Hi all,
I trust you are all well!
I was listening to a podcast that confused me. I have Lynch syndrome and the results of my hysterectomy came back with residual endometrial hyperplasia with atypia, no cancer identified (at the beginning it was stage 1a, low grade). Hence, no additional treatment needed and I was prescribed with transdermal oestrogen-only HRT. Listening to the podcast, they were saying that for people that got endometrial cancer it is advised to start HRT after 12 or ideally 24 months to avoid reoccurrence. Also, for these patients the combined HRT is advised.
I’m due to start soon the oestrogen-only HRT but after listening this episode, I’m totally confused.
Has anybody had a similar situation? Thanks in advance 
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Hi Sabry
Perhaps consider calling the Support Line and talking to one of the nurses. They would be able to answer the medical side of things.
My understanding is that lynch syndrome and atypical hyperplasia can raise the risk of endometrial cancer. After your hysterectomy, your results showed no cancer.
If they had found cancer present then in my experience I was told that HRT would not be a good idea as because my cancer was hormone positive- introducing hormones could cause the cancer to recur/grow. Some women do use HRT but it is about weighing up the risks and benefits for them.
If you were free of cancer then it shouldn't affect you having HRT prescribed by your doctor.
It is the imbalance in the hormones progesterone and oestrogen that can lead to a cancer developing/ hyperplasia etc. Progesterone is actually used in some cases of very early endometrial cancer as a treatment.
I would perhaps speak to your doctor and ask about the choice of HRT.
Jane
