I eas diagnosedwith Atrophic vaginitis and Lichen Sclerosus

Patient : I eas diagnosedwith Atrophic vaginitis and Lichen Sclerosus the PA ordered Estrace 2gm and Clobetasol. I am 66. I got a large breast lump after taking oral premarin for 6 months. I also have stable calcification in both breast and family history of breast cancer. Maternal grandmother, aunts, cousins, mother. Should I use the estrace?
Symptoms:  Vaginal itching and burning
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