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You made it through treatment, heard the words “cancer free,” and then the questions started piling up: Why am I still exhausted? Where did my libido go? Why does my body feel like a stranger? We’re tackling life after cancer with a clear-eyed look at hormones, quality of life, and the difference between avoiding recurrence and actually feeling well.

We break down what survival medicine prioritizes versus what optimization requires, showing how blanket rules like “no hormones ever” fail many women. Not all breast and ovarian cancers are the same, and neither are your risks or goals. We talk through ER/PR-positive versus negative subtypes, BRCA considerations, and the real factors that should shape care: time since treatment, recurrence risk, symptom severity, and personal values. From there, we explore practical options with nuance—low-dose vaginal estrogen for genitourinary health, carefully dosed testosterone to support muscle, bone, mood, and libido and why doing nothing can carry its own risks for inflammation, insulin resistance, and cardiovascular disease.

You deserve individualized care, informed choice, and a plan built around your life. Tune in for evidence, options, and encouragement you can use now. If this conversation helps, share it with someone who needs it, subscribe for more grounded women’s health, and be sure to leave a 5-star rating and review to help others find the show.

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