Please select the eligibility criteria that correspond to the clinical trial below.
Title: Therapy to Prevent Sexual Pain in Menopausal Survivors of Breast Cancer
Brief Summary: The purpose of this protocol is to determine whether pain with sexual intercourse can be reduced in menopausal, breast cancer survivors and to evaluate the effectiveness of a non-hormonal therapy (Lidocaine Liquid) vs. a placebo liquid in reducing pain.

The investigators hypothesize that the pain arises in the vulvar vestibule. The investigators predict that the localized use of lidocaine will be more efficacious than use of placebo liquid.


Options:
A: Inclusion Criteria:

* Patients starting outpatient radiotherapy treatment with breast, prostate, cervical or laryngeal cancer

Exclusion Criteria:

* Receiving palliative care
* Severe pain or symptoms causing distress
* Having cancer at other sites
* Having no spoken English
* Receiving treatment for psychological or psychiatric problems
* Visual or mental handicap
* Having case notes not available or ambiguous or illegible.
B: Inclusion Criteria:

* 21 years old or older
* Diagnosed with Stage 0, I, II, or III breast cancer
* Undergone lumpectomy and completed adjuvant radiation and/or chemotherapy (end of treatment to 18 months post-treatment)
* Ability to read and speak English at the 8th grade level to respond to the survey questions

Exclusion Criteria:

* Advanced stage (IV) breast cancer
* History of mastectomy
* Current psychiatric diagnosis
* Recurrent treatment for prior breast cancer
C: Inclusion Criteria:

* Woman.
* Between 18 and 65 years of age.
* Diagnosis of histologically confirmed primary breast cancer.
* Received treatment in one of the participating hospitals.
* Completed treatment for breast cancer(with the exception of endocrine therapy).
* Diagnosis of breast cancer between 6 months and 5 years prior to study entry.
* Disease-free at time of study entry.
* Presence of sexuality and intimacy problems.

Exclusion Criteria:

* Lacks basic proficiency in Dutch.
* No access to the internet.
* Serious cognitive or psychiatric problems (i.e. depression, alcohol dependency, or psychotic disorders).
* Severe relationship problems for which the internet-based program is not designed (and which need to be addressed prior to undergoing sex therapy).
* Participation in a concurrent therapy program to alleviate sexuality/intimacy problems.
* Treated for another type of cancer beside breast cancer (with the exception of cervical carcinoma in situ and basal cell carcinoma).
D: Eligibility Criteria

1. Women aged 18 to 70 years old.
2. Has a previous diagnosis of breast cancer (ductal or lobular carcinoma, invasive).
3. 1 year from diagnosis of breast cancer.
4. Stable heterosexual partnership =/\>5 years or by investigator discretion.
5. More than 6 months of consistent insertional pain with intercourse (may have stopped having intercourse due to this consistent experience of pain).
6. Menopausal, demonstrated by at least one of the following:

   i. cessation of menses for 1 years ii. Bilateral oophorectomy iii. Follicle Stimulating Hormone (FSH) level \>25 in women below age 50 with an ovary and scarred or absent uterus (acceptable FSH levels can be inferred if the woman's oncologist monitors FSH during aromatase inhibitor therapy).
7. Willingness to enter a study comparing a topical placebo liquid to topical liquid lidocaine.
8. Willingness to evaluate the liquids by use of a tampon test as many as 4 times per month, and willingness to attempt intercourse if the tampon test indicates tolerable penetrative pain.

3.2 Exclusion Criteria

1. Diagnosis of benign or malignant phyllodes tumor of the breast.
2. Consistently has pain in the pelvis or low abdomen during or after intercourse (deep dyspareunia).
3. Has developed shrinkage of the vaginal opening or vaginal length to the point of being too small to succeed in having vaginal penetration with the partner (will also be assessed at the clinical exam).
4. Partner has a problem of sexual dysfunction limiting his performance or making it inconsistent.
5. The potential subject or her partner has a serious current medical condition that might interrupt completion of a 6 month study.
6. Potential subject has been diagnosed by a physical therapist with significant pelvic floor muscle dysfunction causing pain (pelvic floor myalgia).
7. Potential subject has used topical or systemic estrogen within the last 4 months.
8. Has continued tenderness of vestibule mucosa immediately after application of both test liquids.
9. Allergy to lidocaine or other numbing agents.

Answer: D