Hello Doctor,
I have a question based on a helpful response you gave me earlier. When Vagifem or Estrace is prescribed for a post menopausal woman with a uterus, should a progestin always be prescribed as well? I've been taking Vagifem for 2 years without a progestin, and now I have to undergo an endometrial biopsy because of some buildup of the lining of my uterus (I have no bleeding....it showed up on an TV ultrasound...small changes and endometrial thickness of 5mm). Is stopping the Vagifem enough to reverse the buildup, or do I need a course of progestin to shed what's there? Thank you.