduced to a low dose.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Give this medication as instructed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not give more than prescribed or give it more frequently than prescribed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Estradiol or estriol can be administered with or without food.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If giving your dog tablets is difficult, ask a veterinary assistant to demonstrate the proper procedure.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If a dose is missed, give it when remembered. Do not give a missed dose if it\u2019s almost time for the next dose. Give the next dose as scheduled.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If the medication does not work or symptoms get worse, talk to the veterinarian.<\/span><\/li>\n<\/ul>\n<h2 id=\"estradiol-alternatives-for-dogs\"><span style=\"font-weight: 400;\">Estradiol alternatives for dogs<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Although estradiol can help dogs with weak sphincter urinary incontinence, veterinarians consider it hazardous in dogs. The <\/span><a href=\"https:\/\/www.vin.com\/apputil\/content\/defaultadv1.aspx?pId=22915&amp;catId=124668&amp;id=8896756&amp;ind=285&amp;objTypeID=17\"><span style=\"font-weight: 400;\">preferred treatment<\/span><\/a><span style=\"font-weight: 400;\">s are estriol or <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phenylpropanolamine-hcl\/what-is\"><span style=\"font-weight: 400;\">phenylpropanolamine<\/span><\/a><span style=\"font-weight: 400;\"> (PPA), a drug that increases urethral muscle tone. PPA successfully and safely resolves weak sphincter urinary incontinence in <\/span><a href=\"https:\/\/www.vin.com\/apputil\/content\/defaultadv1.aspx?id=3860881&amp;pid=11242\"><span style=\"font-weight: 400;\">74% to 92%<\/span><\/a><span style=\"font-weight: 400;\"> of dogs.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For pregnancy termination, the <\/span><a href=\"https:\/\/www.vin.com\/apputil\/content\/defaultadv1.aspx?pId=22915&amp;catId=124668&amp;id=8896756&amp;ind=285&amp;objTypeID=17\"><span style=\"font-weight: 400;\">safest and most effective drug<\/span><\/a><span style=\"font-weight: 400;\"> for dogs is prostaglandin F2alpha. <\/span><a href=\"https:\/\/www.merckvetmanual.com\/management-and-nutrition\/management-of-reproduction-dogs-and-cats\/prevention-or-termination-of-pregnancy-in-dogs-and-cats\"><span style=\"font-weight: 400;\">Other safe treatment options<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/dexamethasone\"><span style=\"font-weight: 400;\">Dexamethasone<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/cabergoline\"><span style=\"font-weight: 400;\">Cabergoline<\/span><\/a><span style=\"font-weight: 400;\">\/cloprostenol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aglepristone<\/span><\/li>\n<\/ul>\n<h2 id=\"summary\"><span style=\"font-weight: 400;\">Summary<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Veterinarians consider estradiol unsafe for cats and dogs, though they may sometimes prescribe it. Severe adverse effects are possible. Because there are safer and more effective treatments, caregivers should ask about those other drugs before giving a dog estradiol. Caregivers should also be familiar with the clinical signs of a serious adverse reaction and call a veterinary professional immediately at any sign of a serious problem.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Estradiol is a natural estrogen that produces female secondary sexual characteristics, regulates estrus cycles, prepares the body for pregnancy, and affects organs throughout the body. All mammals and most other animals produce estradiol.\u00a0 Although estradiol is prescribed to women, veterinarians rarely use estradiol in animals other than female horses (mares). They consider it unsafe because [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":631617,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7956],"tags":[7969],"coauthors":[8861],"class_list":["post-631616","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pets","tag-dogs","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Estradiol for dogs: Dosage and safety<\/title>\n<meta name=\"description\" content=\"Estradiol is used to treat urinary incontinence in dogs, but use is typically avoided. 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