Do you routinely prescribe vaginal estrogen therapy post chemo/XRT for female patients finishing anal cancer treatment?

No. We encourage all female patients to use a vaginal dilator and Replens over the counter vaginal moisturizer (vitamin E, B, non-hormonal) after chemoradiation.

We also encourage patients to see their gynecologist to discuss topical estrogen therapy. There are potential side effects/drug interacti...