From CBS News, September 25, 2013
While people often reminisce about their youthful romps, the bedroom door can slam shut...
Dr. Warren's Answer: Premenopausal women with gynecologic cancer often need both ovaries and uterus removed at the time of surgical treatment and will experience an earlier menopause.
The symptoms of menopause are due to declining estrogen levels and may include: hot flashes, night sweats, decreased libido, vaginal dryness, and memory changes.
Going on estrogen supplementation can help with many of these symptoms, but it is controversial in women with a history of endometrial cancer. Endometrial cancer is an estrogen-linked cancer, and the fear of taking estrogen is that it may increase the risk of recurrence and promote cancer cell growth. Typically, it is not advocated for women with a history of uterine cancer.
It is best to discuss hormone treatment with your gynecologic oncologist so that treatment may be individualized and all risks and benefits understood. Currently, there is not enough research to know a women’s risk of taking HRT (Hormone Replacement Therapy) after treatment for endometrial cancer. When it is used for women with a history of early stage cancer, it is not started for several months after initial treatment of cancer.
There are lifestyle changes and holistic treatments that may help with symptoms. These include: regular exercise, yoga, meditation, and vaginal lubricants. Other short-term treatments may be needed for insomnia.
Recently I spent a day with Dr. Vincent Lucente and Dr. Cristina Saiz who specialize in female pelvic medicine and reconstructive surgery. Dr. Lucente and his fellow, Dr. Saiz are dedicated to providing excellent surgical care to their patients. They are willing to share their techniques with others and I greatly benefited from being in the operating room with them for the day. They are able to perform life changing procedures for women using minimally invasive methods. Dr. Lucente is very passionate about healthcare issues for women and he has agreed to join the board for Pass the Pearls and help with our mission to educate women about minimally invasive surgery options. Thank you Dr.s Lucente and Saiz for sharing! Lori Warren.
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