Yes, you should definitely consult your physician for the hot flashes. While women who do not have breast cancer benefit with hormone replacement therapy (HRT) for menopausal symptoms, the use of HRT in breast cancer is a debatable subject. This is because estrogen-containing hormonal pills carry the risk of stimulating the growth of breast cancer. Nevertheless, control of the bothering menopausal symptoms is also essential. I'll, therefore, suggest you talk to your physician to determine which hormone therapy is best for you.