Safe to use an Estring with tamoxifen?

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Question from Ellen: Is it safe to use an Estring when you are taking tamoxifen?
Answers - Marisa Weiss, M.D. The Estring emits a very low level of estrogen within the vagina and a little bit of that also gets into the bloodstream. Most oncologists, but not all, feel comfortable with a woman using this form of estrogen replacement. It should be reserved for women who are having significant vaginal symptoms that have not responded to other kinds of treatments that don't involve hormones.
Leslie R. Schover, Ph.D. Using tamoxifen with the Estring may have some protective effect from the small amount of estrogen that could escape into the bloodstream.

The Ask-the-Expert Online Conference called Intimacy and Sexuality featured Leslie R. Schover, Ph.D., and Marisa Weiss, M.D. answering your questions about how breast cancer diagnosis and treatment affect your sex life.

Editor's Note: This conference took place in February 2001.

The materials presented in these conferences do not necessarily reflect the views of Breastcancer.org. A qualified healthcare professional should be consulted before using any therapeutic product or regimen discussed. All readers should verify all information and data before employing any therapies described here.

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