Hi SIDL02
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
from me too.
Sorry to hear you are suffering.
There is quite specific advice as to HRT use with familiar risk of breast cancer which I don't have to hand but it relates to the age at which your first degree relatives developed the disease with younger being more risky ( that you are at greater risk from developing it).
This is what the NICE Guidelines on Menopause say:
"Women with, or at high risk of, breast cancer
1.4.25For advice on the treatment of menopausal symptoms in women with breast cancer or at high risk of breast cancer, see section 1.13 of the NICE guideline on early and locally advanced breast cancer and section 1.7 of the NICE guideline on familial breast cancer.
1.4.26Offer menopausal women with, or at high risk of, breast cancer:
• information on all available treatment options
• information that the SSRIs paroxetine and fluoxetine should not be offered to women with breast cancer who are taking tamoxifen
• referral to a healthcare professional with expertise in menopause."
This is from the NICE Guideline on breast cancer for those with familial risk:
"A woman having an early (natural or artificial) menopause should be informed of the risks and benefits of HRT, but generally HRT usage should be confined to women younger than age 50 years if at moderate or high risk (see also recommendations 1.7.53 and 1.7.54)."
https://www.nice.org.uk/guidance/cg164/chapter/Recommendations#clinical-significance-of-a-family-history-of-breast-cancerIt may well be that you are able to take some form of HRT until the age of 50 but you will need to consult a specialist about this.
There has been a recent paper on recommended (approved) alternatives to HRT for those who are unable to take it:
http://journals.sagepub.com/doi/full/10.1177/2053369117711646?hootPostID=6690d93930a10b86869c48433ab506e7Hope this helps and do let us know what you decide.
Hurdity x