Vaginal pain/letrozole/ can I use estrogen cream?
I've been on letrozole for 2.5 years out of the 5 that I am supposed to do. I have been going along pretty ok until the past year. I have had 3 UTI's, and the lack of estrogen has made my vaginal area very sore. It hurts to walk or bend over. I have tried at least 5 different OTC creams/suppositories, coconut oil every time I use the bathroom, and it's just getting worse. Not sure I can take it anymore. I can't even wear jeans without pain. Forget sex!!! I am so sore, I can't even imagine trying that at this point. My husband is very understanding, but no sex life ever again seems pretty damn harsh. We are in our early 60's.
Spoke to my MO last February, she said if it continues, to talk to my PCP about trying some estrogen cream, I know not to take anything systemically. I could tell she was reluctant to prescribe me anything and basically fobbed me off on my PCP. The thing is, my PCP's NP, who I saw for my last UTI, said I was not a candidate for any estrogen cream.
I have an appointment on Monday with my PCP. Of course, I don't want to go off letrozole, that scares me, but I can't spend the rest of my life like this either.
Has anyone stayed on their blocker while doing the local estrogen cream? I have read a lot on this subject and the ACOG says it is ok, as it is local and very little gets absorbed into the bloodstream.
I don't know what to do! For what it's worth, fortunately.....I was originally diagnosed with about 6 mm's of DCIS, but pathology revealed a 3.2 mm tumor of IDC. I had a lumpectomy and rads. No chemo. Clean margins, no node involvement. Grade 2. I should be at very low risk to recur. Maybe 2.5 years of letrozole will have to be enough. I am so torn.
I'll talk to my PCP tomorrow and see what she says. Meanwhile....any words of wisdom.....or a product that has worked for you?