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Can a nurse practitioner do pelvic exams? That's why it's essential for women to have regular pelvic exams and Pap tests. A woman's primary care physician, internal medicine specialist, an obstetrician/gynecologist (OB/GYN) or another trained health professional, such as a physician assistant, nurse midwife or nurse practitioner, can perform the exam.
What is the safest hormone replacement therapy? Estrogen treatment, done as replacement of the deficient hormone, is the most effective therapy available for hot flashes. "Reports from nearly 10 years ago publicized concern of oral estrogens, administered with a progestin, as being associated with a small increased risk of breast cancer.
Is estrogen cream expensive? The most common version of Vagifem is covered by 76% of insurance plans at a co-pay of $60.00-$80.00, however, some pharmacy coupons or cash prices may be lower. Estradiol (Estrace, Vivelle-Dot, Climara) is a moderately priced drug used to treat hot flashes and osteoporosis.
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