408 - Can You Take HRT if You’ve Had Breast Cancer? | Menopause Taylor
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- เผยแพร่เมื่อ 27 พ.ค. 2024
- So what if you’ve already had breast cancer? What does that mean in terms of your eligibility for HRT? Where do you draw the line between being eligible for HRT and being ineligible for HRT? In this video, I’ll walk you through different scenarios and let you decide.
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I was diagnosed twice with Stage 1A, HR+, HER2- breast cancer. Going through treatment the second time being post menopausal was debilitating. After treatment and declining to take an aromatase inhibitor, I was threatened, vilified and scrutinized for wanting to take HRT. I couldn’t fathom compounding my symptoms with an AI . I am now taking HRT and have a preventive plan going forward that includes, taking a ctDNA test, ultrasound and mammogram every 6 months with a doctor who supports and understands that quality of life matters. Ladies it is YOUR choice and decision. Educate yourself watching Dr. Taylor’s videos, reading the contemporary findings now being talked about by Dr Mary Clair Haver, Dr Heather Hirsch, Dr Susan Hardwick, Dr Avrum Blooming and Lisa Monsconi, PhD. Thank you Dr Taylor so much for your contribution to this very important discussion, I am forever grateful ❤️
You are so very welcome, my dear. And I'm sorry you're in this situation. But please don't hesitate to schedule a consultation with me at MenopauseTaylor.ME if you want me to tailor everything specifically to YOU. I do them all online.
I will no longer let FEAR control me as I have learned from you…no matter what it is about.
FYI: Ed’s granddaughter (20 years old) calls me grandma and telephones me often. Yesterday, she said several women came in to the warehouse she works in and were fiercely fanning themselves. She went up to them asking if they were okay. They all chanted…hot flashes! Granddaughter then pipes up with: “you all have GOT to go to MenopauseTaylor, on TH-cam, and learn how to manage your menopause cuz it’s more than just hot flashes”.
The ladies were so impressed with her knowledge and said they would.
She asks me questions all the time about life. Love that smart young granddaughter.
Love you, too!!!! 💕
This is how you change things for the next generation. I love this! Ed's granddaughter is a menopause missionary!
Thank you! Truly illuminating! I had stage 0 DCIS and ended up with a double mastectomy and I have had every single doctor refuse and put SO much fear into me about hormones.
It’s been terrible but I’m persistent so I have been on hrt for at least 5 years and has changed my life for the better b/c I have a genetic risk for heart disease, dementia and osteoporosis so I’m more than comfortable taking HRT and only find my anxiety going up after I see a gyn or anyone in the cancer field (of course) thx for making this easy to understand
So wonderful to hear about your persistence paying off!
Thank you for your comment. I hope you don’t mind me asking a question, since I don’t have experience with or much knowledge about this. Why do they do a full mastectomy on a stage 0 DCIS “finding” which is technically not even cancer yet, since it has not spread beyond its original location? That seems insanely excessive to me. Do they offer other, more localized procedures, like a lumpectomy? What determines the choice with a stage 0 DCIS? I hope you don’t mind answering - I’m just so curious about this.
@@cm1906it was so long ago, I was young but they did do several lumpectomies, the doctor just couldn’t get it right & i ended up doing so much radiation treatment 2 months everyday! They don’t do it that much anymore, so, it destroyed my skin and gave me fibrosis so I’m always in terrible pain, that being said the doctor still didn’t get all the cells even after 3 lumpectomies and once you radiate the area like that you can no longer do another lumpectomy so mastectomy was mandatory. It was all quite devastating since I was in my early thirties and then a reconstructive surgeon almost killed me by doing a risky surgery and I ended up in the hospital for 6 weeks with a systemic infection I’m so lucky I’m alive! So I’m certainly not willing to have a poor quality of life on top of all my losses. Treatment is so aggressive and I stopped the tamoxifen it was putting me in post menopause at 32! Keep smiling 😊 life is still a beautiful ride
@@susanvanputten492Thank you very much for answering and sharing your story. I’m so sorry to hear what you had to endure and happy for you that you’re doing well now. Best wishes! 🍀
All the decisions should be yours. But you deserve to have the whole truth and the whole story before deciding. That's what this education gives you.
Who will give this lecture to oncologists, gynecologists and other medical professionals who routinely deny women HRT whether they’ve had breast cancer or not?
There is this menopause awareness happening right now, but it seems virtually all the “energy” is directed towards women, which is valuable and necessary, but here in the U.S. we hear NOTHING about any efforts “from the top down” to educate medical professionals. Who will get this done?! It makes me angry. We’re being sold menopause books, supplements, consultations, “retreats”, “cruises”, but I’ve yet to hear someone with the power say “This is what we’re doing on the ‘doctor front’ to ensure all women can obtain this evidence based treatment if they want it.”
It’s clear to me that The Menopause Society is not really working for women.
That's the problem! The medical professionals who should be helping you are doing what's in their legal best interest INSTEAD of what's in your medical best interest ... all because of one distorted study 22 years ago that scared everybody So now, the entire system is governed by fear.
I give the education directly to YOU because the system is not in place to help you. And if you don't advocate for yourself, you will not succeed.
I ma making educational resources for all professionals in all industries. But, still, the current guidelines allow them to neglect you.
@@MenopauseTaylor Thank you for your reply, Dr Taylor. I wonder whether doctors’ fear of litigation can be addressed on a “systemic” level somehow? (I don’t know how it works, but I know that you have a law degree.) Could The Menopause Society and other relevant organizations create legal documents for medical professionals to “download” and have their patients sign? They must know that fear of litigation is a major issue!?
It seems like SOMETHING has to be done on this front with more and more women getting educated now and asking for HRT.
I have tried and tried and tried to find a dr to prescribe hrt and NO ONE will give it to me. Stage 1 breast cancer lumpectomy and radiation NO hormone blockers
I’ve been to specialist but they all say they will be sued for malpractice if they give me hrt
So where are the doctors (in Northern California) that will give hrt to breast cancer survivors??????
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
A voice of Reason in an Irrational World. Thank you !
Thank YOU! I want to empower you to advocate for yourself.
Thank you again for this information. Its amazing . I think this is the best/most important of all your videos. Its life changing information.
Am i right in my understanding
that you said, when taking hrt with tamoxifen, this may increae the risk of breast cancer returning.
Also, onchologists say if b c returns, it can be metastatic.
That's what frightens people.
Im back on bodyidentical hrt after breast cancer treatment. Im much happier. It was a long journey to get here. Thanks
I'm so glad this education is helping you.
As for your question, this is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Thank you 😊 😊😊
You are so very welcome, my dear. You're a star student.
As a friend to another who went through "Hormone induced breast cancer", our conversations around Menopause are always disrupted by her fear of HRT and her understanding of the potential threats of adding hormones back into her system.
Since I really know nothing about they type of cancer she had, I am not able to get through to her about HRT.
This video helped immensely but as long as she see's hormones as a threat, I'm not sure if I'll be able to get through to her.
Any suggestions?
Do not ever say "You should" to any other woman.
Do not tell any woman to buy my book or watch my videos.
Menopause is the most neglected topic on Earth, and everything people hear is governed by fear. And the most feared topic of all is Breast Cancer
So, if you want to save lives, instead of saying "You should," do this:
Just talk about how little YOU knew before getting this education. Go on and on about how much of a difference it has made FOR YOU.
If you talk about YOURSELF instead of saying 'You should," you will save lives like crazy.
I do consultations so that each consultation client gets the education tailored specifically to HER. I do them all online.
Dr. Taylor, thank you so very much for educating us about all the pros and cons of HRT. I am a 75 yr old female with Crohn's and congestive heart failure. I had a full hysterectomy (ovaries removed as well) at the age of 50 by my GYN who said it would reduce the risk of ovarian cancer. I took HRT for 2 years following and then took myself off because of breast cancer fear. I have seen 2 recent videos of drs talking about the newest study done and the findings were (in general) that oral estrogen is what was causing the previous scare of heart and blood clot issues and that other and safer forms of estrogen, progesterone were much safer than previously thought. I do not have night sweats, but occasional hot flashes during the day. I am tired fairly often and experiencing more incontinence. Do you have any recommendations, please? How would I get a consultation with you? Thanks so much!
Susana,
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
@@MenopauseTaylor Thank you for your answer. I'll be scheduling a consultation soon
@@susanashcraft1417 I look forward to meeting you and helping you, my dear.
Hello, what are you thoughts on using a combination patch for HRT? Thank you in advance 😊 also not necessarily for post breast cancer. Just in general.
This requires tailoring to YOU, my dear. Please schedule a consultation with me at MenopauseTaylor.ME. I do them all online.
Good stuff! Question: Where did MHRT dosing standards come from? Are the standard doses perhaps low for women immediately starting MHRT when menopause started for greatest symptom relief?
The fact is that these dosages were established decades ago, back when it was routine to give all women HRT at the time of menopause. Between the mid 1900s and 2002, (2002 being when the WHI study mis-reported its findings), there was not a vast array of options for estrogen replacement. Instead, most women took Premarin, which is “conjugated estrogen” in the list of estrogen products. For decades, it was established that a minimal dosage of 0.625 mg was necessary to prevent heart attack, osteoporosis, and Alzheimer’s. Many women took dosages much higher than that. The minimal necessary dosages of other estrogen options that have been produced since then have been designated by determining equivalent dosages to Premarin 0.625 mg.
In the years before the WHI, all studies verified these minimal necessary dosages. They have never changed. What has changed is the fear of HRT. And that is the only reason anyone ever questions these minimal necessary dosages. Fear is the very reason that anyone even thinks about taking the “lowest dosage.”
@@MenopauseTaylor You are an amazing resource, Dr. Taylor!! Thank you kindly for your thorough response!
@@crepesuzette5540 You are so very welcome, my dear. I will always tell you the whole truth and the whole story. All the decisions are yours.
I was wondering about options for HR- HER2+ cancer. I’ve thankfully been given the clear after chemo, surgery and a short course of radiation, but no where can i find info on HRT regarding Her2+ cancer. Chemo threw me into menopause and I’m struggling greatly with joint pain, hot flashes and insomnia. I have my routine follow up with my oncologist soon and will try to discuss with her, but when I briefly brought it up before I could tell by her face she may not be on board. I only got the all clear 2 months ago so not sure if there is a length of time to wait? Thank you so much for this video, I was close to crying listening to you explain everything so clearly.
I can help you with this in a consultation, my dear. It requires tailoring.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Ok thank you. For your reply will consider this for sure as this can all be so overwhelming and confusing
@@KimGrein I hope to meet you and help you!
Hi how do you know when are done with perimenopause and are in menopause stage when on HRT, as in when to move from cyclical to continuous HRT?
Did you have to know or prove that you had entered puberty? Did you have to get a diagnostic test to prove that you had finished the transition through puberty? No. Your bodily changes, your moods, your relationship stress, and your psychological state were all so obviously due to puberty that you didn’t need any labs to tell you what was happening.
Your menopausal transitions are similar. Your goal is to make it all smooth so that your life does not reflect your rollercoastering & disappearing hormones.
If you want my help with your personal situation, please schedule a consultation with me at MenopauseTaylor.ME. I do them all online.
What is your opinion on taking Tamoxifen after stage 1 breast cancer in a perimenopausal patient, considering Tamoxifen is blocking estrogen?
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Dr Barbie, has there ever been a study conducted with giving Alzheimer’s patients HRT? I tend to think not, but wouldn’t that be interesting? 🤔
Remember, HRT cannot reverse diseases. It can only prevent them. If you never lost your estrogen you would not be at high risk for Alzheimer's. But once you have it, there is no treatment.
@@MenopauseTayloroh!! That makes sense total sense now that you’ve said that. After watching hundreds of your videos, I should’ve known that 😉 Thanks for clarifying 🥰
@@SparklyOne Learning is always a step-wise process. You are doing a great job of connecting the dots. I love having you as my student.
It would have been nice if you could have included the estrogen receptor-positive (ER-positive) breast cancer in your quiz. As you know, for that type of BC, HRT is not advised because the cancer cells have receptors that bind to the hormone estrogen. Therefore, since your assessment doesn't include that type of BC, with all due respect, I can't accept your advice as being very forthcoming. Some women may be fooled into thinking that HRT is for everyone who has recovered, which isn't the case. If you disagree with me, I'd be happy to read any medical studies would back it up.
Most people have misconceptions about the meaning and significance of “estrogen receptor” and progesterone receptor” status of breast cancer.
Think about it:
Your breasts have always responded to estrogen and progesterone.
• Your breasts grew at puberty when your ovaries started producing estrogen and progesterone.
• Your breasts became tender at the time of “Premenstrual Syndrome (PMS): just before your periods.
• Your breasts became tender in early pregnancy due to rising levels of estrogen and progesterone.
In order for your breasts to respond to estrogen and progesterone, they have to have estrogen receptors and progesterone receptors on some of your breast cells. You can think of receptor sites as parking places. Estrogen receptor sites are “estrogen-only” parking places. Progesterone receptor sites are “progesterone-only” parking places. These are the sites where estrogen or progesterone “park” in order to perform their normal functions on your breasts.
But only some of your breast cells bear these receptors.
All breast cancers begin with just a single cell that becomes cancerous. That one single cell replicates rapidly to form the cancer. And all the cells that comprise the cancer will be identical to that one cell.
If that one cells has estrogen receptor sites, then the cancer itself will have estrogen receptor sites. And that cancer will be “estrogen receptor positive.”
If that one cells has progesterone receptor sites, then the cancer itself will have progesterone receptor sites. And that cancer will be “estrogen receptor positive.”
But the designation of estrogen or progesterone receptor positive has nothing whatsoever to do with what caused the cancer. And this is where most people misconstrue the meaning of “estrogen receptor positive” or “progesterone receptor positive.”
Instead of pertaining to cause, the designations of “estrogen receptor positive” or “progesterone receptor positive” pertain to treatment.
Some cancers are treated by estrogen or progesterone. Others are not.
By associating the designation of “estrogen receptor positive” or “progesterone receptor positive” with cause rather than treatment, everybody has things upside down. So now people think that “estrogen receptor positive” or “progesterone receptor positive” mean that estrogen and progesterone cause breast cancer. They don’t. They just help identify the most appropriate treatment.
@@MenopauseTaylor Thank you for your reply. Your quote "But the designation of estrogen or progesterone receptor positive has nothing whatsoever to do with what caused the cancer. And this is where most people misconstrue the meaning of “estrogen receptor positive” or “progesterone receptor positive.”
It's common knowledge that introducing external hormones through HRT can stimulate the growth of these cancer cells, increasing the risk of cancer recurrence or progression. Therefore, if the designation of estrogen or progesterone receptor positive doesn't pertain to treatment, then why do doctors prescribe Tamoxfin & Aromatase inhibitors to REDUCE estrogen levels in the body and to prevent HR-positive breast cancer from spreading?! The fact is that medical peer reviewed studies have proven, that women who take such inhibitors, have a 50% less chance (10% risk reduced to 5% risk) of the BC returning. Of course, one can opt out of taking them, since the reduced risk is nominal, however, woundn't ttaking HRT only add fuel to the fire!? And if you disagree with the worldwide assessment of the above, then what you are saying, is that women are being systematically destroyed by the medical community. It can't be that doctors throughout the entire world have it all wrong! And do you have the same opinion with using HRT for other types of cancer, such as ovarian or colon cancer too?
@@ONEworld4PEACE All the decisions are yours, my dear. If you've watched all these breast cancer videos in order (55 in all), you know that there are many areas of consternation in the world of breast cancer that do not exist for other cancers.
@@MenopauseTaylor Unfortunately, you did not address my question about Tamoxofin & the reduced incidence of the BC returning when used. I don't have to watch all 55 videos to gather, that what you're saying is that the entire world of physicians has got it all wrong, which frankly is absurd.
@@ONEworld4PEACE I'm sorry I overlooked this, my dear. Tamoxifen reduces your risk of recurrent breast cancer 6%.