Estrogen for vaginal symptoms O.K. for bc survivors

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besa
besa Member Posts: 1,088
edited February 2016 in Clinical Trials, Research News, Podcasts, and Study Results

New guidelines from ACOG....

http://m.medicalxpress.com/news/2016-02-estrogen-v...

http://www.medpagetoday.com/OBGYN/Menopause/56345


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  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited February 2016

    besa -

    "Many estrogen-dependent breast cancer treatments may bring about and exacerbate vaginal atrophy," said Dr. Jill Rabin, who's with Women's Health Programs-PCAP Services, Northwell Health, in New Hyde Park, N.Y.

    "Vaginal and urologic symptoms range from mild to severe and can include vaginal dryness, pain, bleeding, bacterial infections and dyspareunia [painful sex]," she noted. "These symptoms—which may arise for many women in menopause—may be multiplied for these patients in treatment and can worsen over time.

    After my dx and surgery in 2011, I dodged chemo and radiation, but got on the Arimidex train shortly after that. Within the first year I was experiencing all of these symptoms, plus additional ones. Even though my tumors were 100% ER+, they were small, and my MO prescribed Premarin cream for me, in small amounts, infrequently, saying that there was no connection between topical estrogen and a recurrence of estrogen-based breast cancers.

    The cream eliminated all those symptoms. Looks like this study is validating what she was telling me.

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  • cp418
    cp418 Member Posts: 7,079
    edited February 2016

    "So, in its new recommendations, the group recommends that non-hormonal therapies for vaginal symptoms still be the first choice for women with estrogen-dependent breast cancer or a history of such a cancer."

    "However, topical estrogen therapy can now also be considered for estrogen-dependent breast cancer survivors who do not respond to non-hormonal therapies, ACOG said."

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  • bevin
    bevin Member Posts: 1,902
    edited February 2016

    Ditto, only my Onc approve vagifem inserted vaginally 2x per week.

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  • glennie19
    glennie19 Member Posts: 6,398
    edited February 2016

    excellent! Keeping this in reserve in case I need estrogen cream,, if my other methods fail

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  • wallycat
    wallycat Member Posts: 3,227
    edited February 2016

    My onc said vagifem or estring are fine; the cream, she was very hesitant.

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  • coraleliz
    coraleliz Member Posts: 1,523
    edited February 2016

    My MO agreed to Estrace cream for me but only because I was on Tamoxifen(not an AI). He said Tamoxifen would block any estrogen. Since I plan on going off Tamoxifen in a few months, perhaps he will adopt this new way of thinking.

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