Your patient may have other healthcare needs that you need to manage as their GP that are complicated by their genetic predisposition to cancer.

Family Planning

If your patient is considering a pregnancy they may wish to consider preimplantation genetic testing.

Genomics Education Programme: preimplantation genetic testing

Contraception

Hormonal contraceptives carry additional risk of some cancers but can reduce risk of others. Consider both risks and benefits to your patient and counsel them appropriately. Refer to UKMEC guidelines when prescribing. NICE guidelines are also available:

COS RH: UK MEC guidelines

NICE: risk reduction and treatment strategies

HRT

There is joint British Gynaecological Cancer Society and British Menopause Society Guidance about the use of HRT in inherited cancer predisposition syndromes.

BGCS: BMS Guidelines on Management of Menopausal Symptoms after Gynaecological Cancer

Patient information leaflets about using HRT with a family history of cancer can be found below.

Dr Louise Newson: family history of breast cancer should I take HRT and testosterone

Eve Appeal: menopause, HRT and cancer: everything you need to know