Endometrial cancer - HRT

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I had a full hysterectomy last week following a diagnosis. Stage 1. Hospital said no to HRT but my menopause symptoms are really bad, especially the mood swings. I was really placid prior to the operation but now half the time I’m crying, the other half I want to rip someone’s head off. 
I’m already on Venlafaxine which is meant to help with hot flushes, if that’s the case, I would hate to know what I would be like without it! 
can I have HRT? Information on the internet varies, my GP isn’t sure and is suggesting a referral to the menopause clinic at the hospital. Are they likely to help? 
Any help would be amazing. 

  • Thanks for reaching out to us here at Macmillan Cancer Support. I’m Gemma and I’m one of the Cancer Information Nurse Specialists here at the Macmillan charity run support line. 

    I’m sorry to read how tough this last week has been for you, and do not underestimate how much impact surgical menopause can have, and clearly has had on your well-being. I realise it’s easy for me to say it’s early days, but it really is very early days, try not to give yourself a hard time. You deserve care and kindness right now.  

    First of all, if you have not contacted your surgical team to discuss these symptoms, please do as soon as you can. Your GP’s suggestion to refer to a menopause clinic is a good one, but your hospital team may be able to offer support quicker, they will be able to comment on if there is any form of HRT which is safe, or safer, to you as an individual. 

    I understand I am replying on a Saturday though, so I will do my best to point you in the direction of some information that may be helpful. 

    It is horrible when you feel that your emotions are not your own, it might help a bit to know that this response is perfectly natural and also that the menopausal side effects can settle a bit as you recover from the operation itself.  

    Research has shown that there are lifestyle and complementary therapies that can help manage these symptoms: The British Menopause Society have a separate branch called Women's Health Concern, who have a wealth of information on non-HRT ways of managing menopausal symptoms. 

    With managing mood swings, it can really help to be gentle with yourself, and accept that these feelings are not your ‘fault’. Complementary therapies have been shown to help with this, especially mindfulness and relaxation.  Many of the cancer support charities and centres offer access to these therapies free of charge. We have this online search engine for finding support in your area 

    While you are still so early on from this big operation though, it might suit you best to access some relaxation support online. Maggies are another fabulous charity who have some pre-recorded relaxation sessions online. All you need is internet access, a speaker or headset, and a relaxing place to sit or lie and listen. 

    We are pleased to see you have already joined our friendly Womb (uterus) cancer forum. Sharing tips with others who have been through similar experiences can be so valuable. 

    Please remember we are here too, and more than happy to offer you emotional support as you try to recover. Our phone lines are open all year round 8am – 8pm, please don’t hesitate to call us on 0808 808 0000 if we can help.  

    Our ref: SMJ