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Dr. Elizabeth Comen

👤 Person
453 total appearances

Appearances Over Time

Podcast Appearances

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

One of the areas that's really concerning for me is breast cancer patients who may be deprived of estrogen because a lot of the treatment that we do drives down their already limited estrogen production, especially if they're postmenopausal or the young women that we are effectively castrating. Historically, we've told them that they could not use intravaginal estrogen, which we now know is safe.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

One of the areas that's really concerning for me is breast cancer patients who may be deprived of estrogen because a lot of the treatment that we do drives down their already limited estrogen production, especially if they're postmenopausal or the young women that we are effectively castrating. Historically, we've told them that they could not use intravaginal estrogen, which we now know is safe.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

One of the areas that's really concerning for me is breast cancer patients who may be deprived of estrogen because a lot of the treatment that we do drives down their already limited estrogen production, especially if they're postmenopausal or the young women that we are effectively castrating. Historically, we've told them that they could not use intravaginal estrogen, which we now know is safe.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

So there's nothing that's systemically absorbed by that or absorbed in any appreciable manner that would increase the risk of breast cancer. And yet we have many young women and older women that are really suffering from painful intercourse, repeated UTIs, and they're not being offered intravaginal estrogen when we know that this can dramatically help their symptoms.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

So there's nothing that's systemically absorbed by that or absorbed in any appreciable manner that would increase the risk of breast cancer. And yet we have many young women and older women that are really suffering from painful intercourse, repeated UTIs, and they're not being offered intravaginal estrogen when we know that this can dramatically help their symptoms.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

So there's nothing that's systemically absorbed by that or absorbed in any appreciable manner that would increase the risk of breast cancer. And yet we have many young women and older women that are really suffering from painful intercourse, repeated UTIs, and they're not being offered intravaginal estrogen when we know that this can dramatically help their symptoms.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

Talk about what intravaginal estrogen is. So it's basically estrogen that you can use locally or inside the vagina that is not like a patch or a cream that you would be using that would be systemically absorbed in the body. So it's acting very locally on the vaginal tissues and the outer tissues of the vulva to help replenish some lost estrogen and hopefully improve symptoms for women.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

Talk about what intravaginal estrogen is. So it's basically estrogen that you can use locally or inside the vagina that is not like a patch or a cream that you would be using that would be systemically absorbed in the body. So it's acting very locally on the vaginal tissues and the outer tissues of the vulva to help replenish some lost estrogen and hopefully improve symptoms for women.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

Talk about what intravaginal estrogen is. So it's basically estrogen that you can use locally or inside the vagina that is not like a patch or a cream that you would be using that would be systemically absorbed in the body. So it's acting very locally on the vaginal tissues and the outer tissues of the vulva to help replenish some lost estrogen and hopefully improve symptoms for women.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

And that is safe.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

And that is safe.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

And that is safe.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

Sicher. Also, auf Risiko ist anders als wenn du es hattest. Also, wenn du auf Risiko für Breastcancer bist, was bedeutet das? Wir sind alle auf Risiko für Breastcancer, richtig? Also, wie stratifizieren wir das? Was ist dein persönlicher Risikofaktor? Und dann wirklich durchlaufen. Was sind einige der Symptome? Habt ihr Hotflashes?

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

Sicher. Also, auf Risiko ist anders als wenn du es hattest. Also, wenn du auf Risiko für Breastcancer bist, was bedeutet das? Wir sind alle auf Risiko für Breastcancer, richtig? Also, wie stratifizieren wir das? Was ist dein persönlicher Risikofaktor? Und dann wirklich durchlaufen. Was sind einige der Symptome? Habt ihr Hotflashes?

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

Sicher. Also, auf Risiko ist anders als wenn du es hattest. Also, wenn du auf Risiko für Breastcancer bist, was bedeutet das? Wir sind alle auf Risiko für Breastcancer, richtig? Also, wie stratifizieren wir das? Was ist dein persönlicher Risikofaktor? Und dann wirklich durchlaufen. Was sind einige der Symptome? Habt ihr Hotflashes?

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

Ist es eine non-hormonale Behandlung, die wir beachten können, wenn wir uns um den Risiko des Brustkanzlers interessieren? Und es gibt viel Debatte in diesem Bereich. Und was ich sagen würde, ist, dass niemand gerade perfekte Antworten hat. Viele Leute denken, dass sie das tun, aber wir haben einfach keine perfekten Antworten.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

Ist es eine non-hormonale Behandlung, die wir beachten können, wenn wir uns um den Risiko des Brustkanzlers interessieren? Und es gibt viel Debatte in diesem Bereich. Und was ich sagen würde, ist, dass niemand gerade perfekte Antworten hat. Viele Leute denken, dass sie das tun, aber wir haben einfach keine perfekten Antworten.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

Ist es eine non-hormonale Behandlung, die wir beachten können, wenn wir uns um den Risiko des Brustkanzlers interessieren? Und es gibt viel Debatte in diesem Bereich. Und was ich sagen würde, ist, dass niemand gerade perfekte Antworten hat. Viele Leute denken, dass sie das tun, aber wir haben einfach keine perfekten Antworten.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

Und wir müssen informiert sein in der Entscheidung, die wir mit Patienten haben. Wenn Sie eine Geschichte von Brustkrankheiten haben, dann ist es mehr z.B. estrogenbegriffene Brustkrankheiten. Wir müssen da auf die Optionen achten.

The Tamsen Show
The #1 Breast Cancer Doctor on the Truth About Mammograms, Hormones & Dense Breasts

Und wir müssen informiert sein in der Entscheidung, die wir mit Patienten haben. Wenn Sie eine Geschichte von Brustkrankheiten haben, dann ist es mehr z.B. estrogenbegriffene Brustkrankheiten. Wir müssen da auf die Optionen achten.