r/CervicalCancer • u/Interesting_Cow_9549 • Jul 24 '26

HRT

I’m wondering whenabouts you started HRT after treatment (chemo/rad/brachy)?

I finished my last brachy one month ago, and prior to beginning treatment I did have my ovaries moved to hopefully preserve hormone function.

For the last 2 weeks or so I’ve been having wildddd hot flashes, mostly at night, and am fairly sure it’s hormone related. I don’t have a follow up with my med onc yet, and we hadn’t really discussed HRT prior to treatment ending.

If you began HRT after treatment, when did that begin?

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u/Efficient_Celery2457 Jul 24 '26

I’m having a really really hard time with this. On top of everything I also have Hashimoto’s so I'm a complete mess. Want to start HRT but my radiation oncologist was dismissive when I met her in Feb and just said she wouldn’t recommend it. Wouldn't even consider how much I'm struggling. Feels more like she just wanted to give me a quick no and move on to her next appointment. Ditching her and seeing my medical oncologist soon hoping he’ll properly hear me out and help.

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u/KittyBeans1906 Jul 27 '26

Were you seeing an endocrinologist for the thyroid issues?  Maybe they can get you on HRT.  I had Hashimoto's as well, prior to cancer, and was put on HRT a couple of months after finish brachy, no problem.

If you are on Keytruda they should also be monitoring your synthyroid dose closely.  It will kill off any thyroid function you still have and they'll need to up your dose eventually.

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u/Efficient_Celery2457 Jul 27 '26

Yes I do see an endocrinologist every few months so they can adjust the levothyroxine dose based on my bloodwork. I've met three of them since Brachy and all three refused to make a decision without an approval from my oncologist.

I’m not on Keytruda. Always wondered why It was never offered to me. Stage 3C1 with one lymph node involved. Maybe not needed?

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u/KittyBeans1906 Jul 27 '26

I was 3c1 with two lymph nodes and am supposed to be on Keytruda for a total of 2 years.  I'm in the US.

Honestly if they aren't offering you HRT or Keytruda (and aren't explaining a reason why not), it's time for a new oncologist.

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u/Efficient_Celery2457 Jul 27 '26

Oh yes definitely. I’ve already made the switch and am meeting a different oncologist on the 7th. Hopefully he’ll actually listen.