The solution to painful intercourse!!!!!! Yipeee!
Comments
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I did ask my DH what HIS opinion was regarding the SC, I waited a couple of days so the heat of the moment did not taint his response. He said, "it literally took about 20 years off". I sat for a minute and then said "really, you are not just saying that to get more tonight?". He said, "seriously, it was like you were 20 years younger down there".
OK, going to blush off into my corner. Felt you all had a right to know. -
Scuttlers - I can't wait to try it next week!!
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Wish I had an update
The pharmacy keeps sending a fax approval for lidocaine cream. I gave them a written prescription for that cream. I NEED THE SCREAM CREAM! I can't get my oncologists office and the pharmacy together on this! The pharmacy keeps telling me they are trying to get approval on scream cream. The oncologist office keeps telling me they are sending approval for lidocaine!
I am ready for action but can't get the stuff I need
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Well I got brave enough and asked my primary since I was seeing him and he was embarrassed and never heard of it. I told him where I found out about it on this forum and he said he would have no trouble prescribing it for me BUT wants approval by my oncologist that it is safe for me to use. I told him many oncs are prescribing it so it must be safe BUT he said since I have a zillion drug reactions he would not write a script unless approved by my onc. The only problem is my onc is off on a family leave and I am seeing his associate. I dont know him that well and would feel embarrassed asking him. I bet my primary looked it up and got some for his wife
just for the heck of it. Just kidding. Dawn
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So I have no idea where there are compounding pharmacies in Israel. We have socialized medicine here through HMOs and they also have pharmacies, so I get all my prescriptions that way. There are regular (private) pharmacies also but I don't know if they're compounding ones or not (they're the Rexall, Shopper's Drug Mart type). I'll have to look into this.
My onc is very kind, compassionate, and easy to talk with. So when I get up the nerve to ask for Scream Cream I will have no problem going to my (female) gyn.
I haven't told my dh yet about the existance of Scream Cream. Hey! Just had a good idea! Let him deal with getting it from the pharmacy!
Leah
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I asked the (female) pharmacist at my grocery store about it, and she said she had never heard of it. I am going to print out the info. Thanks for all his information!
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Now that I have had to talk to no less than 5 people to get this issue resolved between the oncologist and the pharmacy - I don't have a problem calling it scream cream. The first 2 people I talked to - well let's just say I was so embarrassed - I wish they would come up with another name for it!
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I cannot believe I missed this great thread until today. I read about a potential treatment for pain, vaginal atrophy - what a horrible term- and loss of libido in a newsletter from a local breast cancer group. I had previously asked my primary and gyno about what to do about lack of libido and they said nothing worked..so when I saw the articles about DHEA I got quite excited and posted about it in the clinical trials discussion board and the mojo working thread on the moving beyond board here on bco - but not much interest was generated. Figure that the Stage IV ladies would be all over this topic!!!!
anyway, the original articles referenced articles were in the journal Menopause in Sept/Oct 2009
the chemical is DHEA - but as a vaginal suppository. I called a local compounding pharmacist who sounded familiar with the product, but said that a prescription would be needed. This is different from Scream Cream in that it is taken regularly not as needed (as it were) - and probably won't give instant gratification!!
http://www.ncbi.nlm.nih.gov/pubmed/19436225
Intravaginal dehydroepiandrosterone (Prasterone), a physiological and highly efficient treatment of vaginal atrophy.
and
http://www.ncbi.nlm.nih.gov/pubmed/19424093
Effect of intravaginal dehydroepiandrosterone (Prasterone) on libido and sexual dysfunction in postmenopausal women
there is also a study going on in Iowa http://clinicaltrials.gov/ct2/show/NCT01376349
I see my medical oncologist next week and will be asking about intravaginal DHEA and also about SCREAM CREAM and lidocaine.
thanks for sharing!
Julie E
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Jelson, there may be an issue with the DHEA because of the hormonal components (especially for those with ER+ cancer). I would also be wary of the steroid components. (check the full list of components on search or Wiki.)
I do not use the lidocaine ointment. The SC does not really provide a totally topical experience, but it seems to "kick start" what used to be a natural reaction for me.
Scream Cream contains a combination of prescription and non-prescription components described as blood flow enhancers and vasodilators. Each ½ gram dose contains Aminophylline 15-mg., Isosorbid dinitrate 1.25-mg, Ergoloid mesylate 0.25-mg, Pentoxifylline 25-mg. and L-Arginine 30-mg. Dissolved in a water based hypoallergenic transdermal vehicle.
A pharmacy will not carry this product. You need to find a "compounding pharmacy" with a knowledgable pharmacist who will be willing to order the ingredients and make the compound. I printed the PDF and gave it to both the onc and the pharmacist. The only one locally was a small "family" pharmacy that had been here for decades. (CVS, Walgreens, Costco etc. were all clueless). Or of course the mail order route, making sure the formula is followed with detail. -
Follow is the Wiki explanation for the DHEA:
DHEA has been implicated in a broad range of biological effects in humans and other mammals. It acts on the androgen receptor both directly and through its metabolites, which include androstenediol and androstenedione, which can undergo further conversion to produce the androgen testosterone and the estrogens, including estrone, estradiol, and estriol.[5] DHEA is also a potent sigma-1 agonist.[6] It is considered a neurosteroid.[5]
Again, I would be wary because of the estrogen and the steroid implications. Yes, it is useful for vaginal atrophy. I am not sure it would be wise for cancer patients. -
scuttlers - you are right, there are issues - although my Med Onc will just say NO - and not provide the reasons as you have.
Anyway, that is what the clinical trial is for - I have cut and pasted the description of the study population they hope to recruit to test the DHEA. I'd volunteer if I lived in Iowa!!!
Postmenopausal women with a history of breast or gynecologic cancer (currently no evidence of disease)
Postmenopausal status determined by the following criteria:
- 12 months without a period or bilateral oophorectomy or complete chemical ovarian suppression for the past 12 months with continued suppression planned throughout the course of the study
- FSH and an estradiol value in the postmenopausal range (generally FSH >40 IU/L and estradiol < 10 pg/mL, depending on laboratory) if 9 months without a period OR post hysterectomy with at least one ovary remaining and less than 55 years old
- For age 55 or older, menopausal status does not need to be determined by laboratory exams
- Significant vaginal complaints defined as persistent vaginal dryness and/or pain with intercourse (dyspareunia) of sufficient severity to make a patient desire therapeutic intervention
- Eligibility questionnaire response must be moderate or worse levels of severity on one of the two symptoms, either dryness or dyspareunia
- Vaginal symptoms must have been present ≥ 2 months prior to randomization
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For those who do not have a nearby Compounding Pharmacy, I have had the scrip called in and the medicine mailed to me.
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For me, the SC is not a lubricant but seems to get my body to lubricate itself. I was not pleased with the regular lube products and felt they were messy.
I do not get a topical "feeling" from the SC other than the first few seconds of application. It seems to kick start my body to a more natural experience. Has this been others experience? -
My Onco said DHEA is not for me being ER+, but for anyone who knows how to get the libido back in any way shape or form, please come forth. Damn those AI's!!!!
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Got the scream cream and it works! Ok, didn't get the dh involved - used the toy because I didn't want to get dh all worked up and then make him quit since it has been so long. For the first time I didn't feel pain.
And....I will have to say the SC makes your body inside feel 20 years younger - not like a dried up menopausal woman.
I would love to go tell DH but he has been sick all evening as he got the flu shot today and has been hurting ever since.
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I must say I used a lot of SC and lidocaine. In the beginning I don't think I had enough lidocaine or enough SC as I was using it sparingly since it came in such a small jar. It was only after using gobs of both was I able to achieve a nicer inner area and no pain.
Scuttlers - the SC didn't give me any special feeling other than for the first few seconds but I felt natural inside - something that you can't achieve with OTC lube products and I never felt messy.
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I talked with my onc about the lidocaine and she said NO. She said it too much could be absorbed in the lining and that my DH would be absorbing it as well, so not a good idea. She did recommend a product called Pur Eros. Anyone hear of this?
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where can i find the compounding instructions? my nurse practitioner says she will write anything i want, and i have found a compounding pharmacy.
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Hi, where do I find the compounding instructions for the pharmacy. My doctor ok'd the scream cream but I need to find the ingredient's.
Thank you,
Kodapants
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The formula is on Page 1 of this thread for those that missed it....
Scream Cream is by prescription:
http://compoundingtoday.com/CNLSharedInfo/DownloadPDF.cfm?Item=Scream_Cream_Handout.pdf -
You've probably already seen this information, but could be helpful . . .
http://www.breastcancer.org/treatment/side_effects/vaginal_dry.jsp
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Moderators,
Although most informational areas on the Breast Cancer.Org. web site are great even fantastic. This one is lacking in dealing with this problem. The "lubricants" are messy and just not "the real thing". Using "estrogen creams" is not compatible with E+ cancers. Talking to your partner, come on - you think we haven't thought of that one? Same with different positions, and I won't even go into the "avoid anything that could be irritating". (This is probably why the problem exists.)
The Scream Cream (and oh how I wish it was called something else!) is (following the suggestions on the link you gave):
1. NOT an artificial moisturizer. For some reason it "jump starts" the body to provide natural motorization.
2. It is NOT an irritating substance. In fact, it is quite enjoyable.
3. It seems to work with all the old positions, and even some new ones.
4. No talking necessary, unless that is your thing.
5. Oncologist's seem to agree with the ingredients in that they will not interfere with current therapies, nor will they cause an possible increase in estrogen levels.
Perhaps, as a suggestion, you may consider adding this "Scream Cream" to your current suggestions?
Link to ingredients:
http://www.ijpc.com/_pdf/Scream_Cream.pdf
I would suggest printing out the pdf and handing it to the oncologist. My oncologist was too embarassed to write Scream Cream on the prescription, but he did detail the ingredients on the prescription for the pharmacist.
All said with hopes of not hurting feelings, and in helping those of us who really need this.
Edited to add: I have not needed or used lidocaine in combination with the cream. The cream alone seems sufficient. Small amount (for me a VERY small amount) and time (about 1/2 hour to an hour). I did receive permission from my oncologist to use a small amount after each mornings shower, it makes me feel more "womanly" all day long. and is ready to work if need be.
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Nancyh: I just stumbled on the lidocaine thing one day - well, evening. I am curious about the absorbtion thing. Why is that a problem?
Zoh
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Mods: Also in agreement with Scuttlers comments. Thanks again for all you do here!!!!
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Thanks Scuttlers and LivingIt; we'll pass your suggestions along to the editorial team.
--The Mods
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wish I had more time to read this tread...but I have to go to work...I know what I'll be doing tonight..staying up late to read.
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Hi everyone-
I know this was a Stage IV topic in the beginning, but everyone has jumped in, so I hope it's okay to be here. I talked to my MD today about our "issue" and managed to show him the S.C. compound ingredient (although I'm sure my face was flaming RED). He looked it over, said he had no problems with it, gave me a prescription, and off I went to the compounding pharmacy. He said many women might be interested in this, so I shoud let him know how it goes. It was "easy-peasy", and all my anxiety was over nothing.
Catbill
PS He also gave me Metformin, too.
(edited for spelling)
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Catbill....what is that? Metformin?
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Metformin is commonly used for Diabetes
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Hi artsee-
See the Metformin thread for more info.. There is an ongoing study now in it's 3rd phase. They are saying the findings may indicate (at least thus far) Metformin may help in preventing breast cancer from recurring. Metformin is normally used to treat Type 2 diabetes. I don't have diabetes, but my fasting blood glucose is impaired (pre-diabetes) so maybe we can take care of that issue also. The folks in the study do not have diabetes, but you might get the placebo instead, and I didn't wanted to have the placebo, so I talked to my MD. I think the study is being done by the National Cancer Institute, and there is a link on the Metformin thread.
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