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DEAR DOCTOR K: I’m a woman in my mid-50s. Lately I haven’t been able to become sexually aroused. What could be wrong? DEAR READER: Sex is complicated. You probably already know that. Sexual desire surely resides in the head, but other parts of the body can affect desire as well. In particular, the genital organs communicate with the brain.

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DEAR DOCTOR K: I was diagnosed with ER-positive breast cancer a few years ago. My doctor told me to take tamoxifen for five years to prevent my cancer from coming back. I recently read that taking tamoxifen longer further decreases the risk

In May of 2002, Sharlene Kirby was diagnosed with a rare and aggressive form of breast cancer — inflammatory ductal carcinoma. It was determined to be at stage IIIB, meaning it had either spread to tissues near the breast (skin or chest wall, including the ribs and the muscles in the chest) or to lymph nodes inside the chest wall along the breast bone.