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How long should you stay on estradiol? Five years or less is usually the recommended duration of use for this combined treatment, but the length of time can be individualized for each woman. Women who have had their uterus removed can take estrogen alone. Is a nurse practitioner as good as a doctor? While a doctor may refer a patient for specialized care, such as to a neurologist, the physician has a well-rounded education that overlaps with all specialties. An NP is a nurse practitioner. Whereas the RN cannot prescribe medications, the nurse practitioner is licensed to do so, as well as diagnose conditions. Can too much estrogen make you gain weight? High levels of estrogen can lead to weight gain, particularly around the hips and waist. Excess estrogen can also cause menstrual problems, such as: irregular periods. Is there a substitute for estradiol? European and American clinical studies have shown that black cohosh is effective for hot flashes and other menopausal symptoms. One review study published in 1998 in the Journal of Women's Health concluded that black cohosh was a "safe and effective alternative to estrogen replacement therapy." Is Utrogestan a natural progesterone? Utrogestan is a modern progesterone, which shows maximal effectiveness with minimal side effects. It is a natural progesterone in micronized form, which makes it suitable for oral administration and vaginal application with same effectiveness.
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