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Bone Health, Menopause, and Hormone Replacement Therapy for Breast Cancer Survivors

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Watch an exclusive “Ask the Expert” webinar: “Advancing Breast Cancer Treatment From Trials to Clinical Practice.”

Featuring renowned breast oncologist Dr. Eleonora Teplinsky, Head, Breast and Gynecological Medical Oncology, Valley-Mount Sinai Comprehensive Cancer Care, this session delves into the critical role of clinical trials in transforming breast cancer care, with a special focus on metastatic breast cancer (mBC).

**a summary of the discussion is below**

In a recent expert discussion, a cancer specialist addressed key topics relevant to breast cancer survivors, focusing on bone health medications, the role of hormone replacement therapy (HRT), and alternative ways to support health during menopause. Here are the insights shared:

Bone Health Medications for Cancer Survivors

Bone health is crucial for breast cancer survivors, especially those in post-menopause. Certain bone medications, like Prolia and Zometa, serve dual purposes: they help manage bone density and reduce the risk of cancer recurrence in the bones. For early-stage patients with conditions like osteopenia or osteoporosis, these medications can help maintain bone strength, while for those with metastatic disease, they are used to minimize pain, reduce the risk of fractures, and lower calcium levels caused by cancer in the bones. However, these medications may have side effects, and their use depends on individual risk factors.

Hormone Replacement Therapy (HRT) and Breast Cancer Survivors

The specialist also addressed the challenges and misconceptions around HRT, particularly given its popularity on social media. While HRT can support some women through menopausal symptoms, it may not be suitable for breast cancer survivors due to the hormone-sensitive nature of many breast cancers. The current narrative often suggests that not taking HRT inevitably leads to health issues like osteopenia, heart disease, and dementia, but this is not necessarily true. Breast cancer survivors can maintain their health and thrive without HRT, focusing instead on lifestyle habits.

Alternative Ways to Support Menopausal Health

For survivors concerned about bone, heart, and brain health during menopause, there are many non-HRT options to consider. Emphasis on a balanced diet, regular physical activity, and other lifestyle factors can play a critical role in supporting long-term health. Exercise and nutrient-rich foods are shown to bolster bone density, improve cardiovascular health, and support cognitive function. Additionally, many cancer survivors thrive and lead active lives without HRT, finding joy in major life events and daily activities.

Final Takeaway

Breast cancer survivors have multiple options for managing bone health and menopausal symptoms. While HRT may suit some, others can find effective, natural ways to support their well-being. Each individual can work with their healthcare provider to choose the best approach for a healthy, fulfilling life post-cancer.

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Breast Cancer Hormone Therapy, Menopause and Bone Health