How do you manage sexual dysfunction in women receiving ovarian suppression for breast cancer?  

Asking the questions about sexual dysfunction during routine follow ups is important. Many women may feel uncomfortable bringing up the issue. Next important to evaluate contributors such as physical complaints of dryness, dyspareunia, or libido issues, body image concerns or relationship ...

I agree with @Charles L. Shapiro and @Maryam B. Lustberg. Short courses of vagifem can provide some relief. I also recommend cognitive behavioral therapy or couples therapy.

It is important to document thoroughly a discussion of potential risks and benefits of intravaginal estrogens in the medical record. With respect to tamoxifen, there is much less concern about systemic absorption of intravaginal estrogens as tamoxifen binds with greater avidity than estrogen to...