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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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