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Estring
Not sure if this could work for you since you are hormone positive, but a friend of mine who is also HRPR+ (and also either BRCA 1 or 2) was given a prescription for Estring and has been using it for a couple years (I believe). It is a vaginal ring that dispenses 2mg estradiol for 90 days before being replaced. I have been using it for a couple months now and it's working wonders for my VA (I am hormone negative).
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