Question

A 36-year-old woman presents to her GP with hot flushes and night sweats. She stopped tamoxifen 6 months ago after 5 years of adjuvant therapy for oestrogen receptor-positive breast cancer. Menses have ceased. She asks about menopausal hormone therapy (MHT). What is the most appropriate advice?

Accepted Answer

MHT is contraindicated and non-hormonal options should be discussed

Answer

MHT is first-line for vasomotor symptoms in her situation

Answer

Low-dose oestrogen-only therapy is safe as the uterus is intact

Answer

High-dose transdermal oestrogen with progesterone is preferred

Answer

Progesterone-only therapy is always safe after breast cancer

Practice question

A 36-year-old woman presents to her GP with hot flushes and night sweats. She stopped tamoxifen 6 months ago after 5 years of adjuvant therapy for oestrogen receptor-positive breast cancer. Menses have ceased. She asks about menopausal hormone therapy (MHT). What is the most appropriate advice?