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Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
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Hi I'm Dr. Phil
Nice to meet you Nikki
Hello Dr. Phil
Did you have an chemo or radiation?
Did you get my message about what is concerning me?
Yes, I did
Did you have any chemo or radiation with your cancer?
No , I just had the partial vulvectomy and they removed the whole lump and I cannot remember how many lymph nodes, but they were negative.
when was the last time you had an exam?
Are you sexually active?
Just over a year ago
Yes, I am married
Sorry to add to the last bit, sex is painful despite using lubricant ( but I think I may have reached menopause, I had a hysterectomy 22 years ago because of numerous CIN 111's and bad endometriosis so `I do not know whether I am fully menopausal Sorry, a bit involved
last mammogram was 18months to 2 years ago and was fine
I really think this is nothing
of course you need an exam but the itching is likely atrophic vaginitis or lack of estrogen as you said associated with menopause
you need a pelvic exam with your history and a mammogram but I think you are okay
that would be good, but could you give me some idea of what the nipple pain is as it is really sore and as I said a flat in the middle of the nipple, a little fluid came out today
that is more concerning
it could be something like a cyst or blocked duct
but you need a mammogram to be sure
nipple changes can be the first sign of cancer.
that of course is my worry, as I said I am not a person who panics easily but I read about a benign infection is there something I can do to see if a self administered treatment will help before I visit the doc ( I am a bit doctor phobic) sorry, nothing personal
no problem :)
Get in though
you need it checked Nikki
Thank you, XXXXX XXXXX know of a site where I can view pictures of things to worry about so I can compare my nipple to what is considered normal?
please don't forget an excellent rating for me.
I appreciate it and good luck to you Nikki :)
you all set Nikki?
Need any more help?
No, thanks for that, will leave an excellent rating!