Most doctors reccomend a low-dose estrogen pill for the least side-effects. Why would one opt for a high dose pill?
Answers:   

How are you idea tonight?

There are plenty of reason... that's why doctors prescribe pills based on their individual patients needs. Break through bleeding is one motivation. Also, ultra low dose pills aren't as effective for women who weigh more than 150-160 pounds.

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Hymen??

Every woman has a different height of hormones in her body. Some will experience breakthrough bleeding and other symptoms with low-dose pills so they may call for a higher concentration of estrogen in their pills. It's other best to start with a low dose and work your way up if obligation be.

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