I think you will need to talk to your team or see a menopause specialist.
I’m on Letrozole, 55 years old, and I have Imvaggis and Blissel (lowest oestrogen) on repeat prescriptions after speaking to a menopause specialist. I did a Maggie’s Menopause course and new research posted in Dec 2023 said it does not change mortality in breast cancer patients on Tamoxifen or Aromatase Inhibitors such as Letrozole. The clinical nurse specialist with the oncology team said it was ok but they would like me to see a menopause specialist and that being a cancer patient you are ‘priority’ referral. Having said that the NHS wait was 8/9 months so I paid privately to see them after 3 month wait.
This is the link to the research https://jamanetwork.com/journals/jamaoncology/fullarticle/2811413
The menopause specialist liaised with my breast cancer surgeon/oncology team to look at my Predict score. ( gives % of different treatment etc). The letrozole caused my vaginal issues and I had them before my diagnosis while on HRT and needed the vaginal oestrogen as well. It was discussed if I could come off the Letrozole but my team said they would prefer me to stay on them even with 5%.
I wrote this for the forum about my experience and it’s had over 2000 views
There is a charity called www.menopause and cancer.co.uk who have lots of specialist such as oncologist that talk about HRT/vaginal oestrogen after cancer.
I’m sure the nurse will be able to reply in more detail but I wanted to share my experience and the study above.
