May 28, 2023

213. You Are More Than Just Your Breast Cancer - Hormones and Breast Cancer

52 minutes

You Are More Than Just Your Breast Cancer - Hormones and Breast Cancer

Dr. Corinne Menn is a board certified

OBGYN and North American Menopause Society Certified Menopause Practitioner.

She has a special interest in areas often

neglected in women's health: Perimenopause and menopause, the unique needs of

female cancer survivors and those at high risk for breast cancer.

Dr. Menn tells us her story of

breast cancer dx at age 28, going through menopause three times and is now a

pro-hormone educator.

Dr. Menn discusses taking

systemic hormones and her journey and how it has changed her life.

Why are doctors and patients so afraid of hormones?

Doctors are so risk adverse – but let’s talk about the risks of

not treating menopause.

The myth that estrogen causes cancer.

How Tamoxifen works.

Breast cancer nomenclature – estrogen positive – this doesn’t mean

estrogen caused the cancer – we clarify.

The nuance of being overweight and risk of breast cancer.

The number one killer of women with history of breast cancer is

heart disease.

Safety of systemic hormone replacement therapy in breast cancer

survivors

Article in Breast Cancer Research and Treatment · January 2022 –

Dr Bluming

"Twenty-five studies of HRT after a breast cancer diagnosis,

published between 1980 and 2013, are discussed, as are the 20 reviews of those

studies published between 1994 and 2021. Only 1 of the 25 studies, the HABITS

trial, demonstrated an increased risk of recurrence, which was limited to local

or contralateral, and not distant, recurrence. None of the studies, including

HABITS, reported increased breast cancer mortality associated with HRT. Even in

the HABITS trial, the absolute increase in the number of women who had a

recurrence (localized only) associated with HRT administration was 22. It is on

the basis of these 22 patients that HRT, with its demonstrated benefits for so

many aspects of women's health, is being denied to millions of breast cancer

survivors around the world."

The problem with the HABITS trial.

Why are we scaring women so much about breast cancer?

Who is the right breast cancer survivor to start hormones? A good

candidate?

Are we overtreating with aromatase inhibitors?

Podcast partnership today: Always Discreet

https://www.instagram.com/alwaysdiscreet/

Bluming AZ. Hormone Replacement Therapy After Breast Cancer:

It Is Time. Cancer J. 2022 May-Jun 01;28(3):183-190.

Young Survival Coalition

https://youngsurvival.org/

Vaginal Estrogen

for people with a history of breast cancer: https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2021/12/treatment-of-urogenital-symptoms-in-individuals-with-a-history-of-estrogen-dependent-breast-cancer

Dr. Menn is an Alloy Health Medical Advisor and Prescriber

www.myalloy.com

http://www.drmenn.com/

https://www.instagram.com/drmennobgyn

https://www.tiktok.com/@drmennobgyn

https://www.facebook.com/drmenn

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By Kelly Casperson, MD

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