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OBGYN & Menopause Specialist Telehealth & Education Consults Breast Cancer Survivorship
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#menopause#mht#womenshealth#breastcancersurvivor#postmenopausalbleeding#bleeding#psa#education#hormonetherapy#estradiol
Recent posts
PSA If you cannot take systemic hormone therapy or choose not to you are NOT doomed!
BUT you must be informed and empowered in how you manage menopause.
For most women the benefits of HT outweigh the risks and there are many benefits.
For women who cannot use HT missing out on the benefits can feel frightening.
Take it from me I went through premature menopause three times twice temporarily once permanently when my ovaries were removed in my early 30s due to cancer treatments. I spent decades estrogen deprived.
Did I lean into all the pillars of lifestyle medicine? No.
Did I consistently use safe vaginal hormones? No.
Did I get help for my hot flashes and insomnia? Not much!
Do I know better now? Yes!
Am I doomed? NO!
When we know better we can do better.
Women who cannot use HRT CAN have a good health span.
But they need our help!
✨ Recognize the effects of estrogen loss
✨ Leverage lifestyle medicine non hormonal options vaginal hormones
✨ Heart health IS brain health and the key to preventing dementia CVD and frailty
18 Mar 2026
Evidence based medicine includes the best available clinical data + clinical expertise + the individual patient and her goals/preferences.
This is why these conversations are so important.
Head to my Substack to see what @dr.goldsteinshareswisdom and I discuss about managing postmenopausal bleeding in women on MHT…. And what he wishes were written in the updated guidelines.
#menopause #MHT #postmenopausalbleeding
10 Nov 2026
Excited to share the excellent interview I had with @dr.goldsteinshareswisdom about the new ACOG guidelines on management of postmenopausal bleeding .
This conversation is very important because we are managing post menopausal bleeding in a world where we’re seeing more cancer in women and increasing rates of endometrial cancer in certain populations , at the same time as more women are using menopausal hormone therapy.
There are many doctors and other clinicians new to managing women with menopause and the clinical expertise that Dr. Goldstein gives is essential when interpreting guidelines.
Clinicians are faced with management decisions for women with post menopausal bleeding.
Guidelines are never perfect , and in this example , there are some significant issues that’s deserve further discussion.
if you are a doctor or clinician managing patients in menopause, I urge you to listen to the full recording over at my Substack.
Patients who are concerned about bleeding and want to be educated mote will find this interview helpful.
Questions drop them below or comment over on my Substack.
#menopause #bleeding #mht
09 Nov 2026
PSA: there’s NO increased risk of blood clots with transdermal estradiol products: patches, gels, spray, vaginal ring.
Additionally, ACOG states that women can stay on their birth control pills perioperatively which carry a much higher risk of clots than oral estradiol as long as there’s no expected, prolonged period of immobilization.
Most women going in for routine surgeries are expected to be up and walking after surgery. In fact, it improves recovery.
Sooooo can we stop with this?? Thanks 😘
#psa #education #hormonetherapy #womenshealth #estradiol
05 Nov 2026
It's here!!! Comment POD and I'll send you the episode. Please share this with a friend of yours who may be going through a breast cancer diagnosis, is a survivor, or has a high risk of breast cancer. I pray this conversation with @drmennobgyn educates, equips and encourages you!
05 Nov 2026
Cheering the start of a new day with my favorite blue coffee mug :)
#womenshealthmatters
04 Nov 2026
Tomorrow, our episode with @drmennobgyn airs, and I truly cannot wait for you to hear this conversation! 🤍
We cover SO much—breast cancer survivorship, previvors (women at high risk who have not been diagnosed), hormone replacement therapy, life after breast cancer, and what it looks like to take a comprehensive, whole-body approach to your health and healing after a diagnosis.
And here’s what I really want you to know: This episode is not just for breast cancer survivors. It’s for EVERY woman.
But I especially pray that this conversation reaches the women who have walked through breast cancer, have a strong family history, or have been told their options for feeling well as they age are limited.
The women who have wondered, Where do I fit in medicine? What options do I have? How can I not just survive, but truly thrive as I age?
You deserve answers. You deserve individualized care. And you deserve to know that your health and quality of life still matter.
Comment POD below, and I’ll send you the link to subscribe so you’ll be the first to know when the episode drops! 🎙️🤍
Please, please share this episode with a friend who needs to hear it. My prayer is that it brings hope, encouragement, and a renewed sense of possibility to so many women. 🤍
04 Nov 2026
To all of you who have registered and expressed an interest in the meno-abc study, you should expect to receive an email from [email protected] later this week asking you to complete a survey about your breast cancer and your menopausal symptoms, and the care that you have received.
Please do check your inboxes and make sure it hasn’t gone into your junk mail folder if you haven’t received anything by the weekend.
Thank you to the over 3000 women who have signed up to share their experience with menopause after breast cancer. This preliminary survey will help the researchers plan the eventual MENO-ABC trial on menopause hormone therapy after breast cancer.
For more information:
https://www.londonbreastcancer.com/meno-abc-trial
Please don’t worry if you did not sign up in time to participate in the preliminary survey . You can still sign up to participate in the actual future study and get updates.
#menopause #breastcancer
03 Nov 2026
A breast cancer diagnosis can bring menopause on quickly, early, and often with more intense symptoms — at an already difficult time.
Join us virtually on Tuesday, November 10 from 12–1 PM ET for Menopause After a Breast Cancer Diagnosis, a candid conversation with leading experts about what’s happening in your body and the treatment options that can help.
We’ll cover hot flashes, sleep changes, weight gain, and other common symptoms, along with the vaginal, urinary, and sexual health changes that too often go unspoken. Our experts will also discuss the range of non-hormonal treatment options available and how to work with your care team to find support that’s right for you.
Featuring:
Donna Klassen, Co-founder & CEO, Let’s Talk Menopause (moderator)
Dr. Laila Agrawal, Breast Medical Oncologist, Norton Cancer Institute
Dr. Mindy Goldman, Chief Clinical Officer, Midi Health
Dr. Corinne Menn, OB-GYN; Menopause & Breast Cancer Survivorship Specialist
The 60-minute virtual event will include a 45-minute expert panel followed by 15 minutes of audience Q&A.
Register to join us for free from anywhere.
Generously supported by @CohenGive @officialfutureallies
Partners: @breastcancerorg
Panelists: @dklassen78 @drmennobgyn @drlailaagrawal @dr.mindygoldman @midihealth
#YouAreNotAlone #BreastCancerCommunity #MenopauseCare #CancerCare #Caregivers #BreastCancerAwarenessMonth #LetsTalkMenopause
03 Nov 2026
Maybe I should’ve eaten better.”
“Maybe I should’ve exercised more.”
“Maybe I caused this.” 💔
Let’s stop blaming ourselves.
Breast cancer isn’t as simple as one food, one habit, or one lifestyle choice. Most people diagnosed don’t even have a family history—and getting cancer doesn’t mean you did something wrong.
We can do our best to lower our risk, but we cannot live perfectly enough to guarantee we’ll never get cancer.
So let’s make room for prevention without shame, awareness without fear, and healing without guilt. ❤️
🎙️ Tune in to Episode 74 of YOUR HEALTHIEST HEALTHY — PODCAST @drmennobgyn
for more real talk about breast cancer, genetics, and the things we often get wrong.
Comment “PODCAST” and I’ll send you the episode.
#yourhealthiesthealthy
#breastcancersurvivor
#menopause
01 Nov 2026
“You’ll just have to live with it.”
Too many breast cancer survivors hear that about menopause symptoms. I don’t think that’s good enough. 💗
Vaginal dryness, pain, recurring UTIs: these are real, and they deserve a real conversation. Sometimes that includes options like low-dose vaginal estrogen, decided together with your oncology team.
Not every treatment is right for everyone. But every survivor deserves to hear her options.
💌 Send this to a survivor who deserves more than “live with it.”
#BreastCancerSurvivor #Menopause #perimenopause #WomensHealth
31 Oct 2026
This is big news — and of course @usatoday’s @lauratrujillowords broke the story! Thanks to dedicated advocates like @drrachelrubin @kellycaspersonmd @drmennobgyn who keep showing up and speaking up, the FDA has been listening — and responding. Never would have been on my bingo card two years ago, but here we are. I always have @omisadeburneyscott guiding my wonky policy brain toward solutions that ensure equity for all. While OTC availability will likely make vaginal estrogen more accessible, we have to be sure it doesn’t fall prey to price gouging without guardrails of insurance and Medicaid, imperfect and incomplete as those currently are. (Make it automatically covered by Medicare, please!!) And definitely get ahead of supply and demand issues. Anyway, for now it’s cool news to close out the bananas month that has been October!
30 Oct 2026
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