Committee Opinion No. 659 Summary
| Autor: | Ruth M. Farrell |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Oncology
medicine.medical_specialty medicine.drug_class medicine.medical_treatment Population Breast Neoplasms Vaginal estrogen 03 medical and health sciences 0302 clinical medicine Breast cancer Internal medicine medicine Humans education education.field_of_study 030219 obstetrics & reproductive medicine Obstetrics business.industry Contraindications Obstetrics and Gynecology Cancer Estrogens medicine.disease Symptomatic relief Administration Intravaginal Sexual dysfunction Estrogen 030220 oncology & carcinogenesis Female Hormone therapy medicine.symptom business |
| Zdroj: | Obstetrics & Gynecology. 127:618-619 |
| ISSN: | 0029-7844 |
| Popis: | Cancer treatment should address female-specific survivorship issues, including the hypoestrogenic- related adverse effects of cancer therapies or of natural menopause in survivors. Systemic and vaginal estrogen are widely used for symptomatic relief of vasomotor symptoms, sexual dysfunction, and lower urinary tract infections in the general population. However, given that some types of cancer are hormone sensitive, there are safety concerns about the use of local hormone therapy in women who currently have breast cancer or have a history of breast cancer. Nonhormonal approaches are the first-line choices for managing urogenital symptoms or atrophy-related urinary symptoms experienced by women during or after treatment for breast cancer. Among women with a history of estrogen-dependent breast cancer who are experiencing urogenital symptoms, vaginal estrogen should be reserved for those patients who are unresponsive to nonhormonal remedies. The decision to use vaginal estrogen may be made in coordination with a woman's oncologist. Additionally, it should be preceded by an informed decision-making and consent process in which the woman has the information and resources to consider the benefits and potential risks of low-dose vaginal estrogen. Data do not show an increased risk of cancer recurrence among women currently undergoing treatment for breast cancer or those with a personal history of breast cancer who use vaginal estrogen to relieve urogenital symptoms. |
| Databáze: | OpenAIRE |
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