I tuned into this morning’s online discussion about sexual health in older women with Drs. Lauren Streicher, a gynecologist in Chicago and Sheryl Kingsberg, a clinical psychologist in Cleveland (see my last blogpost). It was part of a weekly series of web chats on health topics of concern to older adults that is hosted by the Chicago Tribune and moderated by their health reporter, Judith Graham. You can visit the paper’s website to see the archive of this and other discussions, but I thought I’d summarize some key points of particular interest to readers of this blog:
Vaginal estrogen creams are a safe and effective treatment for vaginal dryness and atrophy (thin and fragile tissue). Dr. Streicher explained:
“The miniscule amount of estrogen absorbed from the vagina doesn’t even increase blood estrogen levels above the normal menopausal range, so there is no reason to think that there will be enough circulating estrogen to have any impact on breast cancer recurrence…there is essentially no evidence that using tiny amount of estrogens directly on vaginal tissues to increase lubrication and elasticity of tissue that has become thin and dry causes an increased risk of breast cancer recurrence.”
She added that many of her patients who use only tiny amounts of vaginal estrogen once or twice a week for maintenance find it very helpful. See the transcript for a good description of the three types of prescription vaginal estrogen products.
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