@OlgaMuldoonMD @DrStaciT@arpitdave@DrOshinowo@louise_p_king@MigsRunner@Mikhail_MIGS Divigel is the brand I like- it’s a daily dose, very easy to use, applied on thighs, each dose comes in separate small packs. I usually start with 0.5 or 0.75 and then titrate up based on response if needed. It comes in 0.25, 0.5, 0.75, 1 and 1.25. So lot of options.
@OlgaMuldoonMD @DrStaciT@arpitdave@DrOshinowo@louise_p_king@MigsRunner@Mikhail_MIGS Always wait at least 4 weeks, I discuss about it before surgery...so they are mentally prepared that even if they have symptoms, will have to wait at least 4, preferably 6 weeks. I try to do transdermal- patch or gel irrespective of surgical or natural menopause- minimal VTE risk