Hi Maria
Sorry for the late contribution, just accessed the forum for the first time in a while.
I had my RC two years ago, and had a surgical menopause. I think I have had as many hysterectomy related issues as neobladder surgery ones. After a number of minor problems (in relation to having been treated for bladder cancer) my wonderfully caring GP sent me to see a (female) oncologist 6 weeks post surgery to discuss the possibility of HRT. She said very much what has already been mentioned that as a premenopausal woman before surgey it was entirely right that I take oestrogen only HRT until I was about 55 (in my case that would be 6 years) as that’s what would be happening naturally. I was put on a very low dose to begin with to see how I got on.
Subsequently the dose has been raised as I continued to have menopause related problems. I am also using a vaginally applied oestrogen cream which has helped enormously with vaginal dryness and soreness. I saw a consultant gynaecologist regarding these issues and he was again wonderfully supportive and said that there were no valid reasons for not having these issues treated, there is no oncological reason and a woman’s quality of life post RC is fundamentally bound up with the loss of oestrogen if she was premenopausal before surgery.
The bloody discharge you mention – I’m sure you will want to talk to your doctor about that.
Kind regards
Sarah