Estrogen cream recommended for prolapse, but ER+ Thoughts?

Just goes to show the huge discrepancy in BC medical/surgical community. Both my surgeon(MGH) and my oncologist(DFCI) have said it was fine to use. I am in healthcare as well and worked with the physicians in the past. When you think about the small dose the estrogen cream is and the even smaller amount that may get absorbed systemically the risk of it becoming synergistic must be extremely low.
I use the estrogen cream for both vaginal dryness and stress incontinence and it works well for both.

Hello. I have estrogen positive, stage 1 breast cancer. My oncologist told me to ask my gynecologist about estrogen cream. In 2022, she said I should not take it, and offered other non- estrogen choices. Nothing pleased me. This year, 2023, she changed her opinion. I now use pea size amount of estrogen cream. I am happy 😊. She even said I could try the lowest dose of Estrace 2 x week.

Sounds promising. Please update me if it is helpful.
Thanks

My OB GYN and med Oncologist also just approved me to use a very low dose estrogen cream. I am thrilled but might also try to mix in Reveree also. I never really gave the Reveree a chance but thought also no way it was going to solve my issue.

My chemo made me feel horrible untilthe dose was lowered by 20 percent and then I felt ok.

I so miss the hormones I was on. The fatigue is crazy, my body has still not adjusted to lack of hormones.
I am also ER + so Estrogen is no longer viable for me either.
I don't know how to navigate this part of the BC journey.

It is a difficult journey. It never occurred to me that this would be an issue. I am using replens which is a moisturizer. Don’t know how much it can do but I don’t feel a burning sensation anymore so I guess that’s good. It’s all so crazy that we have to worry about so many things. Good luck and hugs to you

So sorry. I am glad they were able to lower the dose. Oncologist also did that for me.

I was too afraid even to try the tiny amount of estrogen cream my doctor suggested, but I needed to prevent the inevitable UTIs . My urologist recommended taking Desert Harvest aloe vera capsules and applying a pea-sized amount Kirkland organic coconut oil ( it must be cooking compatible) to my vagina several times a day. His original recommendation for the aloe vera capsules was 6 perday, but I've since reduced it to 2 per day with no problems and I only need to apply the coconut oil once per day.

I've been doing this for several years. The burning is gone; I no longer even have occasional pink staining. And I don't have to worry about even tiny amounts of estrogen absorption.

There is another hormonal therapy besides estrogen for vaginal atrophy - dehydroepiandrosterone (DHEA). My general practitioner said it might be an option I want to try instead of estradiol if I end up needing something.

Up until now, tamoxifen has actually provided an estrogenic response in my vaginal area and reversed the severe atrophy I had prior to taking it. My body just happens to be one that tamoxifen acts as an agonist in other parts of my body besides my breasts. I’m am 18 years post menopause, and I think that has a lot to do with it.

I did use a low dose topical estradiol before being diagnosed with DCIS. I found the cream that is inserted with an applicator into the vagina as too messy, and the tablet version inserted into the vagina did not provide the estrogen where I needed it most (to help the skin at the opening be stretchy enough, and thicken the skin a bit, and on the clitoris) Sorry for explaining so graphically, at least hope it’s helpful. The best solution was a very small amount of cream applied directly on the skin that needed it the most. It is a lot less than the amount inserted with an applicator- so surely less estrogen is being absorbed.