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.
something like that could help you.
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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