7 doctors weighed in:
How safe is hormone replacement therapy if family history breast cancer?
7 doctors weighed in

Dr. Richard Orr
Surgery - Oncology
2 doctors agree
In brief: 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.

In brief: 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.
Dr. Richard Orr
Dr. Richard Orr
Thank
2 comments
Dr. David LaMond
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
Dr. Bryan Treacy
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.
Dr. Timothy Brown
Obstetrics & Gynecology
1 doctor agrees
In brief: 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.

In brief: 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.
Dr. Timothy Brown
Dr. Timothy Brown
Thank
Get help from a real doctor now
Dr. Steven Seres
Board Certified, Internal Medicine
17 years in practice
497K people helped
Continue
107,000 doctors available
Read more answers from doctors