Important points about low dose vaginal estrogen (from American Urologic Association guidelines): 1. You do not need progesterone if you still having a uterus and using low dose vaginal estrogen (you do need progesterone if using systemic hormone therapy and have a uterus) because low dose vaginal estrogen does not increase risk of uterine cancer. 2. You do not need monitoring of the uterine lining if on low dose vaginal estrogen. PS low dose vaginal estrogen can absolutely be used if you have b
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