What's making me feel so dizzy? DR MARTIN SCURR answers your health questions

I’ve suffered from balance issues since late 2018. Although migraine is usually associated with headaches, sometimes they cause no pain at all In vestibular migraine, the dizziness tends to come before the visual disturbance, and most patients do not experience headache. A family member who is 40 is experiencing difficult menopausal symptoms, but has had oestrogen-positive, low-grade ovarian cancer and is worried about recurrence if she takes hormone replacement therapy. One analysis of 350 women with hormone-positive ovarian cancer given HRT showed no difference in survival rate, incidence of breast cancer, stroke or heart attack when compared to a group of ovarian cancer patients who hadn’t tried HRT. So while there has been speculation that oestrogen-positive cancer might recur if the woman takes HRT, the general agreement based on the evidence we have is that it’s safe to prescribe it.