WOMENS-HEALTH Messages for July, 2002: Re: Low Libido & not able to take HRT.

Re: Low Libido & not able to take HRT.

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 10 Jul 2002 10:17:15 -0500 (CDT)

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In reply to: Mary: "Low Libido & not able to take HRT."

At Wed, 10 Jul 2002, Mary wrote: >
>I have had 2 bouts with Breast Cancer. Over the past few years I have
>experienced lack of libido and an inability to orgasm. Although some of
>my libido it is coming back, the orgasm is rather numb and takes a lot
>of work for so little feeling if none at all. I am not able to take HRT
>due to estrogen positive breast cancer. Is it ok to use a testerone
>cream? I feel I am too young (53)to live like this, and I have seen very
>little on the subject of what to do in a case of women with a breast
>cancer past. What do you suggest? I should also add that I take the
>antidepressant Celexa. However, as I look back over the years, this
>lack of libdo and "numb" orgasm has been slowly happening for about 10
>years (before cancer and celexa). My gyn wants my husband and me to see
>a sex therapist, but I don't think that's the problem. Even though
>we've had a lot of stress in our family over the years, I don't believe
>my problem is mental. My husband is also on an antidepressant due to an
>anxiety disorder, therefore we seem to be "mismatched" in our sexlife.
>What seems to take me a long time if at all,needs to be quick for him or
>he loses it. As I said I can find very little on this subject, so I
>would appreciate some advice. Thank you

These are issues that are very individual in nature. There are many studies showing that estrogen may be beneficial in women with breast cancer. Others don't agree. Some of the differences may be related to the patients who were enrolled in the studies. So there is no one answer for all. THis is why those issues neeed to be discussed at length with your individual physician who is aware of your individual needs and problems.

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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Previous message: Victoria: "Re: NIH halts study on HRT (doctors' response please)"
In reply to: Mary: "Low Libido & not able to take HRT."

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