Hi I too have vaginal atrophy, started menopause at 49 after hysterectomy and ovaries removed. Was diagnosed with oestrogen driven breast cancer end of 2020 and put on letrazole. I’m 55. I have been lucky in that a have been allowed a 6 week break from letrazole, it was offered to me by breast cancer nurse and a decision was made same day to allow it. I’m in the North East. I’ve been off 4 weeks and can only say it’s made a slight difference, still having problems. Was on hrt prior to my diagnosis and really miss it! Do feel for you and don’t know why you have to have a referral just to stop pills for 6 weeks, perhaps try again. Hate the thought it’s something we have to live with, has changed my life too. We are all different though and I hope coming off letrazole really helps you. sending hugs and best wishes wendy
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