Is HRT safe after bilateral mastectomy for estrogen and progesterone receptor positive DCIS?

Question

I just recently had bilateral mastectomy with DIEP flap reconstruction. I had DCIS in both and had to stop HRT at time of diagnosis. I went on HRT 6 years ago due to severe and frequent hot flashes. The hot flashes have returned with a vengeance. I am wondering if I will be able to resume HRT given that the breast tissue has been removed.

Manish C. Champaneria, MD · Answer

Thank you for your question.I recommend speaking to your oncologist about restarting HRT. He or she will be able to answer that question best.Thank you!Manish Champaneria, MD

David Finkle, MD · Answer

With ER and PR positive breast cancer you should not take HRT.  Talk with your oncologist, there are many OTC therapies that work well for women with hot flashes that is safe to take following your diagnosis.Good Luck!

Joseph Franklin, MD · Answer

HRT management for hot flashes is very common.  Unfortunately, hormone replacement is generally NOT recommended for patients with estrogen and progesterone positive breast cancer.   Ask your medical oncologist.   He or she will be able to give you the full data on risks of HRT based on your surgical pathology report.  Best of luck on your continued recovery.

Steven Wallach, MD · Answer

Doesn't sound likely that you will be able to if you had positive receptors, but that decision is up to your oncologist to review with you. Good luck.

Andrew Kornstein, MD, FACS · Answer

Many patients can. It depends on the intricacies of your pathology.Speak with your oncologist.Hope tyhis helps

Is HRT safe after bilateral mastectomy for estrogen and progesterone receptor positive DCIS?

Answers (5)

More Breast Reconstruction with DIEP Flap Questions

A DIEP flap on left side & prophylactic mastectomy w/ silicone implant on other side, will this look wrong? (photo)

DIEP flap abdominal scar itching after 8-9 years post-op. How can I stop it?

Can you have implants with a diep flap?

In viewing a lot pictures of diep flap procedures I am really confused. Why do they look so different from each other?

WE SEND PRETTY
EMAILS