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good evening everybody thank you so much for joining us I am Dr Heather McDonald and Im the medical director of our Hogue breast and ovarian cancer prevention program and we are super excited about our program this evening for you titled lets talk sex intimacy and complex emotions this talk or this session came out of some requests from some of the wonderful women that we take care of that they had some questions and concerns that they needed some more information about so thank you so much for joining us again as the medical director I am a breast surgeon and a gynecologist and I specialize in taking care of breast cancer patients both at breasts both in the surgical removal of their breast cancer and then also in managing the kind of collagic impacts of all that surgery and that treatment Im joined this evening by my co-director of our program Dr Lisa aved who is a fantastic gynecologic oncologist and a wonderful robotic surgeon and Lisa can you share with us why is this topic im