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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Take Hormone Therapy After The Radical Debulking Surgery And Chemotherapy?

Last August, I underwent radical debulking surgery and six months total of chemotherapy due to ovarian cancer stage IIIb. Last January, my regular gynecologist told me that sex would be just like before the surgery, but I find that it hurts and I have no libido whatsoever. I d like to add that I have been on bioidentical hormone therapy, estradiol patch, oral progesterone, oral testosterone, dhea, and pregnenalone combined, for at least two decades. Please advise.
Tue, 7 Apr 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Decreased libido and pain on Intercourse are common side effects of pelvic resection and chemotherapy.
The reason for this is hormonal imbalance due to removal of ovaries and damage of pelvic nerves due to surgery and chemotherapy.
Both these cause poor pelvic sensation and dryness of vagina.
So patient feels decreased libido and pain.
The best treatment is hormone replacement therapy (HRT).
If this is not working than you can try lubricating jelly also.
You should start multivitamin containing vitamin b12 and zinc as both are good for nerve function and repair.
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Should I Take Hormone Therapy After The Radical Debulking Surgery And Chemotherapy?

Thanks for your question on HCM. I can understand your situation and problem. Decreased libido and pain on Intercourse are common side effects of pelvic resection and chemotherapy. The reason for this is hormonal imbalance due to removal of ovaries and damage of pelvic nerves due to surgery and chemotherapy. Both these cause poor pelvic sensation and dryness of vagina. So patient feels decreased libido and pain. The best treatment is hormone replacement therapy (HRT). If this is not working than you can try lubricating jelly also. You should start multivitamin containing vitamin b12 and zinc as both are good for nerve function and repair.