Menopause symptoms after chemotherapy for breast cancer

Cancer Research UK says chemotherapy-induced menopause may be temporary or permanent, that periods are less likely to return the closer you are to the natural age of menopause, and that doctors do not routinely recommend HRT after breast cancer because of an uncertain effect on recurrence, though it may be offered for severe symptoms after discussing the risks. NICE NG101 says offer information and counselling about the possibility of early menopause, do not routinely offer HRT to women with a history of breast cancer (in exceptional circumstances offer it for severe symptoms after discussing the risks), consider an SSRI for hot flushes, and do not offer soy, red clover, black cohosh, vitamin E or magnetic devices. Triple-negative disease has no endocrine therapy, so the symptoms come from the chemotherapy alone. This is orientation from public patient pages and guidelines, not advice for your case: your own team's instructions and 24-hour number come first.