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Before initiating or reinstituting HRTa complete personal and family medical history should be takenPhysicalincluding pelvic and breastexamination should be guided by this and by the contraindications and warnings for useDuring treatmentperiodic check-ups are recommended of a frequency and nature adapted to the individual womenWomen should be advised what changes in their breasts should be reported to their doctor or nurseseeBreast CancerbelowInvestigationsincluding appropriate imaging toolse.gmammographyshould be carried out in accordance with currently accepted screening practicesmodified to the clinical needs of the individual.
This medication is a female hormoneIt is used by women to help reduce symptoms of menopausesuch as hot flashesvaginal drynessThese symptoms are caused by the body making less estrogenIf you are using this medication to treat symptoms only in and around the vaginaproducts applied directly inside the vagina should be considered before medications that are taken by mouthabsorbed through the skinor injected.
Inform postmenopausal women of the importance of reporting vaginal bleeding to their healthcare provider as soon as possiblesee WARNINGS AND PRECAUTIONS
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