What is Primiwal E4 4mg (ESTRADIOL VALERATE)?
Estrogen for HRT in menopause, primary hypogonadism, female transgender hormone therapy, and in fertility protocols as endometrial preparation.
How it Works
Estradiol ester hydrolyzed to estradiol — binds estrogen receptors. Supports endometrial growth, bone density, cardiovascular health, and menopausal symptom relief.
Quick Specs
- Form
- Oral tablets — pre-dosed
- Active Ingredient
- ESTRADIOL VALERATE
- Dose per Tablet
- 4MG
- Pack Size
- 10×10 (100 tablets)
- Storage
- Room temperature (15–25°C), cool dry place
- Shelf Life
- 2–3 years (properly stored)
Common Side Effects
Breast tenderness, nausea, breakthrough bleeding, headache, fluid retention, mood changes. VTE risk (higher with oral than transdermal forms).
Safety Warnings
VTE risk higher with oral than transdermal forms. Endometrial cancer risk if not combined with progestogen in women with intact uterus. Breast cancer risk with long-term use. Contraindicated in breast/endometrial cancer. International shipping: 7–14 days