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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43419
Experience:  Board Certified Physician
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I have vaginal atrophy and am using vagifem every night. The

Resolved Question:

Hello I have vaginal atrophy and am using vagifem every night. The problem is not getting any better and I find sex extremely painful. I've tried additional lubricants but none of these take away the razor like pain. I'm tempted to give up sex altogether but I'm only 55 and would prefer to treat the problem. Can you give me any pointers? I've thought about getting a dilator. I have an appointment with my NHS gynea at the end of this month.
Submitted: 4 months ago.
Category: Medical
Expert:  Dr. David replied 4 months ago.

This is Dr. David

how long have you been using the vagifem vaginal estrogen suppository?

vagifem vaginlal estrogen (estradiol) suppositories are 10mcg per tab adn should be used only twice a week and you are using it every night?

it may not be working if the tamoxifen is blocking estrogen receptors

using a vaginal dilator could help as well.

Customer: replied 4 months ago.
About a year or more. I did use it only twice a week (following the initial two week 'loading') but checked with my GP and my oncologist if I could increase it. I have only been using it every day religiously for about 3 weeks now. I am pretty much pinning my hopes of things improving as soon as I stop the tamoxifen (in 14 months' time - I'm counting down). Could you recommend a make of dilator suitable for my problem?
Customer: replied 4 months ago.
What do you think to the Mona Lisa treatment for vaginal atrophy. Or the Thermiva. Their websites make it all look so promising but I'm afraid they could be just 'snake oil'.
Expert:  Dr. David replied 4 months ago.

https://www.vaginismus.com/products/vaginal-dilator-set/?gclid=Cj0KEQjw0rm-BRCn85bm8uS-zK0BEiQAHo4vrI6BNM2JvqYOZLqcvKeHOFkDJ_PK782bjd7JI1C53WEaApj28P8HAQ

something like that could help you.

https://www.amazon.co.uk/Amielle-Comfort-Vaginal-Dilators-Full/dp/B0045XBSWC

if you are post menopause and don't have osteoporosis, you can ask your doctors to switch you from tamoxifen to an aromatase inhibitor therapy like arimidex or femera for the last 14 months.

these may be better for your vaginal dryness symptoms.

I wouldn't do those treatments. they would not be better than vaginal estrogen therapy.

the tamoxifen you are taking could be blocking the vaginal estrogen receptors you have which could be making the estrogen not as effective.

taking an aromatase inhibitor if you are after your period could work better for you.

let me know if you have other questions.

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Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43419
Experience: Board Certified Physician
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