Hormone Therapy for Breast Cancer

Many people who have had breast cancer take medications, like tamoxifen and aromatase inhibitors, that help prevent the cancer from coming back. Most people do well on these drugs, with no major issues that interfere with daily life. But there can be side effects like hot flashes, night sweats, mood swings, and joint pain.
 

Hot flashes and night sweats are common side effects of hormone therapy. To manage these, keep your bedroom cool at night and use breathable, moisture-wicking sleepwear. During the day, dress in layers so you can easily adjust your clothing. Stay hydrated and avoid triggers like caffeine, alcohol, and spicy foods. Some women find relief through relaxation techniques like deep breathing or meditation.

Hormone therapy can affect your mood. You might feel irritable, anxious, or depressed. Consider joining a support group or talking to a therapist who specializes in cancer patients. Regular exercise, including gentle activities such as walking and yoga, can help boost your mood. If your mood changes persist or get worse, discuss them with your health care provider.
 

Joint symptoms related to hormone therapy for breast cancer don't usually improve by taking over-the-counter pain relievers such as acetaminophen or ibuprofen. What does work? Some patients find relief with acupuncture. Regular exercise also seems to help.

Hormone therapy can lead to vaginal dryness and discomfort. This happens because hormone therapy lowers your levels of estrogen. Over-the-counter vaginal lubricants and moisturizers can provide relief during sex. Some women benefit from low-dose topical vaginal estrogen, but the doctor treating you for breast cancer needs to approve this.

Some hormone therapies can increase the risk of osteoporosis. Protect your bone health through weight-bearing exercises like walking, dancing, or light weightlifting. Vitamin D is important for bone health, so consider a supplement if your levels are low. Your doctor may recommend regular bone density scans to monitor your bone health and may prescribe medication if needed.

If the side effects from your hormone therapy are very severe, tell your doctor what you're going through. Whatever you do, don't stop taking your medication without talking to your doctor first. They may be able to offer coping strategies you haven't thought of. Alternatively, they may switch you to another drug.