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		|  12-03-2009, 11:34 AM | #1 |  
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				Excellent article on Sexuality and Intimacy
			 
 In a recent LBBC e-newsletter was a rather long transcript of a talk by Michael L. Krychman, MDCM, from Newport Beach, CA, and affiliated with Hoag Hospital.  His discussion mentions the issues and controversies over the use of localized Estrogen to help vaginal atrophy and other side effects following treatment.  He suggests that every case is individual (some women want it; others don't) and he lists non-hormonal products to improve the health and pH for women (Replens, Vitamin E, Slippery Stuff to name a few).  He also talks about what to avoid in OTC products.  So, if any of you are having issues in this area, this article may be of interest to you.  I hope it's helpful. ;-) Vickihttp://www.lbbc.org/data/transcript-...y&auid=5643877
				__________________Diagnosed 12/03 at age 53
 1.5cm tumor, ER-PR-, Her2 3+(rt side)
 Stage 1B, Three negative nodes from Sentinel Node Biopsy
 Paget's of the nipple, Infiltrating Ductal Carcinoma and DCIS of the rt breast
 Bloom-Richardson score 8/9, P53+ 60-70%, Ki-67+ 30-40%
 Skin-sparing mastectomy with immediate lat-flap reconstruction and saline implants, 1/04
 Chemo: FAC, five sessions every three weeks Feb.-May 04, then switched to HTC weekly for 12 weeks, June-Aug 04
 Zometa every 6 months for osteopenia, started April 09
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		|  12-04-2009, 07:20 AM | #2 |  
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				Re: Excellent article on Sexuality and Intimacy
			 
 Thanks for posting, Vic. Several times in the article, Dr. Krychman refers to Lori Brotto and her work. Here is a link to an interesting article on her from the New York Times, discussing her work on lack of libido: http://www.nytimes.com/2009/11/29/magazine/29sex-t.html 
Hopeful |  
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		|  12-04-2009, 04:00 PM | #3 |  
	| Senior Member 
				 
				Join Date: Aug 2007 Location: Newport Beach, CA 
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				Re: Excellent article on Sexuality and Intimacy
			 
 Hi Hopeful,
 I loved this article on Lori Brotto and found her studies and comments fascinating.  Thanks for posting it!
 
 Vicki
 
				__________________Diagnosed 12/03 at age 53
 1.5cm tumor, ER-PR-, Her2 3+(rt side)
 Stage 1B, Three negative nodes from Sentinel Node Biopsy
 Paget's of the nipple, Infiltrating Ductal Carcinoma and DCIS of the rt breast
 Bloom-Richardson score 8/9, P53+ 60-70%, Ki-67+ 30-40%
 Skin-sparing mastectomy with immediate lat-flap reconstruction and saline implants, 1/04
 Chemo: FAC, five sessions every three weeks Feb.-May 04, then switched to HTC weekly for 12 weeks, June-Aug 04
 Zometa every 6 months for osteopenia, started April 09
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		|  12-07-2009, 12:59 AM | #4 |  
	| Senior Member 
				 
				Join Date: Mar 2007 Location: Hilo, Hawaii 
					Posts: 1,867
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Excellent article on Sexuality and Intimacy
			 
 Vicki, thank you for posting this article. I am surprise that this issue is not brought up more often. It is not an uncommon situation for many women due to multiple factors associated with cancer, age, meds, hormonal shutdowns, etc. 
				__________________*** MARYANNE *** aka HARRIECANARIE
 
 1993: right side DCIS, lumpectomy, rads
 1999:  left side DCIS, lumpectomy, rads, tamoxifen
 
 2006:
 BRCA 2 positive
 Stage I, invasive DCIS (6mm x 5mm)
 Grade: intermediate
 sentinal node biopsy: neg
 HER2/neu amplified 4.7
 ER+/PR+
 TOPO II neg
 Oncotype dx 20
 Bilat mastectomy with DIEP flap reconstruction
 oophorectomy
 
 2007:
 6 cycles TCH (taxotere, carboplatin, herceptin)
 finished 1 yr herceptin 05/07
 Arimidex, stopped after almost 1 yr
 Femara
 
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		|  12-14-2009, 01:06 AM | #5 |  
	| Senior Member 
				 
				Join Date: Mar 2007 Location: Hilo, Hawaii 
					Posts: 1,867
				 
		 
		 
		
		 
		
		
	
		
	
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				Re: Excellent article on Sexuality and Intimacy
			 
 Vicki, I read the transcript from the presentation. Very interesting. Thank you for posting. 
				__________________*** MARYANNE *** aka HARRIECANARIE
 
 1993: right side DCIS, lumpectomy, rads
 1999:  left side DCIS, lumpectomy, rads, tamoxifen
 
 2006:
 BRCA 2 positive
 Stage I, invasive DCIS (6mm x 5mm)
 Grade: intermediate
 sentinal node biopsy: neg
 HER2/neu amplified 4.7
 ER+/PR+
 TOPO II neg
 Oncotype dx 20
 Bilat mastectomy with DIEP flap reconstruction
 oophorectomy
 
 2007:
 6 cycles TCH (taxotere, carboplatin, herceptin)
 finished 1 yr herceptin 05/07
 Arimidex, stopped after almost 1 yr
 Femara
 
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