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Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK\n\nJoin my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.\n\nwww.kellycaspersonmd.com/membership\n\nVaginal Lasers\n\nHow a male can introduce my book to his female partner\n\nUnopposed Estrogen can cause harm\n\nQ&A from listeners:\n\nGenetic testing in 2017 and was positive for Lynch Syndrome. I was just diagnosed with uterine cancer yesterday. 43 years old and total hysterectomy in my very near future. Terrified about trying to get my hormone levels correct post surgery!! Any suggestions or recommendations?\n\nI\u2019m a 38 y/old breast cancer survivor. I\u2019m on estradiol, got all the fancy lubes, and now I\u2019m curious about testosterone\u2026 People only seem to talk about estrogen for women, but my libido is nonexistent and penetrative sex is excruciating. Curious if testosterone also takes a hit while on hormone blocking meds post-cancer. I discuss this stuff with the oncologist but it feels trivial compared to the work they did to cure my cancer. However, my PCP won\u2019t touch the hormone topic with me and defers to the oncologist because of my cancer history\u2026 thoughts/suggestions?\n\nI\u2019ve gathered so much info from you about the estradiol cream and so much more than I got my gyn to prescribe the cream for me. I\u2019d like to note that I am 59 and I have never had any problems with painful sex or any vaginal issues in the past. I applied the first dose both inside and a bit on the outside areas, it was fine with no noticeable changes. But 4 days later I applied the second dose, this time just inside and within a day or so I felt changes. My clitoral area was sensitive with discomfort and I experienced dryness in the outer labia like never before - not really painful but noticeable discomfort. I have not taken a third dose but I really want to be able to use this so I don\u2019t shrivel up and go away LOL. I also was getting a few hot flashes and they really decreased after the first dose but are back now, although not as much. Is it possible that the discomfort will diminish after a while if I keep taking it? Would it be effective if I only applied it once weekly?\n\nI\u2019m 58 and 2 years in menopause. I use an estrogen patch, progesterone, and a testosterone cream - thanks to you - but it\u2019s not clear to me if my transdermal estrogen will protect the vulva from atrophy. Should I also be using an estrogen cream on my vulva in addition to my HRT regimen? I asked my doctor and she said creams for the vulva are only from lichen sclerosus, but that doesn\u2019t sound right.\n\nOur podcast sponsor is Bonafide\n\nBonafide products help women embrace the natural changes that occur throughout all phases of life.\n\nDiscount code for 20% off:NOTBROKEN\n\nSales link: https://hellobonafide.com/notbroken\n\n\n--- \n\nSend in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message\nLearn more about your ad choices. Visit megaphone.fm/adchoices