Managing Menopause When Cancer is a Concern with Dr. Mindy Goldman

Managing menopause in the face of cancer can be complicated. Many women are made to think that they should just be grateful to be alive and not complain about their all day all night hot flashes, brain fog and sex that is excruciatingly painful. Many oncologists are not experts when it comes to menopause or sexual function and don’t bring it up or give information that isn’t accurate. Many women aren’t aware that hormone therapy may be safe, and if it’s not, that there are non-hormonal options to solve virtually every problem.
In this Q and A episode I am joined by Dr. Mindy Goldman, the Director of the Gynecology Center for Cancer Survivors and At-Risk Women at UCSF and the Chief Clinical Officer at Midi Health.
• Options to treat vaginal dryness when taking an aromatase inhibitor
• Options to prevent bone loss if estrogen is not an option
• Using testosterone to help libido with a breast cancer diagnosis
• If it is OK to take hormone therapy with an ER negative breast cancer
• If it is OK to take hormone therapy with a recent or remote diagnosis of an ER positive breast cancer
• Hormone therapy with endometrial (uterine cancer)
• Hormone therapy post lung cancer
• If estrogen will decrease the risk of colon cancer if there is a genetic pre-disposition such as Lynch syndrome
• If someone is at risk of breast cancer, are some forms of hormone therapy better to use than others 
• Why you are asked about estrogen use when you have a mammogram
• Is it safe to use hormone therapy with a BRCA mutation
• Should a hysterectomy be performed along with ovary removal with ovary and tube removal
• If radiation from a mammogram increasesthe risk of getting breast cancer? 
• If it is safe to use hormone therapy with dense breasts
• And much more…
Mindy Goldman MD
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Dr. Goldman is the Chief Clincial Officer at Midi Health and a Clinical Professor Emeritus in the department of OB/GYN at UCSF, where she is also the Director of the Gynecology Center for Cancer Survivors and At-Risk Women. She has worked with both the American College of Ob/Gyn (ACOG) and the National Comprehensive Cancer Network (NCCN) and is a nationally recognized expert in the management of women’s health issues, including menopause, for women with cancer or at high risk.


Other Episodes of Interest
Episode 92 Estrogen Cancer Conundrums?
Episode 114- Is Duovee the Ideal Hormone Therapy?
Episode 124 All Hormones Are Not Created Equal with Dr. James Simon
Episode 133 Best Breast Advice When it Comes to Hormone Therapy with Dr. Corinne Menn

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medi