In this week’s episode of The Menopause and Cancer Podcast, Dani speaks with two of the authors behind the new paper, Menopausal hormone therapy for breast cancer patients: what is the current evidence? Professor Jayant Vaidya, Consultant Oncoplastic Breast Surgeon, and Dr Sarah Glynne, GP and menopause specialist.

This is the first of a two-part special exploring what this new paper and upcoming MENO-ABC clinical trial could mean for breast cancer survivors curious about HRT or already on HRT.

Up until recently, most experts thought a study like this would never happen — but it’s happening.

Together, they unpack:

• What’s new about this paper — and why it matters.
• The scientific and ethical concept of equipoise (yes, Dani learned a new word!).
• How the new MENO-ABC trial could change what we know about HRT use after breast cancer.
• What this research might mean for patients, clinicians, and the future of survivorship care.

Next week: Don’t miss part two, where Dani and Dr Sarah Glynne take a deep dive into testosterone use after breast cancer — what we know, what we don’t, and where the conversation is heading.

Links & Resources:

The paper: https://journals.lww.com/menopausejournal/fulltext/9900/menopausal_hormone_therapy_for_breast_cancer.532.aspx

The trial: https://www.londonbreastcancer.com/meno-abc-trial

Find Dr Glynne here https://www.clairemellon.co.uk/dr-sarah-glynne

Find Professor Vaidya here https://professorvaidya.co.uk/

Watch Dani’s 5-part Youtube series on HRT after breast cancer, start here: https://www.youtube.com/watch?v=heTF5ufX59Y&list=PLsUEBZ4ZwowpAQ1ueFUHlzDvzAtD_hyQr&index=6

Episode Highlights:

00:00 Intro

08:01 "HRT Debate and Its Impact"

09:48 Evidence-Based Breast Cancer Trial

13:46 Advances in Breast Cancer Treatment

16:43 HRT Risks Post-Breast Cancer

20:52 Oestrogen Risks in Cancer Relapse

23:17 "Clinical Trial Equipoise Explained"

29:00 "Expert Consensus and Criticism"

29:47 Collaborative Review Strengthened Research

32:52 Breaking Shame Through Conversations

36:04 Weighing Risks for Quality Life

41:57 "Prioritising Quality Over Longevity"

43:08 HRT and Breast Cancer Relapse Risk

Read all about HRT after breast cancer in Dani’s book “Navigating Menopause After Cancer’ in chapter 6: Buy it here: https://amzn.eu/d/0uLveeE

Many people in our community say it has become virtually impossible to shift the weight since cancer and menopause. So of course we ask ourselves: What role do GLP-1 medicines play in cancer survivorship and what do we really know about their safety, risks, and benefits?

In this episode, I’m joined by Caroline Tweedie, currently working as the lead cancer nurse in the North East of England. With over 17 years’ experience as a Clinical Nurse Breast Specialist, Caroline has dedicated her career to improving the lives of those affected by breast cancer and sits on the NICE committee shaping national breast cancer guidance.

We explore, with curiosity - and never with judgement:

- What GLP-1 medicines are and why they are so effective

- Safety concerns and what the evidence shows for cancer survivors

- Why these drugs matter in breast cancer survivorship

- The role of GLP-1s in weight, muscle, bone health, inflammation, and fatigue

- Natural strategies that may work on similar pathways

- Key risks to be aware of: hair loss, sarcopenia, drug absorption, and endocrine therapy interactions

- What happens when you stop taking the drug

- Practical advice for patients and clinicians navigating this new landscape

Caroline also shares her insights on why weight loss isn’t the same as fitness, why muscle is the “anti-fatigue organ,” and what both patients and healthcare professionals need to know before considering GLP-1 use in survivorship care.

This is a nuanced, evidence-based discussion that puts patients at the centre. Whether you’re a survivor curious about GLP-1s or a healthcare professional supporting patients, this episode offers clarity, compassion, and practical takeaways.

Episode Highlights:

00:00 Intro

12:09 Survivorship Challenges Beyond Cancer Treatment

15:35 Weight Loss Treatments: Risks & Support

16:42 Bariatric Surgery vs Rapid Weight Loss

22:18 Protein Intake for Menopause Health

25:04 "Deciding on GLP1 Treatment"

29:06 GLP-1 Eligibility Criteria Explained

35:40 "Drug Trials and Patient Safety"

42:19 Obesity Support After Cancer

43:31 Diabetes Drugs, Costs, Future Hope

Connect with us:

For more information and resources visit our website: www.menopauseandcancer.org

Or follow us on Instagram @menopause_and_cancer

Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

Inflammation is a word we hear everywhere these days but what does it really mean for cancer survivors going through treatment-induced menopause? Could the foods we eat, the drinks we choose, and the daily habits we build really make a difference to menopause symptoms like joint pain, hot flushes, fatigue, and brain fog?

In this episode, I’m joined by nutritionist Julie Webb, a specialist in oncology nutrition, to break down the science of inflammation and turn it into practical, everyday advice. Together, we explore:-

- What inflammation is and why it matters after cancer treatment

- How treatment-induced menopause can increase inflammation in the body

- The role of diet, which foods help reduce inflammation and which ones make it worse

- Omega-3s and fibre

- Practical tips for eating well when you may worry about weight

Whether you’re newly out of treatment or years into survivorship, this conversation is full of simple, actionable steps to help you feel stronger, calmer, and more in control.

For more information on how diet cane ease menopause symptoms, buy my new book: Navigating Menopause After Cancer: https://amzn.eu/d/2BycL21

Episode Highlights:

00:00 Intro

04:46 Inflammation: Essential Immune Response

08:58 Understanding Body Changes and Symptoms

10:09 "Tips to Reduce Inflammation"

16:53 "10 Portions: A Healthy Challenge"

21:08 "Helpful Eating Habits"

24:10 Reduce Inflammation: Beans & Veg

30:48 Low Fibre Diet Tips

39:00 Boost Gut Health Naturally

45:29 Turmeric and Contraindications

Connect with us:

For more information and resources visit our website: www.menopauseandcancer.org

Or follow us on Instagram @menopause_and_cancer

Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

“I don’t have time.”

“I can’t switch my brain off.”

“I’ve tried it before - it didn’t work.”

Sound familiar? In todays episode, Dani explores how easy it is to not try breathwork or meditation when you’re tired, overwhelmed, or just fed up. But here’s the truth: these simple tools can make a real difference, especially for people navigating menopause after cancer.

In this solo episode, Dani reads a little from her book, shares a short poem, and introduces our new Wellbeing Series on YouTube — guided meditations and mindfulness practices designed to help you actually start. No pressure. No perfection. Just a moment to breathe.

Watch the Wellbeing Series on YouTube: https://www.youtube.com/@MenopauseandCancer?sub_confirmation=1

Navigating Menopause After Cancer: https://amzn.eu/d/2y957Oy

Episode Highlights:

00:00 "Intro

04:44 "Wellbeing Series for Our Community"

07:33 Practical Meditation for Everyday Life

11:21 Prioritising Self-Care Through Planning

13:51 "Mindfulness Benefits for Women"

18:24 "Embracing Imperfection in Meditation"

22:44 "Self-Care Series on YouTube"

24:03 She Let Go by Safire Rose

Connect with us:

For more information and resources visit our website: www.menopauseandcancer.org

Or follow us on Instagram @menopause_and_cancer

Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

This week’s episode is a little different — I’m taking you behind the scenes of two very special moments: our 50km fundraising walk and a powerful all-day event at Future Dreams House. Wherever you are at - whatever symptoms you may have, this episode will make you feel good! Promise!

You’ll hear real, unfiltered snippets from the trail, including a brilliant chat about Viagra and vaginal moisturisers (yes, really!) with one of our wonderful supporters, Eleanor Gardener from Pelvic Relief and a doctor friend. These conversations, full of honesty and laughter, are exactly what happens when we walk side by side and talk openly about menopause after cancer.

Then, we shift from muddy boots to the magic of community health spaces, exploring how coming together, sharing stories, and building trust can truly change people’s health journeys.

Find all your menopause after cancer answers in the book: https://amzn.eu/d/8y9a901

For the Ohnut and all the other brilliant tools to help with sexual health symptoms, go to Pelvic Relief https://pelvicrelief.co.uk/

For how to fundraise for Menopause And Cancer yourself, go here: https://fundraiseformenopauseandcancer.raiselysite.com/about

Episode Highlights:

00:00 Introduction - “Walking to Find Strength"

12:46 Chat with Eleanor Gardener

14:45 Vaginal Moisturiser Development Journey

22:20 Gynaecological Cancer and Menopause Care with Dr Jo Bailey

25:05 "Educating Healthcare on Menopause Care"

33:21 Menopause Support for Cancer Survivors

40:42 "Building Relationships Beyond the Organisation"

Connect with us:

For more information and resources visit our website: www.menopauseandcancer.org

Or follow us on Instagram @menopause_and_cancer

Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

This week, Dani is joined by Alyson, a listener of the show and valued member of our community, to talk honestly about low libido, zero sex drive, intimacy, and finding pleasure again after cancer.

Has your sex life changed? No libido? Can’t be bothered?

Alyson shares her personal journey — from enjoying a healthy sex life to suddenly being thrown into menopause during chemotherapy, and how her libido “completely left the building.” She opens up about the reality of navigating these changes, what we want, what our partners want, and how complex it can be when everything feels different.

Alyson also shares practical tips for reigniting desire and highlights why a positive mindset matters when it comes to intimacy after cancer.

At the end of the show, Dani makes an unusual offer and shares a bit more from her own experience than usual!

While Dani’s book Navigating Menopause After Cancer doesn’t go into huge detail about libido, it does cover vaginal health and vaginal oestrogen from a worldwide perspective, offering evidence-based insights and practical guidance.

The Kindle e-book is just £1.99 — so go grab your copy here https://amzn.eu/d/a2QTVE6

Episode Highlights:

00:00 Intro

10:23 Seeking Menopause Support & Solutions

16:11 Grieving Sexuality After Cancer

22:39 Balancing Desire in Relationships

27:31 "Schedule Time for Self-Care"

34:23 Negative Focus in Belief Systems

44:20 Exploring Power Dynamics in Sex

52:30 Changing Perspectives on Intimacy

53:51 "Quality Over Quantity in Intimacy"

Find Alyson here: https://www.alysonfilippalcsw.com/

Alyson’s resources:

The book Prerequisites to Ecstasy https://amzn.eu/d/hN6IRtf

Slow Sex https://amzn.eu/d/a1dzSsN

Connect with us:

For more information and resources visit our website: www.menopauseandcancer.org

Or follow us on Instagram @menopause_and_cancer

Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

This week, I’m joined by the brilliant Sinéad for an honest conversation about the ongoing reality of menopause after cancer.

We talk about what it’s like to navigate life after treatment — how our bodies and identities change, how frustrating it is to have to work so hard at everything (even when considering a simple supplement!), and why it’s so important for others to understand that this journey doesn’t just stop when the treatment ends.

Sinéad also shares from her personal experience of cancer and trauma, and brings her coaching hat to offer some brilliant, practical tips on resilience.

I have a feeling you’ll be nodding along as you listen.

Sinead is a Transformational Coach and workplace Culture Consultant. For more information or to contact Sinead go to: https://www.abetter-workplace.com/

To find our events and workshops go here: https://menopauseandcancer.org/events/

Get a copy of Dani’s book to fins out about all your evidence-based treatment-options: https://amzn.eu/d/ddeS6AD

Episode Highlights:

00:00 Intro

05:20 Cancer's Impact on Job and Confidence

07:03 Adapting to Personal Change at Work

12:57 Post-Cancer: Struggles Beyond Treatment

14:47 Difficult Decision: Surgery and Miscarriage

19:26 Questioning Resilience Vs. Overexertion

25:47 Practicing Self-Compassion: A Journey

30:30 Workplace Culture and Self-Compassion

34:50 Adapting to Personal Change

37:10 Resilience: Innate Trait or Learned Skill?

Connect with us:

For more information and resources visit our website: www.menopauseandcancer.org

Or follow us on Instagram @menopause_and_cancer

Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

October is a busy and often overwhelming month — with Breast Cancer Awareness campaigns everywhere and World Menopause Awareness Day on the calendar. For many in our community, it can be triggering, noisy, and emotionally exhausting.

That’s why this month, I’m handing the microphone over to you — our incredible community. In this special episode, we share the things we wish our friends, families, workplaces, and the wider world really understood about navigating menopause after cancer.

Joining me for this honest (and slightly unpredictable!) chat are Rachel, Anna, and Rebecca — each bringing their unique perspective, warmth, and a few friendly rants along the way.

Episode Highlights:

00:00 Intro

04:50 Community Support and Awareness Initiatives

09:19 Treatment Transition and New Challenges

18:04 Balancing HRT with Healthy Lifestyle

22:10 Balancing Emotions and Motivation

25:50 "A Journey from Isolation to Insight"

26:53 Prioritising Self-Care Amidst Busy Life

31:20 "Realisation of Hidden Depression"

33:50 Coping with Anxiety Post-Cancer

40:23 Upcoming 50km Fundraising Walk

In this episode we talk about:

Join us in London on the 4th October for PAUSE LIVE menopause show. Use code MANDC10 for 10% off your tickets

Support our 50km fundraising challenge and sponsor us https://fundraiseformenopauseandcancer.raiselysite.com/search

Join Anna for an online Community Connect meet-up: https://menopauseandcancer.org/events/

Get a copy of Dani’s book to fins out about all your evidence-based treatment-options: https://amzn.eu/d/ddeS6AD

Connect with us:

For more information and resources visit our website: www.menopauseandcancer.org

Or follow us on Instagram @menopause_and_cancer

Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub