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You Are Not Broken

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

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5743 Ratings

🗓️ 28 May 2023

⏱️ 53 minutes

🧾️ Download transcript

Summary

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 --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

You are listening to You Are Not Broken, the only podcast that combines science, medicine, and psychology to re-educate your brain and help you live your best love life.

0:11.4

And I'm your host, board certified female urologist, Dr. Kelly Casperson.

0:16.8

Welcome back, everybody. I am so excited. This podcast is long overdue because we have been,

0:22.2

you guys have been asking and asking for hormone info with breast cancer survivorship.

0:27.3

And I listen and I hope to deliver and I have a new friend on that I want you to meet.

0:31.2

And her name is Dr. Crin Men and she is here to talk to us about all the things.

0:35.5

Thank you so much for coming on today.

0:37.6

Thank you for having me. I'm honored to be here.

0:40.6

You are. Dr. Corinne Men is a board-certified OB-Gyne and a North American Menopause Society's

0:44.8

certified menopause practitioner. She has a special interest in areas often neglected in women's

0:50.1

health, perimenopause and menopause, the unique needs of female cancer survivors and those at

0:54.9

high risk for breast cancer. You're the perfect person to come on and talk about this. So thank you

1:01.0

so much. Can you tell us your story about you're in training for Obie Gein and during your residency

1:07.5

you felt a breast lump? Can you bring us to the now with your journey?

1:12.6

Just to let people know, like, how you are the perfect person who knows all the data and cares deeply about this topic.

1:19.8

So in a nutshell, because this could be really an entire podcast, my story, because it's crazy.

1:24.7

But when I was 28 years old, I was the second year OBGYN resident.

1:29.0

I was only married for about a year. And I felt a lump. It was 2001 in residency in New York City.

1:34.9

I felt a lump. My mom had just been diagnosed with advanced ovarian cancer. And she didn't have

1:41.7

long to live. We had no family history of breast cancer. We had or ovarian

1:46.7

cancer. We had no risk factors. So my mom gets diagnosed. I'm very concerned. She's not going to

1:52.6

last long. I feel this little lump and my fellow physicians, all female physicians in my residency,

...

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