A 36-year-old member asked:
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how safe is hormone replacement therapy if family history breast cancer?

2 doctor answers
Dr. Timothy Brown
43 years experience Obstetrics and Gynecology
Short term safety: There is no apparent increased risk for short term use of hormone therapy, with or without a family history. For longer term use (greater than 4 years) it is not clear exactly how the different estrogen and Progesterone formulations and combinations affect risk.
Answered on Oct 4, 2016
Dr. Richard Orr
43 years experience Surgical Oncology
Varies: If a first order relative (mother, sister, daughter) has bc i would take ert only briefly and then only for severe symptoms. Remember that we try to prevent breast cancer by prescribing tamoxifen - which blocks estrogen. Adding ert definitely increases risk, somewhat, so you have to balance risks/benefits. Some women are miserable without it - and a short course may be appropriate for them.
Answered on May 19, 2013
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2 comments
Dr. Bryan Treacy
34 years experience Gynecology
I agree with Dr. LaMond. Testosterone replacement is important in most women using hormone replacement and those worried about estrogen in general or for family histories of breast cancer. There are other alternatives to manage hot flashes in women as well, although this is not the sole reason for using estrogen in hormone replacement therapy regimens.
May 19, 2013
Dr. David LaMond
19 years experience Bariatrics
A good alternative is to utilize testosterone replacement therapy. This has been show to be extremely effective with regard to symptom relief, and has a track record of safety after breast cancer. Check a site www.hormonebalance.org for more info
Jul 10, 2012

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