Name

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* 1. Name

Contact Information (this information will only be used to contact you if you qualify to participate in the study).

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* 2. Contact Information (this information will only be used to contact you if you qualify to participate in the study).

How old are you?

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* 3. How old are you?

What is your date of birth?

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* 4. What is your date of birth?

What is your menopausal status?

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* 5. What is your menopausal status?

List ALL current medications and supplements.

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* 6. List ALL current medications and supplements.

Do you have an uncontrolled metabolic or endocrine disease (including diabetes mellitus)?

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* 7. Do you have an uncontrolled metabolic or endocrine disease (including diabetes mellitus)?

If you are using estrogen injectable drug therapy and/or progestin implant, are you willing to stop 6 months prior to screening visit?

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* 8. If you are using estrogen injectable drug therapy and/or progestin implant, are you willing to stop 6 months prior to screening visit?

If you are using oral estrogen, progestin, or DHEA and/or intrauterine progestin therapy, are you willing to stop 8 weeks prior to screening visit?

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* 9. If you are using oral estrogen, progestin, or DHEA and/or intrauterine progestin therapy, are you willing to stop 8 weeks prior to screening visit?

If you are using vaginal hormone products (rings, creams, gels, or tablets), transdermal estrogen alone, or estrogen/progestin products, are you willing to stop 8 weeks prior to screening visit?

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* 10. If you are using vaginal hormone products (rings, creams, gels, or tablets), transdermal estrogen alone, or estrogen/progestin products, are you willing to stop 8 weeks prior to screening visit?

Are you currently using any androgens or anabolic steroids?

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* 11. Are you currently using any androgens or anabolic steroids?

If you are using androgens or anabolic steroids, are you willing to stop 3 months prior to the screening visit?

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* 12. If you are using androgens or anabolic steroids, are you willing to stop 3 months prior to the screening visit?

Do you currently have clinically significant, uncontrolled depression or confirmed history of severe psychiatric disturbance?

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* 13. Do you currently have clinically significant, uncontrolled depression or confirmed history of severe psychiatric disturbance?

Are you participating or do you plan on participating in any other clinical trials other than this trial?

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* 14. Are you participating or do you plan on participating in any other clinical trials other than this trial?

Are you currently taking or plan on taking an investigational drug 30 days prior to the screening visit and throughout the study?

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* 15. Are you currently taking or plan on taking an investigational drug 30 days prior to the screening visit and throughout the study?

Do you have uterine fibroids?

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* 16. Do you have uterine fibroids?

Have you ever been diagnosed with uterine prolapse?

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* 17. Have you ever been diagnosed with uterine prolapse?

Do you suffer from a vulvar dermatologic disorder (lichen sclerosus, lichen planus, candidiaisis, lichen simplex chronicus, ect)?

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* 18. Do you suffer from a vulvar dermatologic disorder (lichen sclerosus, lichen planus, candidiaisis, lichen simplex chronicus, ect)?

Have you chronically used narcotics and/or alcohol within the past 5 years?

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* 19. Have you chronically used narcotics and/or alcohol within the past 5 years?

Have you used marijuana within the past 2 years?

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* 20. Have you used marijuana within the past 2 years?

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