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[Mak1906]

I had a lumpectomy in July and I am really struggling with menopausal symptoms. The most difficult being hot flushes which seem to be constant and so bad overnight. Before surgery I was on a high dose of HRT but the surgeon advised me to stop this completely. I was also taking 100mg of Sertraline but this made no difference to the hot flushes. My GP has now switched me to 20mg of Fluoxetine which I have been taking for 3 weeks. There has been no improvement at all. Please can someone give me any advise of what may help me.

[CLKD]

Why did the Surgeon suggest not taking HRT after surgery?  If it isn't oestrogen dominant and you don't need any further treatment, I can't understand why.    . Do U get a follow up appt.?

It may take a while for the Fluoxetine to kick in.  I would ask for a referral to a dedicated menopause clinic for advice. 

There is a train of thought that after breast surgery/treatment one should be able to opt for HRT as there are several ways of delivering it.