DP There's nothing wrong with someone wanting acknowledgment of their existence in the context of something that really affects their daily lives/health. I'm continually stunned by how difficult it is for some people to have empathy with others. |
The default position, for decades, has been to say no HRT because of the potential for breast cancer. That is the PP’s position. By opening up other possibilities, PP is not suddenly being ignored. |
+1, except in my case I can’t take hormones due to history of blood clots. I also feel really bitter and forgotten hearing how awesome they are when it’s a hard no from all my doctors. |
+1. Whole bunch of older female friends and relatives, and about half take HRT. They are certainly not visibly younger or healthier in any way. |
What’s the story on their bone density? Vaginal dryness? Memory? Cardiac function? Hot flashes? Urinary situation? Not all of these issues are going to be visible to another person. |
PP is just asking for one mention in a very long and important article that some women can't take HRT because of whatever reason. I am someone who does take HRT and who also has a different condition that makes most exercise regimes impossible for me, and after decades of seeing health articles with headlines along the lines of "an exercise that anyone can do" or "yoga is for everyone" (except for people like me who don't seem to count), well let's just say I get why PP is feeling frustrated. Just as those of us who are on HRT always felt frustrated at articles about how evil it is with no mention of how some women really need the relief it provides. |
I feel for women who think this could help and can’t access it. I hope Pp can listen to Dr Streichers podcast and focus on the non-hormonal aids, if appropriate. |
Ok, perhaps I should be gentler. Some of us have a lifetime of being the odd one out of the mainstream and being made to feel less than. And have had to learn to rise above. I forget that this is new ground for some. |
Thank you. I'm not the PP but I had breast cancer at 40 and my treatments led to total hysterectomy at 42, with no option for HRT (like many women, my BC was highly estrogen positive and no one on my oncology team will allow it.) I just wish the focus on menopause right now was not focused so exclusively on HRT, and that more research was being done on other treatments. As grateful as I am that the BC is gone for now, I hate feeling a decade older than I am, with no real options. |
For women who can't or don't want to take HRT, there is a new drug for hot flashes.
https://www.fda.gov/news-events/press-announcements/fda-approves-novel-drug-treat-moderate-severe-hot-flashes-caused-menopause |
I’m really sorry you’re going through this. You should be fine to take HRT after you finish endocrine therapy. There isn’t evidence to support avoiding systemic estrogen if you’re having menopausal symptoms then. Here’s a review of the 25 studies on HRT after a breast cancer diagnosis. These findings are irrespective of er/pr tumor status: https://pubmed.ncbi.nlm.nih.gov/35594465/ I hope you can bring this article to your doctor for a convo if they’re telling you you shouldn’t/can’t have estrogen after you finish treatment. |
Hey they finally made it available for free! Bluming’s article had been behind the journal paywall.
https://www.researchgate.net/publication/360764879_Hormone_Replacement_Therapy_After_Breast_Cancer |
I'm the DCIS poster. Thank you!!! I will definitely discuss this with my doctor once I finish tamoxifen (3.5 years to go). |
So, this is weirdly defensive. |
I don't think so. The first post was ridiculously aggressive and incorrectly suggested that without HRT older women cannot be "vigorous, confident, healthy older women." That is just wrong. Some people write as if menopause is the same for everyone or that not doing HRT dooms you, so PP and others are simply adding another perspective that is possible for many women (like me). Alternate perspectives based on personal experience are not "defensive," so you needn't feel threatened by them. Example: My MIL finds hot flashed horrifying, while I barely notice them on the rare occasion I experience them. It just isn't the same for everyone. That's all. |