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unPAUSED with Dr. Mary Claire Haver

Can't Take Estrogen? Dr. Corinne Menn on Who Can, Who Can't & What's Changed

unPAUSED with Dr. Mary Claire Haver

Mary Claire Media, LLC

Medicine, Health & Fitness, Society & Culture

4.81.2K Ratings

🗓️ 2 December 2025

⏱️ 81 minutes

🧾️ Download transcript

Summary

In this episode, Dr. Mary Claire Haver sits down with Dr. Corinne Menn to tackle one of the most common questions in women's health: "Can I take estrogen?" As a board-certified OB-GYN, certified menopause practitioner, and 24-year breast cancer survivor, Dr. Menn brings both professional expertise and lived experience to this conversation about who can take hormone therapy, who can't, and what's changed in recent years. Dr. Menn's own story provides powerful context for this discussion. At just 28 years old, during her second year of medical residency, she discovered a lump in her breast just one week before learning her mother had recurrent ovarian cancer. Within days of her mother's sudden death, Dr. Menn received her own devastating diagnosis: breast cancer. What followed was a grueling journey through mastectomy, chemotherapy, and induced menopause while simultaneously completing one of medicine's most demanding training programs. Throughout this conversation, Dr. Menn shares the profound gaps in survivorship care that she experienced firsthand and continues to witness in her patients today. The medical system, she explains, is focused on treating cancer but often fails to prepare women for the marathon of side effects that follow, particularly the devastating impact of estrogen deprivation on sexual health, mental health, bone density, and cardiovascular risk. Guest links: Dr. Corinne Menn Dr. Corinne Menn (Instagram) Dr. Corinne Menn (Facebook) Dr. Corinne Menn (Alloy Health) Dr. Corinne Menn (LinkedIn) Dr. Corinne Menn (TikTok) Dr. Corinne Menn (YouTube) Dr. Corinne Menn (Substack) Dr. Corinne Menn (Young Survival Coalition) Books “The New Perimenopause,” by Dr. Mary Claire Haver “You Are Not Broken: Stop ‘Should-ing’ All Over Your Sex Life,” by Dr. Kelly Casperson ⁠"The New Menopause"⁠ by Dr. Mary Claire Haver This episode explores: -Why family history of breast cancer is NOT a contraindication to HRT -The truth about Factor V Leiden, fibroids, endometriosis, and migraines: what really excludes you from hormone therapy -The concept of "weird Barbie" and why perfect candidates don't exist -How the medical system is focused on treating cancer but often fails to prepare women for the marathon of side effects that follow, particularly the devastating impact of estrogen deprivation on sexual health, mental health, bone density, and cardiovascular risk -How women with BRCA mutations (previvors) can protect themselves from ovarian cancer while managing hormone loss -Why vaginal estrogen should be considered essential for breast cancer survivors -The critical safety difference between oral and transdermal estrogen -Non-hormonal options for managing hot flashes and night sweats -Why one in eight women lose ovarian function before natural menopause -The importance of updated genetic testing if you were tested before 2013-2014 -The profound gaps in survivorship care and why 89% of breast cancer survivors feel their menopausal care is inadequate -How addressing menopausal symptoms helps women stay adherent to life-saving cancer treatments and maintain quality of life. -What comprehensive, individualized care should look like for every woman For full show notes, please click here. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices

Transcript

Click on a timestamp to play from that location

0:00.0

So my whole thing is I want to try to find a way for women to have their cake and eat it too.

0:04.8

I want you to be treated for your breast cancer.

0:06.8

I want you to stay in your medications.

0:08.5

And if you need to be menopausal for them, either forever or for some period of time,

0:13.2

well, we need to support you in every other way.

0:16.1

Because it's very hard for women to hear all the benefits of HRT and all the problems when you lose

0:22.3

estrogen especially early. It's scary dementia, osteoprocious risk, cardiovascular risk goes up.

0:28.7

And so when you hear that, you're like, you're like, well, this is depressing. This sucks.

0:33.8

Well, maybe I shouldn't be doing these breast cancer treatments. And I'm like, no, you need to do your treatments, but we need to find a way to make them tolerable, to improve your quality of life.

0:52.6

The views and opinions expressed on unpaused are those of the talent and guests alone and are provided for informational and entertainment purposes only.

1:01.4

No part of this podcast or any related materials are intended to be a substitute for professional medical advice, diagnosis, or treatment.

1:09.9

Today on Unpaused, I am joined by someone who feels like

1:13.3

she's been in my life forever. Honestly, I can't even remember when Dr. Corinne Men and I first

1:19.5

connected, probably through a social media post. But from that very first exchange, she's become

1:25.2

one of the closest people in my professional circle. She's one of the

1:29.0

women I literally text with every single day in our group chat, and I can't imagine this work without

1:34.7

her. Dr. Men is a board certified obstetrician gynecologist, a certified menopause practitioner,

1:40.9

and a medical advisor and prescribing doctor at Alloy Health, a menopause telehealth

1:45.5

platform. She's also a 24-year survivor of breast cancer and premature menopause. Her story of

1:52.4

loss, survival, and resilience is one of the most gut-wrenching and compelling I've ever heard.

1:58.4

And beyond her story, she has taught me and so many others what true

2:02.6

survivorship looks like, what risk reduction really means, and why centering the patient experience

...

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