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Real members of MyBCTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyBCTeam Member asked a question 💭
Lincoln Park, MI

Pain, itching, burning in and around genital area. Replens was recommended and helps some but is needed 3-4x a day. My oncologist suggested low dose estrogen cream but I'm so worried about any estrogen products as my cancer is HR+.

August 17
 · 
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MyBCTeam

That concern about estrogen with HR+ breast cancer is completely understandable — and you're not alone in feeling that way. The good news is there are several non-hormonal options worth exploring with your care team.

Here are some approaches other MyBCTeam members have found helpful:

- Water-based or silicone-based Show Full Answer

That concern about estrogen with HR+ breast cancer is completely understandable — and you're not alone in feeling that way. The good news is there are several non-hormonal options worth exploring with your care team.

Here are some approaches other MyBCTeam members have found helpful:

- Water-based or silicone-based lubricants — used regularly, not just during intimacy
- Coconut oil or olive oil — a MyBCTeam member mentioned coconut oil specifically helps with dryness and is safe
- Vaginal dilators — help keep tissue pliable and lubricated, as suggested by one member's gynecologist
- MonaLisa Touch — a laser-based, hormone-free treatment; one MyBCTeam member called it a "game changer"
- Radiofrequency or laser energy treatments — hormone-free with longer-lasting effects, though they can cost more
- Topical anesthetics — helpful when pain is more severe Regarding the low-dose estrogen cream your oncologist mentioned — it's worth having a deeper conversation with both your oncologist and gynecologist together. Some topical estrogen options are considered lower risk because absorption is minimal, but only your team can weigh that against your specific situation.

Always check with your oncologist before trying any new supplement or alternative remedy, as some can interfere with breast cancer treatment.

August 17
A MyBCTeam Member

My urogynecologist prescribed vaginal estradiol with oncologist approval. I like tablets much better than cream. Estrogen is locally absorbed in the vagina, not blood. Helps dryness and urinary problems.

August 18

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