It is important to see a gynecologist for breast exams, mammograms, Pap tests, and intravaginal ultrasound before starting any therapy, as well as for a yearly assessment. If treatment is needed, these are the best options: 1. Topical bioidentical estradiol and progesterone (creams, gels, drops, patches). 2. Vaginal estradiol (creams or tablets such as Vagifem) to address vaginal dryness. 3. Low-dose testosterone for low libido, which can be added to compounded creams, gels, or drops. 4. Clitoral testosterone drops, 5mg/mL, 2 drops each night—from a compounding pharmacy. This can be very
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