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Can you please tell me for what condition you are on HRT for?
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Alright, breast tenderness, discomfort, enlargement in size, fibrocystic changes are the most common side effects of Premarin, so whenever, a person on Premarin complains of breast discomfort, it is usually due to the Premarin.
Having said that, it is prudent to get a breast exam and a mammography done when on HRT and between the ages of 45 to 75 years.
This is because HRT can infrequently lead to breast tumors, this is rare in people who do not have a family history of breast cancer or other risk factors but nonetheless, self exams, follow up visits to the Obs/Gyn and mammography are recommended for patients who are on HRT and are also experiencing breast symptoms.
The best course of action will be to talk to your physician either on the phone or a visit. Changing dosages not endorsed by prescribing physicians can create problems with further follow ups and refilling of prescriptions. To get an exam and a mammogram of the breast is also a protocol here specially if you have not had one done in the last 2 years. The benefits outweigh the risks and for mammography in this situation, a referral is not required. You can just book your appointment.The physician will judge based on your symptoms whether a dose reduction or a dose readjustment is required, there may also be a need to substitute the medication with another form of HRT.
There are so many variations on how the drug can be given that it should be done under supervision of a doctor to monitor the effect v/s side effect of the drug and titrate the doses accordingly.
That depends on your level of comfort and how adversely this discomfort is affecting your daily routine and quality of life. Furthermore, you can get a mammogram done in Australia as well, a self breast exam for any lumps or pin point tenderness, nipple discharge specially bloody and any skin dimpling should alert you to seek medical advice asap.
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