A 51-year-old woman presents to the GP with menopausal symptoms. She has a personal history of breast cancer treated 8 years ago with no recurrence. S...

Question

A 51-year-old woman presents to the GP with menopausal symptoms. She has a personal history of breast cancer treated 8 years ago with no recurrence. She is on tamoxifen. She asks if she can take HRT. What is the most appropriate advice?

Accepted Answer

HRT should be avoided; non-hormonal alternatives such as cognitive behavioural therapy or SSRIs should be discussed

Answer

HRT is absolutely contraindicated and should never be considered

Answer

Low-dose transdermal oestrogen can be used safely

Answer

Vaginal oestrogen is the only HRT that can be considered

Answer

Tibolone is safe and can be prescribed

uk-drcog MCQ (SBA): Menopause After Breast Cancer

A 51-year-old woman presents to the GP with menopausal symptoms. She has a personal history of breast cancer treated 8 years ago with no recurrence. She is on tamoxifen. She asks if she can take HRT. What is the most appropriate advice?