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It can also be cancer-causing

[ CrossRef ] [ Google scholar ] [ PubMed ] Severyanova L, Dolgintsev ME

If the unpleasant side effects are bad enough to suppress your daily life, it might be worth trying alternatives before writing off the medication entirely

134 A trial that included 90 postmenopausal women with genitourinary symptoms compared treatment using a 15% royal jelly vaginal cream with vaginal estrogen therapy (conjugated equine estrogens) or a lubricant