I was diagnosed with invasive ductal carcinoma in January. Due to being ER+, PR+ and HER2 positive, I had to stop HRT straight away, which meant a return of hot flushes and I was prescribed Venlafaxine to help with this. I started taking 37.5mg and was told I could increase to 75mg after a couple of weeks. I chose to stick on the lower dose, as I knew I would be going on hormone blockers further down the line. I've now been on letrazole for a month and the hot flushes have started again. I have got the option to increase my venlafaxine, but have been waiting to see if the flushes lessen as time goes on. I would be interested to hear from anyone on letrazole that has had hot flushes. Did they get less as time went on?