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Thank you for your reply. Yes, I was told that I could use vaginal estrogen cream but only a pea size up to 3x/week. I was diagnosed with 100% estrogen-dependent breast CA. I hate the multiple side effects of the AIs and understand why you went off. I am still within my 1st year since diagnosis, treatment, and double mastectomy so I'm quite nervous about quitting the letrozole and using the estrogen creams. It does help though. If I find that having this procedure is not only highly effective but lasting on AI post-menopausal patients, I would certainly consider it but financially would be difficult. I wonder what women can do to bring this issue to the forefront of women's health issues and help force insurance companies to cover this under such circumstances...I will continue to follow this thread. Again thank you.
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@randy36 When you next see your oncologist you might ask how to use the vaginal estrogen cream. At the Menopause and Sexual Health Women's Clinic at Mayo Clinic I was instructed to put a pea size amount on my fingers and rub it in like I would use a moisturizer on the labia majora and the labia minora (inner and outer lips of the vulva) which allows the cream to penetrate at the opening of the vagina. I had been using the full amount in the insert tube as the directions instructed and the nurse educator told me that this wasn't necessary for me. It did work. Unfortunately, I can no longer use it per my oncology nurse practitioner and radiation oncologist. At least for now. I'm hoping that might change in the future.
Will you let me know what your oncologist says? I hope you have the success that I did when I was using an estradiol cream.