Vaginal estrogen therapy is safe for women with a history of breast cancer and should be considered during perimenopause and menopause.

“vaginal estrogen therapy is extremely safe even for patients with history of breast cancer so i think all women should consider um vaginal estrogen therapy in the perimenopausal and menopausal transition”

“for women who just have the genital urinary symptoms even in women with cardiovascular disease or history of stroke or you can use vaginal estrogens safely”

“for women who just have the genital urinary symptoms even in women with cardiovascular disease or history of stroke or you can use vaginal estrogens safely”

“so so vaginal estrogen creams and things like that that can alleviate some of the discomfort or other symptomatology without giving significant systemic absorption for most breast cancer patients”

“Um, and Emily Nagowski talks a lot about it in her book as well. Um, and then there's a sort of potentially less traumatic but still pain that can, you know, sort of present itself in sexual encounters like it just hurt. Like, you know, um, I see this a lot in my cancer survivors. >> I was just about to ask you about cancer, by the way. So, >> yeah. So, I see this a lot. Cancer I often see sort of a twofold hit. there is the sort of a psychosocial of I'm mad at my body and I you know there's all those sort of complex feelings and there's the sort of like physiologic aspect of you know chemotherapy radiation and how that impacts pain and lubrication of the vagina and you know comfort of hormone use although you know we really feel you know quite quite confident that you know local estrogen uh treatment of the vagina um is completely safe um for almost all um cancer survivors.”