I have had a mastectomy and chemo (TAC). which threw me into menopause. I have been on Tamoxifen 20 mg since July. I have the usual intense hot flashes, night sweats,moodiness depression, inability to concentrate, memory changes,insomnia etc associated with menopause but which can also be attributed to Tamoxifen. My concern at the moment is with vulvular itching and labial and perianal tearing. The itching is especially bad at night and I tear even with gentle wiping or looking to see what hurts. My gynecologist told me to use premarin topical cream for 2 weeks and then vagifem. I don't understand the use of estrogen when I'm on anti anti-estrogen. I also am having problems with headaches and vision (blurring, nystagmus, dryness and redness).
Has anybody else had these symptoms and how did you treat them?
Can any body explain the estrogen conflict please?