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au0rei's avatar
au0rei
Member
3 years ago

HRT (Estrogen and Progesterone Hormone Replacement Therapy) After cancer for menopause?

Hi ladies,

As the title states, is there any one of you who are menopausal (either due to chemo or ageing) doing HRT/MRT to manage your menopausal symptoms? I am researching into HRT. I had breast cancer in 2016 and these two years entering menopause and the symptoms are awful. The worst are not the hot flushes or night sweats but the irritability, low mood and brain fog that make it very hard for me to function. (There are many more symptoms which I will not list) I have got a family to take care of and that includes not only kids but my elderly parents too.

My research so far has landed on the conclusion that estrogen is so important for normal functioning of our body. I know most breast cancers are estrogen positive but that does not mean estrogen caused the cancer but rather possibly making the cancer grow faster. In fact, my research reveals that the heart, brain, bones and uterus all have estrogen receptors, I guess for proper functioning of these areas, that's why low estrogen means higher risks of osteoporosis, Alzhemier's and heart attacks. No wonder the brain fog! Because of the lack of estrogen.

I am interested in anybody sharing with me your thoughts. And if you are currently doing HRT, where or who can prescribe it.

I know this is a very controversial topic and but I feel that this forum would be a great place to chat about it since most if not all of us have gone through breast cancer.

Thank you xx

#HRT #hormonereplacementtherapy #estrogen #estradiol

  • Studies have shown that a woman's risk of breast cancer is related to the estrogen and progesterone made by her ovaries (known as endogenous estrogen and progesterone). As I understand it, estrogen can be produced elsewhere in the body. Post menopause, production of estrogen gradually diminishes. I feel a bit lucky that, if you have to get breast cancer, I got it way past an almost symptom-less menopause, with limited side effects from hormonal therapy (and none of the joint pain/menopausal type). I have no hopes that finally finishing 10 years of hormonal therapy next month will result in some magical improvement in my somewhat battered bone density, but I’ll still be happy. 

  • @au0rei I can understand the confusion and dilemma regarding estrogen!  I read a lot about foods that are known as phytoestrogens are of benefit to women. 

    Some "experts" say for example, that eating soy products are beneficial, whereas as other "experts" say soy products are to be avoided.  I wonder actually who is right! 

  • Thank you @cranky_granny for your input. It is so sad that the cancer is hormone positive which indeed may feed on female hormones or this is what the medical world believes. At the same time so puzzling as we all grew up with female hormones and our heart, bones, uterus  and possibly brain cells also have estrogen receptors. That is why it is believed when women reach menopause the risks of heat attacks, osteoporosis and Alzheimers’ are greater. In fact more women die from heart attacks than breast cancer after menopause.

    yes the decision is mine but I don’t think there’s any doctors (at least here in Australia) who would be willing to prescribe HRT to a cancer patient. I am just beginning my search on HRT after finding myself menopausal and dealing with awful symptoms. 
  • Hi @au0rei 
    I’ve been warned off any hormone additives i’m estrogen 95% progesterone 90%  with mets. So I don’t want to feed the lesions at all, especially as at last testing I was stable. I tolerate the side effects for the most part. 
    The final choice is always yours to make. You have to be comfortable with your choices not anyone else. 
    I had already gone through menopause by the time I was 40. I hated the thought of getting those symptoms again but I’m okay with my decision to hang in there and take pills 
  • Julez1958 said:
    Hi @au0rei
    Was your cancer ER positive?
    My understanding is that if that is the case any HRT would not be recommended.
    Best to check with an oncologist .

    Thanks @jul@Julez1958 Mine was ER negative. But even with ER positive cancer, it is not estrogen that causes the cancer, rather estrogen can possibly feed the cancer and causes it to grow faster.
  • Hi @au0rei
    Was your cancer ER positive?
    My understanding is that if that is the case any HRT would not be recommended.
    Best to check with an oncologist .
  • I was put on HRT for the rotten menopausal issues following a hysterectomy -  my mother used to tell me I looked like a red Indian !  I stayed on it for 8 months then I decided I did not like taking them.  I did some research and, whilst I hate needles, I went to an acupuncturist and he solved all the menopausal problems.
  • I have three to five hot flushes during the night, every night. Plus numerous during the day. I also have menopause induced issues with my lady bits. Yesterday, my mets nurse put me on to "The Womens Menopause Symptoms After Cancer Clinic" held at the Royal Womens Hospital. I believe there are similar clinics in other states. I need to get a referral and then book in. They have Gynos, Oncos, Endos, Psychs, Sexual Counsellors and specialist nurses in their multidisciplinary team. I am booking in with my GP today to get that referral!