Navigating Menopause After Cancer

Everyone’s Talking About Creatine. But Should Cancer Survivors Take It? Creatine seems to be everywhere right now. But what actually is it, what can it do for our strength and muscle, and the big question for this community: is it safe to take after cancer, and can it help with symptoms of menopause? Today I have two brilliant experts to help us understand both the potential benefits and the safety of creatine after a cancer diagnosis. First, you'll hear from Dr Eleonora Teplinsky, medical oncologist, who helps us unpack what we currently know — and importantly, what we still don't know — about creatine and cancer. The evidence specifically in people affected by cancer is still limited, so this is an important part of the conversation. Then I'm joined by Sarah Newman, oncology exercise specialist and founder of Get Me Back, to take the conversation into the practical world of exercise, strength and recovery after cancer. We talk about what creatine actually does, why maintaining muscle matters so much as we age and go through menopause, and why resistance training is such an important part of the picture. We also get practical: Do you have to lift heavy weights? How often should we be strength training? Can creatine help if you're not an athlete? What type should you take? Does it cause weight gain? And where should someone start if cancer treatment has left them feeling weak, exhausted or simply disconnected from exercise? Because this isn't really an episode about taking a scoop of powder. It's a conversation about rebuilding strength after cancer, understanding our bodies, and finding out what might genuinely help us feel stronger again. Episode Highlights: 00:00 Intro 04:37 Building healthy habits step-by-step 08:13 Building strength after cancer treatment 10:46 Discussing exercise and creatine use 14:59 Importance of diet and recovery 16:54 Concerns about effective muscle maintenance 22:58 Creating supportive exercise spaces 26:34 Rebuilding muscle after chemotherapy 27:57 Incorporating exercise for bone health 32:37 Benefits of strength training 34:30 Supporting diverse health needs Disclaimer: This episode is for education and information and isn't a substitute for personalised medical advice. Please speak with your healthcare team before starting creatine or any new supplement, particularly during cancer treatment or if you have other medical conditions. Current cancer-specific evidence on creatine remains limited. (Oncology Nursing Society) Here are the links mentioned in this episode: Dr Teplinsky’s article on Creatine: https://drteplinsky.substack.com/p/creatine-supplementation-after-a Find Sarah and her Get me Back Exercise Programs here: https://www.getmeback.uk/ Find Dr Teplinsky’s new book here: https://www.waterstones.com/book/beyond-the-pink/eleonora-teplinsky/9781538777145

What if tamoxifen and aromatase inhibitors weren’t the only options? For many people with hormone receptor-positive breast cancer, endocrine therapy can be lifesaving – but it can also be incredibly difficult to live with. Joint pain, sleep problems, sexual health changes, bone health, weight and metabolic changes can all have a significant impact on day-to-day life. And for some, the question becomes: what else is there? In this episode, Dani is joined by oncologist Dr Eleonora Teplinsky, author of Beyond the Pink: Navigating Life, Health, and Breast Cancer, to explore the changing landscape of breast cancer treatment and survivorship. One of the big topics is SERDs – a newer generation of endocrine therapies that are creating a lot of interest in the breast cancer world. What are they? How are they different from tamoxifen and aromatase inhibitors? What did we learn from the LIDERA study? And could having more endocrine treatment options eventually make a meaningful difference for patients struggling with side effects? But, as always, this isn't only about the science. Dani also sits down with Rachel Bowman, breast cancer survivor and Director at Menopause and Cancer, to mull over what all of this actually means when you’re the person taking these treatments Dr Teplinsky also shares the thinking behind her new book, Beyond the Pink, which brings together evidence-based, practical information about the questions people often don't have enough time to explore during an oncology appointment. Here are the links mentioned in this episode: Find Dr Teplinsky’s new book here: https://www.waterstones.com/book/beyond-the-pink/eleonora-teplinsky/9781538777145 Watch this Substack video with Dr Teplinsky on Serds: https://drteplinsky.substack.com/p/ob-gyn-x-oncologist-session-2-asco Episode Highlights: 00:00 Introduction 04:31 Discussing rising early-onset cancers with Dr Teplinsky 09:05 Discussing limitations of current treatments 11:46 Uncertainty with new treatments 16:26 Acknowledging emotional struggles post-chemo 19:10 Evolving breast cancer treatment 22:07 Cancer treatment advancements discussion with Rachel 24:06 Discussing cancer drug availability 28:17 Managing menopause and cancer treatment 31:52 HRT journey in Dubai 36:08 Encouragement for endocrine therapy patients Connect with us: For more information and resources, visit our website: www.menopauseandcancer.org Follow us on Instagram @menopause_and_cancer Find us on YouTube: http://www.youtube.com/@NavigatingMenopauseAfterCancer Join my NEW blog ‘Still Becoming’ on Substack: https://substack.com/@danibinnington?... Buy my book ‘Navigating Menopause After Cancer’: https://amzn.eu/d/07dUoYBb Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

After more than 200 episodes of conversations with doctors, researchers, therapists, cancer specialists and, most importantly, people navigating menopause after cancer themselves, I’ve learned a lot. Last week, a dream came true, and we hosted our first global menopause and cancer conference for healthcare professionals - and so for this episode, I’m doing something a little different. I’m sharing five things I now know to be true (I know, a bold statement!) about menopause after cancer. Things I’ve learned at the conference and things I’ve learned over the years. You might disagree with me - but here are mine (for today anyway!): There is rarely one “right” answer. Especially when it comes to HRT after cancer, risk and personal choice. Treatment shouldn't mean simply putting up with everything. We need to talk about the impact of treatments such as tamoxifen and aromatase inhibitors — and what can be done to help. The things that might sound “small” can have an enormous impact. Hair, vaginal and bladder symptoms, painful sex, body changes — these things matter. Menopause after cancer isn't just physical. Anxiety, sleep, confidence, relationships, identity and that feeling of “Who am I now?” There is almost always something we can do. We need to look beyond the medical and expand our thinking. From non-hormonal medications and symptom-specific treatments to movement, sleep, psychological support, lifestyle and community — often it's about finding your own combination of things that help. Episode Mentions: Episode 74 - Why Would a Menopause Specialist Who Had Breast Cancer Take HRT? Episode 71 - Combat Hair Issues in Menopause After Cancer Episode 75 - From Anxiety to PRSD with Dr Nina Fuller-Shavel Episode Highlights: 00:00 Intro: Four years of podcasting milestones 04:48 Reflection on September's new beginnings 12:47 Discussing treatment after cancer 17:08 Podcast impact on cancer treatment 27:31 Struggling with menopause and mental health 29:34 Finding support in online groups 34:46 Navigating menopause after cancer Connect with us: For more information and resources, visit our website: www.menopauseandcancer.org Follow us on Instagram @menopause_and_cancer Find us on YouTube: http://www.youtube.com/@NavigatingMenopauseAfterCancer Join my NEW blog ‘Still Becoming’ on Substack: https://substack.com/@danibinnington?... Buy my book ‘Navigating Menopause After Cancer’: https://amzn.eu/d/07dUoYBb Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

Ah, this was a great start to such an important episode! I literally did no planning AT ALL! I just wanted to know from Dr Jordan Emont, our guest on today’s show, if there is a common question he gets asked by his patients in his clinic. And after getting such lovely personal insights into Jordan’s life, we ended up having an evidence-based conversation about testosterone after cancer, especially for people navigating menopause after breast cancer. We dig into why access in the US is getting harder not easier and how clinicians think about balancing quality of life with safety when the data is still limited. This episode is so true to all the conversations we have on this podcast because it sits right in the middle of a real-world clinical grey area: patients want relief, oncologists want reassurance, and doctors are trying to make thoughtful decisions without perfect long-term trials. Jordan also shares how this topic is evolving in guidelines, why he thinks testosterone can help some people stay on aromatase inhibitors, and where caution still makes sense. Episode Highlights: 00:00 Intro 09:57 Challenges in Women's Health Narratives 13:37 Differences in hormone treatments 17:25 Aromatase inhibitors in breast cancer 18:55 Discussing testosterone for cancer survivors 23:15 Testosterone use and sexual health 25:54 Discussing health and energy levels 30:10 Long-term safety of testosterone use 32:10 Checking testosterone levels timing 35:58 Balancing safety and quality of life 40:54 Testosterone's role in breast cancer 44:39 Discussing hormone therapy benefits 48:47 Testosterone use after prostate cancer Here are Dr Emont’s links: Here is his Substack about testosterone this which he’s made free to access: https://drjordanemont.substack.com/p/testosterone-after-breast-cancer Here’s Dr Sarah Glynne's paper on testosterone to treat menopausal symptoms: https://journals.lww.com/menopausejournal/fulltext/10.1097/gme.0000000000002777~use-of-transdermal-testosterone-to-treat-menopausal-symptoms Connect with us: For more information and resources, visit our website: www.menopauseandcancer.org Follow us on Instagram @menopause_and_cancer Find us on YouTube: http://www.youtube.com/@NavigatingMenopauseAfterCancer Join my NEW blog ‘Still Becoming’ on Substack: https://substack.com/@danibinnington?... Buy my book ‘Navigating Menopause After Cancer’: https://amzn.eu/d/07dUoYBb Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

“Night sweats. I cannot go on like this. What are people taking who can’t take HRT?” That was a recent post in our community and the replies came flooding in. Venlafaxine. Oxybutynin. Acupuncture. HRT. Lifestyle changes. So many people trying different things to manage debilitating hot flushes and night sweats after cancer. But increasingly, two new names are appearing in these conversations: fezolinetant (Veoza) and elinzanetant (Lynkuet). These newer non-hormonal medicines have been specifically developed to treat menopausal hot flushes and night sweats. But what are they? How do they work? And, crucially for our community, can you take them after cancer? I’m joined once again by the wonderful Dr Zoe Schaedel, NHS GP, menopause specialist and sleep expert, to give us a practical roadmap. We discuss: How fezolinetant and elinzanetant work and why they're different from some of the older non-hormonal options What we currently know about their use following different cancers Side effects, contraindications and the concerns you've perhaps heard about How to actually access them Why access can vary across the NHS What your local formulary and its “traffic light” classification can tell you Whether your GP can prescribe or whether you may need a menopause specialist or oncologist And for our listeners outside the UK, we also talk about some of the barriers to accessing these medicines elsewhere, including the frustrating issue of insurance coverage in the US. We’ve been following this story for a while… Way back in Episode 46, I spoke to Professor Waljit Dhillo, one of the researchers behind this new approach to treating hot flushes. At the time, these medicines felt like an exciting glimpse into the future. Well, the future is here. People in our community are now taking them and we're hearing experiences like this: “Veoza!! After a year on these, I am starting to get a few again, but still a million times better than before!” So this episode moves the conversation from “What might be coming?” to: Could this be an option for me and how do I get it? Episode Highlights: 00:00 Intro 06:23 Treating menopause with neurokinin blockers 09:36 Navigating menopause after cancer 12:02 New menopause treatment options 15:15 GP and menopause specialist roles 19:14 Discussing Vioza and cancer treatment suitability 21:59 Discussing Vyosa and cancer treatment safety 24:47 Observing NICE approval process 29:46 Helping patients stick with treatment 30:26 Discussing Vioza side effects 33:41 Discussing Vioza safety concerns 40:00 Access to new prescription approval 40:47 Understanding UK Medication Access Here is more info about Dr Zoe Schaedel: https://www.mylahealth.co.uk/ Other episodes mentioned today: Ep 124 “How to Fix Your Sleep Issues – From Medication to Mindfulness” Ep 143 “Alternatives to HRT. Prescribable Non-Hormonal Options” Ep 146 “Your Plan For Better Sleep.” And have a listen to Episode 46: A Revolutionary Non-Hormonal Treatment for Hot Flushes! with Professor Waljit Dhillo to hear where this story began. As always, this podcast is for information and education and isn't a substitute for personalised medical advice. Please discuss your individual circumstances and treatment options with your healthcare team. Connect with us: For more information and resources, visit our website: www.menopauseandcancer.org Follow us on Instagram @menopause_and_cancer Find us on YouTube: http://www.youtube.com/@NavigatingMenopauseAfterCancer Join my NEW blog ‘Still Becoming’ on Substack: https://substack.com/@danibinnington?... Buy my book ‘Navigating Menopause After Cancer’: https://amzn.eu/d/07dUoYBb Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub