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Major adverse cardiovascular events risk in menopausal women treated with oral estradiol/micronized progesterone versus conjugated estrogens/medroxyprogesterone: a claims data analysis in the USA.

Climacteric : the journal of the International Menopause Society·December 1, 2025·PMID 40773298

Why it matters

Menopausal hormone therapy formulation may influence cardiovascular safety, yet real-world comparative data are limited. This study provides evidence that body-identical oral E2/P4 is associated with substantially fewer MACE events than CEE/MPA, informing risk-benefit discussions for hormone therapy selection in clinical practice.

Infographic summary of Major adverse cardiovascular events risk in menopausal women treated with oral estradiol/micronized progesterone versus conjugated estrogens/medroxyprogesterone: a claims data analysis in the USA.
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