Peter Attia· MD
if they're only having genital urinary symptoms topical estrogen is fine
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The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
if they're only having genital urinary symptoms topical estrogen is fine
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Native comments, Twitter mentions, and Reddit threads about this claim — surfaced together so the conversation isn't fragmented across platforms.
Bookmarking — the dossier-vs-overview split is the right call. Most of the time I want overview; sometimes I want receipts.
Would love a "what would change this verdict" RSS feed. Sign me up if it exists.
and it is not contraindicated to give both and in fact indicated that you have to
Systemic hormones are not often enough to help with the genital and urinary symptoms.
So just to be so clear that um we treat local vaginal conditions with local treatment for women who don't respond from a vaginal health perspective to systemic hormones.