Oncologists tend to err on the side of caution. There is a Surgeon however, I think US based - I'll try to fish out the details off here .
Quality of Life is important. That bus might creep up behind long B4 HRT might trigger BC. MayB keep a diary of mood/symptoms/food to chart progress?
Anxiety can initially be tempered with appropriate medication, regardless of whether it's hormone triggered or not. Getting anxiety under control has 4me, been a Life saver. I can't think when anxiety takes over
. I can't eat, sleep etc..
Itchyness is due to a drop of oestrogen when the body may become dry. A good moisturiser is important for the skin. Do read the threads on vaginal atrophy and bladder issues - these can/must be treated with appropriate medications regardless of cancer histories.
I had similar treatment to yours. Had I been bothered with symptoms I would have jumped up and down for HRT! Some anti-depressant medications can ease flushing but that can be Trial and Error to find one that helps.