How do you manage sexual dysfunction in women receiving ovarian suppression for breast cancer?
Answer from: Medical Oncologist at Academic Institution
Asking questions about sexual dysfunction during routine follow ups is important. Many women may feel uncomfortable bringing up the issue. Next important to evaluate contributors such as physical complaints of dryness, dyspareunia, or libido issues, body image concerns, or relationship concerns. Phy...
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at Gynecology Practice Wiesbaden Are there concerns with the use of DHEA or testost...
Answer from: Medical Oncologist at Academic Institution
I agree with @Charles L. Shapiro and @Maryam B. Lustberg. Short courses of vagifem can provide some relief. I also recommend cognitive behavioral therapy or couples therapy.
Answer from: Medical Oncologist at Academic Institution
It is important to document thoroughly a discussion of the potential risks and benefits of intravaginal estrogens in the medical record. With respect to tamoxifen, there is much less concern about systemic absorption of intravaginal estrogens as tamoxifen binds with greater avidity than estrogen to ...
Are there concerns with the use of DHEA or testost...