The Menopause and Cancer Podcast

Episode 179 - Vaginal Oestrogen After Breast Cancer: A Worldwide View and Guidance


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In this episode of The Menopause and Cancer Podcast, I’m joined once again by the incredible Dr Alison Macbeth – a top menopause specialist supporting breast cancer patients, and one of the key medical contributors to my book Navigating Menopause After Cancer.

This time, we’re diving deep into the topic of vaginal oestrogen after breast cancer — and what you’ll hear is the most up-to-date and comprehensive guidance out there.

We explore what’s happening across the world when it comes to access, safety, and prescribing practices — and zoom in on the current situation in the UK. 

We talk about the real barriers that cancer survivors face when trying to get treatment for vaginal dryness and genitourinary symptoms, and we unpack the science behind the risks and benefits.

If you’ve been told you can’t have vaginal oestrogen, this episode is especially for you. 

The landscape is shifting — and I want you to feel informed, empowered, and ready to explore your options.

This conversation and Dr Macbeth’s work, are a true gift to our community. I can’t wait for you to listen.

Episode Highlights:

00:00 Intro

08:06 Menopausal Urinary and Vaginal Issues

11:30 Breast Cancer's Impact on Women's Health

16:09 Vaginal Care: Tips and Products

17:29 Lubricant vs Moisturiser in Healthcare

24:40 Menopause Hormone Guidance Update

27:56 Aromatase Inhibitors and Vaginal Oestrogen

35:16 Vaginal Oestrogen and Cancer Risk

37:29 Medication Non-Compliance in Medical Studies

42:26 Menopause Care and GP Options

Get your copy of Navigating Menopause After Cancer here: https://www.amazon.co.uk/Navigating-Menopause-After-Cancer-comprehensive/dp/1068499907

Find out more about Dr Macbeth here: https://healthinmenopause.co.uk/meet-the-team/

Connect with us:

For more information and resources visit our website: www.menopauseandcancer.org

Or follow us on Instagram @menopause_and_cancer

Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

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The Menopause and Cancer PodcastBy Dani Binnington

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