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Uterine Fibroid Study-PrimRose
Uterine Fibroid Study-PrimRose
Name
First
Last
Phone
Email
18 years of age or older?
*
Yes
No
Heavy menstrual bleeding for the last six months?
*
Yes
No
Willing to use non-hormonal contraceptive during the study?
*
Yes
No
Willing to collect sanitary products during the study?
*
Yes
No