CP - I think you might have posted on the wrong thread
![Huh? ???](https://www.menopausematters.co.uk/forum/Smileys/extended/huh.gif)
Pauline W - If I was in a position where I absolutely could not take HRT for medical reasons ( and I would want a specialist to advise here), then actually I would go down the route of medication that has been proven to work rather than spend a lot of money on an alternative therapy. "Placebo effect" tends to be apparent more in peri-menopause when levels are going up and down anyway.
The latest research and reanalysis of the data from the big study all give conflicting results reagrding HRT and stroke. For example the "HERS study (the Heart and Estrogen progestogen Replacement Study) found no increased incidence of stroke with HRT" - from the Womens' Health Concern and British Menopause Society 2013 paper on reommendations re HRT. The same paper goes on to say:
" Caution should be exercised when prescribing HRT in women over 60 particuarly when they have a risk factor for stroke or thromboembolism. In these groups, current evidence wold suggest that the transdermal route may be advantageous. The effects of HRT may be dose related and the lowest effective dose should be prescribed in women with significant risk factors".
If you are under 60, it sounds like you may well be able to try a very low dose transdermal HRT with minimal risk - but as I said you would want to be under a menopause specialist to assess your case. You may not want to risk going down this route though. However much I disagree with ADs/SSRI's being used instead of HRT or as well as HRT to deal with hormonal problems - if there is confirmed to be no other option then I would cautiously try a low dose of the least addictive of these - and one with the least side effects, as well as the suggestions of Dancinggirl re mindful techniques/CBT which have been found to be useful with breast cancer survivors.
In the meantime I would make sure I was doing all I could to minimse symptoms and keep myself healthy at this stage - re diet, exercise, weight, sleep etc.
Hurdity x