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Re: ADVICE

From: William D. McIntosh, MD (anonymous@obgyn.net)
Tue, 21 Sep 1999 14:37:12 -0500 (CDT)


At Tue, 21 Sep 1999, GLORIA wrote: >
>I AM 65 YRS OLD ,HAVE BEEN USING PREMIRAN CREAM FOR DRYNESS IAM NOT
>USING ANY PROGESTERONE .I ONLY USE ONE TUBE IN 6 MOS. 1 1/2 OZS. BUT
>SOME DOES ENTER THE VAGINA, IS IT NECCESSARY TO ALSO USE SOME
>PROGESTERONE? CAN IT CAUSE OV. CANCER?

This is a grey area. Though unopposed estrogen is not associated with ovarian cancer, it is a factor in endomtrial cancer. If you have a uterus, then you have at least a small risk. However, vaginal estrogen is not absorbed reliably, and in general, the circulating blood levels are very, very low. This is why vaginal estrogen is not effective for prevention of osteoporosis. As a result, your risk in this case is extremely low, but not zero. Talk with your doctor since you are concerned.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.






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