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Vaginal Atrophy

Women's Health | Last Active: Feb 13 5:01pm | Replies (130)

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@roch

If you have not seen a specialist, I suggest you talk to someone about options. Mayo Rochester has a Menopause and Women's Sexual Health Clinic. I have not been seen at clinic, but did see a provider in Rochester Mayo Gyn section who had excellent suggestion. Check if a local clinic provides specialist in Women Health.

I am 67, with history of breast cancer. I had a total hysterotomy in my 40s due to endometriosis, so been post-menopausal for long time. My primary provider mentioned Vaginal Atrophy in a clinical note but never said anything to me. I decided to follow up with a gyn appointment, and discovered I had lichen sclerosis that primary missed.

Because of history of ER+ breast cancer, any estrogen cream was not recommended for me.

This is Mayo Q&A on subject:
https://www.mayoclinic.org/diseases-conditions/menopause/expert-answers/vaginal-dryness/faq-20115086
It is funny that there are so many commercial about male sexual problems, but never anything about women sexual problems.

Do not give up.

Laurie

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Replies to "If you have not seen a specialist, I suggest you talk to someone about options. Mayo..."

Hope this isn't reaching back too far to you to respond to your Sept. 28, 2022 post.

I have just had laser ablation surgery (Feb. 8, 2024) and without going into specifics yet, wonder how your 'journey' with lichen sclerosus (LS) has been, as this has been with me for 40+ years, and has led to this current precancerous condition (VIN II/III) that necessitated this procedure, and must be followed every 6 months for 5 years. I've been following the LS condition regularly with each GYN I've had along the way, having lived in many locations across the country.

I read (in scientific journals that I can access, along with the NIH and Am. Can. Socy sites), that it has a high recurrence rate (the VIN level) - of up to 75% - even within the first year after the first procedure. LS is a life-long condition, very poorly known in the general population (esp. among women), and yet can lead to this serious state of being precancerous. Obviously I hope it doesn't ever go beyond being precancerous.

Hope all is well.