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Ask the Nurse Archive

Is Vaginal DHEA Safe To Take If I Have Breast Cancer?

September 1, 2018 at 6:00am

I have stage IV breast cancer and take an Aromatase Inhibitor (Letrozole) as part of my treatment. I have severe vaginal dryness and atrophy, continuous UTIs and pain in the urogenital area. I recently read an article saying "Intrarosa 0.5% DHEA nightly vaginal suppository contains NO estrogen and is safe to use in women who have to avoid estrogen." None of my doctors agree that Intrarosa would be safe for me to use because of my ER/PR+ cancer. They claim that DHEA turns into estrogen, so I should not take it.

One gynecologist did suggest the possibility of me using Intrarosa (vaginal DHEA) when my regular gynecologist was out. What are your thoughts?

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What can I do About Hot Flashes and Insomnia?

August 28, 2018 at 9:37am

I am just getting 1 or 2 hours of sleep a night as my hot flashes keep me awake all night. I have the air conditioning on as cold as I can without freezing others. After the hot flash I get cold, so all night I am pulling the covers off, then putting them back on. I can't have my husband lay close to me at all.

I am a Minister and when I speak to the congregation as soon as I start to move around or get excited the hot flash will start, and I am not able to give the best sermon or concentrate like I should. I can’t take black cohosh because it hurts my stomach. My forgetfulness is horrible and it is hard to remember what I just said or what I was talking about. It is hard to function at work and I am not giving my family the attention they deserve. My baby girl is getting married and I am doing everything I can to muster up the energy to remember and give my daughter the support from her mother. Please help!

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Does Insurance Cover CoolSculpting®​?

August 28, 2018 at 9:29am

I was wondering if my medical insurance covers non-surgical treatment CoolSculpting®?

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Do Antibiotics Affect A Woman's Period?

June 20, 2018 at 2:35pm

I am currently five days late for my period. A little less than a month ago (right after my last period), I was on antibiotics for my UTI, and I was wondering if that could make my period late?

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What can I do About Breast Cysts?

June 12, 2018 at 9:47am

I have an enlarged cyst in my breast that is becoming very painful. Can I have it "biopsied" or aspirated for relief?

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Is my ovary working?

May 22, 2018 at 10:27am

I recently had a hysterectomy leaving one ovary. I was started on oral conjugated estrogens daily as I had a high FSH test at 8 weeks. Would an estradiol test show a reading on Premarin, as my estradiol showed 197 last week? Could my ovary be working again?

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Are Testosterone Pellets Safe?

May 3, 2018 at 3:38pm

What is the latest information and safety profile for testosterone pellets?

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No Sexual Desire and Vaginal Dryness

May 1, 2018 at 3:08pm

I had a hysterectomy in 2005, 13 years later I have no sexual drive and severe vaginal dryness. I am on antidepressants and have had back surgery. I still have my ovaries, but I have gone through menopause. My husband is 14 years younger and is still very interested in sex as where I have NO desire. What is your advice?

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Migraine Symptoms

May 1, 2018 at 11:20am

I am 36 years old and have just recently been diagnosed with migraines. I went through a lot of tests to rule out serious issues that may be causing the migraines and have seen a neurologist. I am not having the migraines as intensely or as frequently, but I am still having out of the ordinary symptoms that are alarming at times.

Some of the symptoms are hard to describe. I just don’t think it is migraines that I am having. I thought about seeing an endocrinologist. Would they be able to help me determine what is going on?

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Bacterial Vaginosis

May 1, 2018 at 11:10am

I’ve struggled with bacterial vagina infections for months. I complete the antibiotics and still have the infection. How can I fix this as it’s frustrating for me and my partner? Is there a way my partner could be treated as well?

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