179 - Advancing menopause care after breast cancer with Dr Sarah Glynne

The Dr Louise Newson Podcast

Dr Louise Newson

Health & Fitness, Mental Health, Medicine

4.8 • 798 Ratings

🗓️ 22 November 2022

⏱️ 35 minutes

🔗️ Recording | iTunes | RSS

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Summary

GP and menopause specialist, Dr Sarah Glynne, joins Dr Louise Newson on the podcast this week to discuss menopause care after breast cancer. The experts share more about the breast cancer steering group established as part of the Newson Health Menopause Society that is working towards producing a consensus statement to support clinicians and improve the quality of life for menopausal women who have had breast cancer. Dr Sarah Glynne discusses the importance of individualising the risk-benefit ratio for every woman when making decisions around treating the cancer and weighing this up with treating menopausal symptoms. Sarah emphasises the importance of talking through the implications of each of these considerations using a shared decision making process. Sarah’s three tips for women after breast cancer: Understand the risks and benefits of the drugs used to treat your breast cancer and what this means for you personally. Ask your oncologist for more information about your own breast cancer, if you are not sure. You can then use the PREDICT tool online for understanding more about your own cancer risks and what additional benefits any treatments may offer. Read about non-hormonal options to help your menopause symptoms and cancer recovery such as diet, yoga, or acupuncture. Try various approaches to find the ones that may bring some benefit to you. Vaginal moisturisers and lubricants may also help and these do not contain hormones, and there are other medications your GP may be able to prescribe for some of your symptoms such as hot flushes. If your menopause symptoms are severe and your quality of life is suffering, ask your clinician to explain the risks for you regarding your cancer prognosis if you decide to take HRT, versus the risks to your quality of life and long-term health if you choose not to take HRT. If you have genitourinary symptoms of soreness and dryness, vaginal hormones are very safe for improving these symptoms. Read information on the balance website and the book ‘Oestrogen Matters’ by Avrum Bluming, and make a choice that is right for you through discussion with your clinician using a shared decision making process.

Transcript

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0:00.0	Hello, I'm Dr. Louise Newsome and welcome to my podcast. I'm a GP and menopause specialist and I run the Newsome Health Menopause and Wellbeing Centre here in Stratford-Bron-Avon. I'm also the founder of the Menopause charity and the Menopause support app called Balance.
0:29.9	On the podcast, I will be joined each week by an exciting guest to help provide evidence-based
0:36.5	information and advice about both the perimenopause and the
0:40.9	menopause. Today on the podcast, I'm very delighted, excited to introduce to you someone who
0:51.6	I've known for a while and we've now got very close relationship
0:55.0	academically and friendship as well. So it's someone called Dr Sarah Glynn who has agreed to talk
1:01.6	today about some of the work we're doing which we're really excited about. So welcome Sarah.
1:07.4	Hi. So Sarah, you were introduced to me by your lovely husband, Paul, and my husband's
1:13.3	called Paul. So there you go, a bit of a connection there. And you, like me, have got another
1:18.8	degree as well as medicine, because obviously a medical degree isn't enough. For some of you who are
1:23.1	listening, know that I've got a pathology and immunology degree and you've got a degree in allergy.
1:28.4	So there's a big overlap actually.
1:30.2	And I hope you don't mind me saying this, our geekiness actually.
1:33.4	Absolutely.
1:34.9	Is that all right to say?
1:36.0	I'm very proud to be a fellow geek.
1:38.8	So we love seeing patients.
1:42.6	And, you know, medicine is a great great privilege and both of us get a lot of
1:47.3	satisfaction making people feel better when both went into medicine to make a difference to
1:53.3	help as many people as possible but actually with medicine you have to understand what you're
1:59.8	doing and sometimes it's really hard,
2:02.2	isn't it, to know what the best thing is for that patient sitting in front of you. And I know
	...

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