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It appears that HRT has a more favorable effect than the combined oral contraceptive, but larger clinical trials are needed to establish the optimal treatment. Other therapeutic measures may need to be added to correct existing metabolic abnormalities and, in particular, attention to lifestyle factors such as diet and exercise must be encouraged. To develop a best practice document for the management of postmenopausal vulvovaginal atrophy (VVA). Literature review carried out using clinical terms, treatments or interventions and comorbidi
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