The European Medicines Agency has again recommended limiting the use of high-strength estradiol creams for treating vaginal atrophy, after being forced to repeat its review of the safety of such products because of a 14-year-old legal dispute.
High-strength estradiol creams (100 micrograms/gram) applied inside the vagina should not be used for longer than a single treatment period of four weeks because of the risks associated with systemic exposure to
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