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This article discusses gynecologic problems associated with breast cancer, including the clinical presentation and evaluation of tamoxifen, abnormal vaginal symptoms, post-menopausal bleeding, and the management of various gynecologic conditions. It also addresses the impact of pregnancy and sexual dysfunction in breast cancer patients, along with potential treatment options for hot flashes.
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1. drug 2.hot flash. 3.sexual dysfunction
AUB: (ACOG) advised that women on tamoxifen should report any abnormal vaginal symptoms, including bloody discharge, spotting, staining, or leukorrhea
many women have cervical stenosis and office biopsy is not possible. In these patients, we manage expectantly if there is a thin endometrial echo (≤4 mm).
ACOG:recommends against screening asymptomatic women on tamoxifen for EC
If sarcoma is suspected, the patient should undergo surgical evaluation, we have a low threshold for hysterectomy when a large myometrial or endometrial mass is identified in a symptomatic woman on tamoxifen.
Hot flash: HRT Not recommended