When I first started Letrozole I had what I thought was vaginal atrophy and asked my oncologist if I could use topical oestrogen. She was old school and said no whilst I was on an AI but if I agreed to swap to Tamoxifen, I could have it. I didn’t want to swap as I was getting on well with the Letrozole and Hyalofemme came to my rescue as, in fact, I was suffering more from dryness than atrophy. The point of this is, topical oestrogen was seen by no problem by a traditional oncologist if one was on Tamoxifen, which you are. Dare I say, I would encourage you to try it?
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