vaginal estrogen cream
Comments
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I’m not sure which source you read but, although true for most people, the fact that your oncologist would allow you to continue counts for something. Was your original prescription from a gynecologist? It might be good to check with that person as a 2nd opinion.
Another approach would be to stop or taper use to just once a week and see if it makes a dramatic difference. However, being on an aromatase inhibitor may also have an impact so take that into account when you decide to change things.
Hope you find a plan that works. Others could be interested in your experience. Come back & share how it goes.
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I had vaginal atrophy AND urethritis due to exemestane. My internist prescribed premarin cream. My MO, who was strictly by the book, said NO WAY. To me, this was a QOL issue and I adamantly made that point to my male MO. I used a smaller-than-pea-sized smear of cream and put it directly on urethra. It took about 5 nightly applications for the urethra to behave. Had to repeat several months later and, then, as needed. No regrets and I'd do it again.
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When my oncologist hits/gets a gynelogy issue, she consults with the oncologist gynecologists at my cancer center, and/or, now she is referring me to the center's sexual health team. If your doctor also takes this kind of humble and multidisciplinary approach, I don't see why not to trust them.
That said, my oncologist's recommendation while I'm waiting to see the sexual health team was to try a vaginal moisturizer. I am trying Revaree, which was on the list she sent me. I did some googling (I am NOT a medical researcher or scientist or doctor, so please take with a grain of salt), but from what I can tell, there is some evidence that sodium hyaluronate (which is the main ingredient in revaree) may be as effective as estrogen creams, at least for some women. It's not cheap, but so far it's helping me a lot.
(I've also had invasive breast cancer twice, which seems like a much higher risk calculation than DCIS)
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Oncologists used to be against the use of estrogen cream applied locally in breast cancer patients with estrogen positive cancer, but recent studies have confirmed their safety, so they are more likely to prescribe it now. My MO was against it a couple years ago, before the latest studies were published, but now she says she is very comfortable approving a prescription from my gynecologist.
So I think that you can trust your oncologist, seems to be giving updated advice, whereas the noise you have heard against may be the outdated approach, but you can also consult with another oncologist or with a gynecologist-oncologist if you want to have extra peace of mind.
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My oncologist says it's fine to use Estradiol vaginal cream. Without it, I get UTI's; I won't stop using it!
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I'm +++ and one of my oncologist at the time said "no" to estrogen cream. Another MD suggested Replens or Hyalo Gyn gel. I bought the Hyalo Gyn gel online. It seems to be working okay.
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newly diagnosed dcis, estrogen positive, grade 2 stage 0, oncologist insisted I stop estradiol vaginal cream, I just saw gyno who said it’s only oncologists who feel that way, benefits are so great with such minimal risk , for me going without will cause me more problems I just can’t deal with.
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