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For some patients, a nearby clinic can be the deciding factor in whether they take the next step

As estrogen declines, vaginal tissues may become thinner, drier, and less elastic

It doesn't mean it's bad or good

However, in June 2025 research showed some telehealths continued compounds by other means

What lacks FDA review is the specific compounded preparation: the dosage, the inactive ingredients, the formulation stability, the sterility, and the quality controls of the individual pharmacy preparing it