Navigating Menopause After Cancer

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

Making difficult decisions after cancer isn’t something we talk about enough. The kind where there isn’t a clear “right” answer. Where every option comes with trade-offs. Where you’re weighing up your long-term health, your quality of life… and sometimes, parts of your identity. In this episode, I’m joined by the incredible Jen Delvaux — cancer survivor, podcast host, and founder of a thriving community in the US. Jen’s story is uniquely complex, with both her and her husband navigating cancer diagnoses, bringing a deeply personal perspective on survivorship. Together, we explore the realities of life after treatment — including sexual health, bone health, basically - all aspects of the often-overlooked impact of treatment-induced menopause. You can find Jen here: https://www.jendelvaux.com/ And this is her podcast: https://podcasts.apple.com/us/podcast/not-today-cancer/id1436449587 and Instagram https://www.instagram.com/jendelvaux Podcast Episode Mentions: Episode 215 - https://podcasts.apple.com/gb/podcast/episode-215-bone-health-after-cancer-menopause-what/id1631842514?i=1000764218500 Episode 113 - https://podcasts.apple.com/gb/podcast/ep-113-the-impact-of-endocrine-disruptors-on/id1631842514?i=1000663146637 Get a copy of Dani’s book here: https://amzn.eu/d/bjU18OM Episode Highlights: 00:00 Intro 06:09 Living with cancer's emotional weight 08:19 Discussing cancer treatment decisions 12:21 First experience with symptom relief 14:08 Diet and menopause insights 17:17 Balancing health and happiness 19:26 Living life to the fullest 23:26 Coping with cancer as parents 28:43 Discussing osteoporosis diagnosis 32:04 Planning post-treatment support 39:30 Discussing difficult health decisions 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

Let's stop the toxic positivity! Just because active cancer treatment may have ended, we don't have to be endlessly positive and grateful for it all. What comes next can be hard. That's why I invited Jessica Zucker, clinical psychologist, author of the bestselling book ‘Normalize It: Upending the Silence, Stigma, and Shame that Pervade Women's Lives’ and breast cancer survivor, to talk about the long silence that often follows women through miscarriage, breast cancer, tamoxifen and medical menopause. Jessica and I talk about what it means to live with the aftermath of treatment, when the symptoms linger, the uncertainty stays, and the pressure to keep smiling can feel almost unbearable. We also discuss the hidden toll of tamoxifen, the emotional impact of medical menopause, and why phrases like “you’re a warrior” or “at least” can sometimes do more harm than good. Jessica was so open about how even she, as a psychologist, found the experience of tamoxifen and long-term side effects surprising and difficult. We talk about exhaustion, brain fog, loss of creativity, grief, perfectionism and the illusion of control, and why so much of this still goes unsaid. This is a conversation about naming the harder parts out loud, and making space for honesty, nuance and connection. Key topics The pressure to stay positive after cancer and the harm of toxic positivity Jessica’s experience of tamoxifen and medical menopause Exhaustion, brain fog and the emotional impact of treatment side effects Grief, uncertainty and the pressure to make the “right” decisions Find Jessica’s fantastic book ‘Normalize It: Upending the Silence, Stigma, and Shame That Shape Women's Lives’ here https://a.co/d/0hLfwz2z Episode Highlights: 00:00 Intro 04:07 Discussing the stigma of grief 09:08 Getting a life-changing diagnosis 12:43 Discussing cancer diagnosis and treatment 13:54 Discussing tamoxifen 23:10 Therapists seeking therapy for themselves 24:38 Coping with tamoxifen side effects 28:43 Pressure of Being a Cancer Warrior 31:57 Controlling health outcomes reality check 37:30 Coping with grief and aging 42:58 Sharing personal challenges for impact A little favour... If you enjoy listening each week, I'd love to ask one small favour. Would you consider leaving a review on Apple Podcasts? Every review helps more people discover the podcast, and with your support we've now grown into one of the top 1% of podcasts worldwide. That's something we've achieved together, and I'm so incredibly grateful. Leave a review here: Apple: https://podcasts.apple.com/gb/podcast/navigating-menopause-after-cancer/id1631842514 Spotify: https://open.spotify.com/show/3OhAwupemqzdI6sCXCZLSX Thank you for being part of this wonderful community. x 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

Welcome to the first guest episode of Navigating Menopause After Cancer. In the last two episodes, I shared why the podcast has entered a new chapter and reflected on the power of stories: how they help us navigate uncertainty, create connection and remind us that we're never alone. Today's conversation is a really beautiful example of exactly that. I'm joined by Michelle and Becky, two incredible women diagnosed with anal cancer back in 2024. I learned on a previous episode on anal cancer (episode 209) that anal cancer is often surrounded by stigma, shame, embarrassment and silence. It's a cancer that simply isn't talked about enough. And treatment for anal cancer can also induce menopause - so we have to talk about it! Yet despite receiving the same diagnosis at almost the same time, Michelle and Becky's experiences were very different. Michelle openly shared her diagnosis but struggled to find someone else living with anal cancer who truly understood what she was going through. Becky found support from others with anal cancer from the very beginning, but didn't feel comfortable telling many of the people around her she had anal cancer, choosing instead to say she had bowel cancer. Together, they share an honest conversation about diagnosis, treatment, menopause, intimacy, identity, stigma and why sharing our true stories matters. One of my favourite parts of this story actually happened away from the recording. After meeting Michelle in person, I introduced her to Ali who had previously shared her own anal cancer story on this podcast... and something rather special has grown from that connection. Episode Highlights: 00:00 Intro 04:01 Finding support after cancer diagnosis 11:19 Dealing with surgical menopause 13:22 Post-treatment challenges and loneliness 19:17 Rebuilding confidence after cancer 22:01 Adjusting to life after stoma surgery 23:59 Dealing with radiation side effects 28:56 Discussing anal cancer stigma 33:01 Connecting with others on TikTok 40:06 Cancer treatment challenges and recovery 45:06 Returning to fitness after radiotherapy 47:49 Finding support during cancer Links: Find Michelle & Ali’s new anal cancer support here: The Brave Behinds https://www.instagram.com/thebravebehinds/?hl=en Macmillan Anal Cancer Support Forum: https://community.macmillan.org.uk/cancer_types/anal-cancer-forum Ali Stripling’s episode: Beyond the Pink - Anal Cancer, Menopause & Awareness Day: https://youtu.be/V0_5MedxjKw?si=QB-i9XO1uWhQ1Mwf This podcast episode was supported by an unrestricted grant from Incyte Biosciences. Incyte had no involvement in the development, content, or editorial review of the activities associated with this initiative.

After four years, hundreds of conversations and countless stories, it's time to share what the next chapter of this podcast is going to look like... In this special solo episode, I reveal the new name and look of the podcast and, more importantly, the reason behind it. Your feedback made it very clear that the conversations, the experts, the survivor stories and the honesty are exactly what make this community so special. You asked me NOT to make any changes! But, after reading an amazing book and a visit to the British Museum that followed, I knew I wanted to make a change regardless. I have goosebumps writing this: I was standing in front of one of the oldest surviving stories ever written!! I mean - how cool is that! And so of course, I found myself reflecting on the power of stories to help us make sense of uncertainty. It reminded me that none of us simply "gets through" menopause after cancer. We navigate it. Together. That's why this podcast has a new name, one that reflects the journey so many of us are on every single day. And of course it also reflects my book title ‘Navigating Menopause After Cancer’. Thank you for being part of this next chapter. In this episode we discuss: Why I decided to rename the podcast after four years. What I learnt at the British Museum!! And I love it! Why stories have helped humans navigate uncertainty for thousands of years. Why "Navigating Menopause After Cancer" better reflects the journey so many of us experience. The inspiration behind the new artwork and how it connects with my book. What isn't changing (don't worry... the experts, survivor stories and honest conversations are all staying!). How your feedback shaped every decision. Links to today’s episode: Substack: If you'd like to stay connected beyond the podcast, you can also find me writing personal reflections over on Still Becoming, where I share the behind-the-scenes of building Menopause and Cancer, life after cancer, motherhood, identity, and everything I'm still learning. Subscribe to my Substack: https://substack.com/@danibinnington Book: As a thank you for being such an incredible community, I'm also celebrating the first anniversary of my book, Navigating Menopause After Cancer. For a limited time, I've reduced the Amazon price so that more people can access it, or perhaps gift a copy to someone they love. You can buy the book here: https://amzn.eu/d/0dqOczqf Thank you for listening, for sharing this journey with me, and for helping shape what comes next.

After four years of hosting this podcast, I kept thinking about the show's future. I wondered if I should make changes to the format, the episodes, my guests, and I worried if the podcast was still what you guys needed and wanted. Initially, I did a lot of overthinking - but then I knew I just needed to ask YOU. So over the past few weeks, I invited you to share your thoughts about the podcast: what you love, what you'd like more of, and whether you thought anything should change. Your responses made me laugh, made me cry, and reminded me why I pressed record on that very first episode four years ago. In this special solo episode, I'm sharing what you told me, the feedback that surprised me the most, and why your words have shaped the next chapter of this podcast. This isn't about reinventing something that isn't broken. It's about listening, reflecting, and making sure the next person navigating menopause after cancer can find the support they need. In this episode, we talk about: Why I decided to ask for your honest feedback after four years. The survey responses that genuinely surprised me. The conversations you want us to have more of. Why expert interviews and survivor stories aren't going anywhere. The importance of asking the questions that others often avoid. What your feedback taught me about this community. A hint about an exciting announcement coming next week… Episode Timestamps: 00:00 Intro 05:42 Considering podcast changes 12:21 Listener feedback and appreciation 15:57 Planning podcast future direction 19:47 Book price reduction announcement 21:22 Upcoming podcast announcement Links for today’s episode: Substack: If you'd like to stay connected beyond the podcast, you can also find me writing personal reflections over on Still Becoming, where I share the behind-the-scenes of building Menopause and Cancer, life after cancer, motherhood, identity, and everything I'm still learning. Subscribe to my Substack: https://substack.com/@danibinnington Book: As a thank you for being such an incredible community, I'm also celebrating the first anniversary of my book, Navigating Menopause After Cancer. For a limited time, I've reduced the Amazon price so that more people can access it, or perhaps gift a copy to someone they love. You can buy the book here: https://amzn.eu/d/0dqOczqf Thank you for listening, for sharing this journey with me, and for helping shape what comes next. The next chapter begins… next Wednesday. 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

This week's episode is a little different. A few weeks ago, a group of us took on a 53km challenge across the Peak District to raise money for Menopause and Cancer. Somewhere between the hills, the aching feet, the snack stops and plenty of laughter, I had this feeling that I wanted to ‘bottle up’ some of the conversations and the energy we had - to bring it to you. So, instead of an expert interview, I thought I'd invite you to come along for the post-walk chat with us. You'll hear honest conversations, a few giggles, reflections on why community matters so much after cancer...and yes, the story of why I ended up feeling rather guilty about keeping hold of one of the prizes that had been donated for our walkers. Let's just say...it involved a rather unexpected gift from our lovely Dr Angela Wright! This episode is a reminder that healing doesn't only happen in clinic rooms. Sometimes it happens when you're walking alongside people who simply understand. Whether you've been listening for four weeks or four years, thank you for being part of this community. And if today's episode leaves you wishing you were there with us, why not join our London Bridges Challenge on 12 September ? We'd absolutely love to welcome you. Or perhaps you'll even be tempted by the whispers of an even bigger challenge next year…? You can also take on a challenge anywhere in the world too! Who's in? 😉 And one more thing... This is the final episode before a special two-part series where I'll be sharing the next chapter of the podcast. Don't worry: the conversations you know and love aren't going anywhere, but I can't wait to share what's been quietly unfolding behind the scenes. Episode Highlights: 00:00 Intro 06:37 Reflecting on the race challenge 07:34 Struggling during the race 14:29 Walking challenge with friends 18:52 Completing a charity walkathon 22:30 Discussing resilience and support 27:35 Discussing the “Lemon” 32:22 Building a supportive community 34:10 Community and charity challenges 43:50 Fundraising and community involvement Links & Resources Navigating Menopause After Cancer: my bestselling book bringing together expert advice, lived experience and practical guidance to help you navigate menopause after cancer. https://amzn.eu/d/0fuL8JSs Join the Thames Bridges Trek with the Menopause and Cancer Community – 12th September in London https://menopauseandcancer.org/thames-bridges-trek/ Take on any other fundraising challenge anywhere in the world https://fundraiseformenopauseandcancer.raiselysite.com/fundraisingideas If you’re keen to explore another long-distance hike next year, please email phoebe@menopauseandcancer.org 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

Within just a year of being diagnosed with breast cancer, lawyer mum and so-called ‘midlife-hipster’ George made the deeply personal decision to restart HRT. This episode isn't about advocating for or against HRT after breast cancer, and it certainly isn't about telling anyone what they should or shouldn't do. Instead, it's about understanding one woman's journey and exploring the thoughts, emotions and experiences that shaped her decision. This conversation also goes far beyond HRT. George speaks beautifully about something I know many women will recognise: feeling invisible in midlife. Long before she made the decision to restart HRT, she had already begun finding ways to reconnect with herself. We talk about "Sparkly Fridays", bright lipstick, embracing colour, finding moments of joy and slowly rediscovering her confidence. It's a wonderful reminder that getting your mojo back isn't always about one big decision; sometimes it's the many little things that help you feel like yourself again. When I first spoke to George, she was right in the messy middle. She had restarted HRT but, for the first time, found herself feeling anxious about that decision. I know so many people in our community are asking similar questions, often without straightforward answers. My hope is that today's conversation helps us take some of the emotion out of these discussions and instead become a little more curious about one another. We don't all have to make the same decisions, but we can learn so much by listening without judgement. In this episode, we discuss: George's decision to restart HRT after breast cancer Living with uncertainty and navigating deeply personal decisions Anxiety, confidence and trusting yourself Feeling invisible in midlife "Sparkly Fridays" and finding joy in the everyday Why there is no one-size-fits-all approach to menopause after cancer The importance of listening to one another's stories without judgement Episode Timestamps: 00:00 Introduction 04:53 Building an online community 10:58 Early breast cancer diagnosis story 14:10 Discussing HRT decision after cancer 19:19 Anxiety about cancer recurrence 20:34 Discussing menopause and shared decisions 26:10 Discussing hormones and health choices 29:38 Reflecting on past struggles 34:41 Considering future HRT plans 37:40 Heart and bone health after cancer 42:14 Coping with difficult decisions Next week, you'll hear from another breast cancer survivor whose story is completely different. HRT isn't something she would personally consider, and that's exactly why I wanted to share these conversations side by side. Every experience is unique, and by hearing a range of perspectives, my hope is that we can all feel a little more informed, a little more understood, and a little less alone. Enjoy! Follow George here: https://www.instagram.com/awomancalledgeorge/ Dani’s links: Join my NEW blog ‘ Still Becoming’ on Substack: https://substack.com/@danibinnington?r=1osz6a&utm_campaign=profile&utm_medium=profile-page Buy my book ‘Navigating Menopause After Cancer’: https://amzn.eu/d/07dUoYBb Join the 12th September Thames Bridges Trek: https://fundraiseformenopauseandcancer.raiselysite.com/thamesbridgestrekultrachallenge Set up your own fundraiser: https://fundraiseformenopauseandcancer.raiselysite.com/fundraisingideas 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

Heart disease is one of the biggest long-term health concerns facing cancer survivors after menopause. But before you panic, there is a lot more within your control than you might think. Just recently, I’ve seen several social media posts talking about how our risk of heart disease increases during menopause, especially if you’re not taking HRT. I totally understand how, for many cancer survivors, that can feel so frightening. After all, what do you do if HRT isn’t an option, or if the decision is far more complicated because of your cancer history? Or because you’re super young, maybe? That’s exactly why I wanted to bring in Dr Jordan Emont. Dr Emont is a board-certified OB-GYN with advanced training in menopause medicine, integrative hormonal care and sexual health. In this episode, we talk about what menopause really means for our heart and metabolic health, why cholesterol and insulin resistance matter, and most importantly, the practical steps we can take to reduce risk and feel more in control of our future health. This is a reassuring, empowering conversation that moves beyond fear and focuses on what we can actually do. Whether you’re on endocrine therapy, navigating treatment-induced menopause, or simply wondering how to protect your long-term health after cancer, I think you’ll find this episode incredibly helpful. Resources: Find Dr Emont here https://www.drjordanemont.com/ I have also recorded an in-depth episode on ‘How to take control of your cholesterol’. Go check it out! It’s Episode 125: https://podcasts.apple.com/us/podcast/ep-125-take-control-of-your-cholesterol/id1631842514?i=1000669090421 Episode Highlights: 00:00 Intro 07:50 Empowering women in healthcare decisions 10:20 Managing menopause and surgery decisions 15:36 Managing health post-ovary removal 19:22 Managing Risk and Health Choices 22:06 Lifestyle and heart health tips 24:58 Menopause specialists and holistic care 29:49 Understanding insulin resistance tests 34:20 Exploring cholesterol medication options Dani’s links: Join my NEW blog ‘ Still Becoming’ on Substack: https://substack.com/@danibinnington?r=1osz6a&utm_campaign=profile&utm_medium=profile-page Buy my book ‘Navigating Menopause After Cancer’: https://amzn.eu/d/07dUoYBb Join the 12th September Thames Bridges Trek: https://fundraiseformenopauseandcancer.raiselysite.com/thamesbridgestrekultrachallenge Set up your own fundraiser: https://fundraiseformenopauseandcancer.raiselysite.com/fundraisingideas 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

Whether it's joint pain, fatigue, brain fog, poor sleep, hot flushes or anxiety, it can feel frustrating when symptoms linger long after treatment ends. For many people, supplements seem like a logical place to look for menopause support, but with endless products, conflicting advice and cupboards full of half-used bottles, how do you know what's actually worth taking? In this episode, I am once again joined by leading oncologist, researcher and integrative medicine specialist Professor Robert Thomas to explore the role supplements may play in supporting health and wellbeing after cancer. Make sure to have pen and paper ready, as I think you’ll need it! In this episode, we discuss: Why so many cancer survivors turn to supplements How to identify what symptoms you're actually trying to support Which supplements have anti-cancer properties? Which supplements help with joint pain? Supplements that may help with sleep The role of vitamin D, probiotics and omega-3 What should I NOT have too much of? The debate around multivitamins after cancer Common supplement mistakes that waste money Creatine: what we know and what we still don't know for cancer survivors One of the most powerful messages from this conversation is that there is rarely one magic supplement. Instead, the best results often come from understanding your symptoms, focusing on overall health and making informed decisions based on evidence rather than marketing. Episode Highlights: 00:00 Introduction 05:06 Discussing supplements with oncologists 08:34 Discussing supplement safety and benefits 11:13 Improving gut health in menopause 16:03 Concerns about multivitamins and antioxidants 17:52 Discussing supplements and deficiencies 20:57 Understanding Mineral Intake from Food 25:44 Discussing creatine vs collagen benefits Resources Keep Healthy: keep-healthy.com and https://keep-healthy.com/polyphenols/ Rob’s bestselling book " How to Live " About Dr Robert Thomas Dr Robert Thomas is a Consultant Oncologist, Professor of Nutritional and Sports Science, researcher, author and Head of Integrative Oncology at UCLH. His work focuses on helping people combine conventional cancer treatments with evidence-based lifestyle strategies to improve outcomes and quality of life. He also leads a research unit that has designed landmark scientific studies which provide the evidence that guide nutritionists, support groups, doctors and patients across the World. As well as mainstream oncology studies, the team focuses on randomised trials that evaluate the impact of exercise, diet, gut health and natural therapies on cancer, long covid and exercise performance, menopause and cancer. This included 5 RCT's addressing hormone related symptons after breast cancer including patient choice as a primary end point. His latest two double blind RCTs, discovered that boosting dietary phytochemicals (with Yourphyto ) and gut health (with Yourgutplus ) slowed prostate cancer progression , improved erectile function and urinary symptoms and improved three key biomarkers of longevity . Dani’s links: Join my NEW blog ‘ Still Becoming’ on Substack: https://substack.com/@danibinnington?r=1osz6a&utm_campaign=profile&utm_medium=profile-page Buy my book ‘Navigating Menopause After Cancer’: https://amzn.eu/d/07dUoYBb Join the 12th September Thames Bridges Trek: https://fundraiseformenopauseandcancer.raiselysite.com/thamesbridgestrekultrachallenge Set up your own fundraiser: https://fundraiseformenopauseandcancer.raiselysite.com/fundraisingideas

Can turmeric really help with joint pain, inflammation and gut health after cancer? And why are so many people being told to avoid it? In this fascinating conversation, I sit down with leading oncologist, researcher and integrative medicine expert Professor Robert Thomas to unpack the science behind turmeric, gut health and cancer recovery. Prof Thomas shares why he believes many patients are receiving outdated advice about turmeric, explains where concerns about tamoxifen interactions originated, and explores what the latest research actually tells us. Together, we discuss the role of gut health in long-term wellbeing, why exercise remains one of the most powerful tools available after cancer, and how lifestyle medicine can work alongside conventional cancer treatments. In this episode, we discuss: The surprising evidence behind turmeric and cancer Why turmeric became controversial in breast cancer care The difference between turmeric, curcumin and supplements Gut health, inflammation and the microbiome Managing joint pain and menopausal symptoms after cancer Exercise as a tool to improve cancer outcomes How integrative oncology combines medical treatment with lifestyle strategies Common myths surrounding supplements and cancer Resources Keep Healthy: keep-healthy.com and https://keep-healthy.com/polyphenols/ Rob’s bestselling book " How to Live " Episode Highlights: 00:00 Introduction 09:33 Discussing hormone therapy options 12:30 Discussing health and patient advocacy 15:00 Discussing menopause treatments 20:06 Turmeric's rise in health circles 22:24 Antioxidant and anti-inflammatory benefits 24:21 Curcumin study and dosage discussion 28:01 Addressing turmeric's cancer misconceptions 32:28 Simplifying Supplement Choices About Prof Robert Thomas: Thomas is a Consultant Oncologist, Professor of Nutritional and Sports Science, author, researcher and Head of Integrative Oncology at UCLH. He has published extensively on lifestyle medicine, cancer prevention and survivorship, and is passionate about helping patients make informed decisions about their health using evidence-based approaches. He also leads a research unit that has designed landmark scientific studies which provide the evidence that guide nutritionists, support groups, doctors and patients across the World. As well as mainstream oncology studies, the team focuses on randomised trials that evaluate the impact of exercise, diet, gut health and natural therapies on cancer, long covid and exercise performance, menopause and cancer. This included 5 RCT's addressing hormone related symptons after breast cancer including patient choice as a primary end point. His latest two double blind RCTs, discovered that boosting dietary phytochemicals (with Yourphyto ) and gut health (with Yourgutplus ) slowed prostate cancer progression , improved erectile function and urinary symptoms and improved three key biomarkers of longevity . 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

Four years ago, I sat down and recorded the very first episode of The Menopause and Cancer Podcast . At the time, I had no idea what I was doing. I didn't know whether anyone would listen, whether I'd make it past a handful of episodes, or that four years later I'd still be here, talking to you every single week. What began as a simple idea, to create the menopause resource I desperately wished I'd had after cancer, has grown into something far bigger than I ever imagined. Over the last four years, we've shared hundreds of conversations with incredible experts, survivors, partners, advocates and healthcare professionals. Together we've explored symptoms, treatments, relationships, intimacy, identity, mental health, grief, hope and everything in between. The podcast has opened doors I never expected. It has led to friendships, opportunities, a bestselling book, healthcare professional training, events, retreats and the growth of Menopause and Cancer into a global movement. But perhaps the greatest gift has been you: your emails, messages and stories. Hosting this podcast has been one of the greatest privileges of my life. And the truth is, I think the podcast has changed me just as much as it has helped others. Over the last four years, life has changed, too. My daughters have grown up. I've become a founder, an author and somehow a CEO. I've gained confidence in some areas and lost it in others. I've learned new skills, made mistakes, changed my mind, needed reading glasses and realised that growth rarely happens in a straight line. Recently, I've been reflecting a lot on identity. For years, I was a yoga teacher. Then an advocate. Then a founder. Now a CEO. And yet, if I'm honest, I don't always feel like any of those labels fully fit anymore. Maybe you've felt that too? Are we constantly in transition? Perhaps that's why this moment feels important. Not because we've reached four years, but because it feels like the beginning of a new chapter. I've recently started a new project called Still Becoming: a kind of blog, and in many ways, this is how it all started for me. It's a space where I can share some of the conversations that don't always fit neatly into a Menopause and Cancer podcast episode: reflections on identity, motherhood, relationships, intimacy, purpose, building a charity and navigating all the messy, beautiful parts of being human. And because this next chapter isn't just about me, I'd love your help. I've created a short listener survey to help shape the future of the podcast. What have you loved? What has helped? What conversations are missing? What would you like more of? I'll also be inviting a small group of listeners to join me on a Zoom call on 9th July at 5pm so we can talk about the future together. For now, though, I simply want to say thank you. Thank you for listening. Thank you for showing up. Thank you for sharing your stories. Thank you for trusting me with them. Links Mentioned The Next Chapter - Shape the future of the show with me: https://forms.gle/cQ36jKzDFqY2p3qy6 Join my blog ‘ Still Becoming’ on Substack: https://substack.com/@danibinnington?r=1osz6a&utm_campaign=profile&utm_medium=profile-page Buy the book “Navigating Menopause After Cancer” https://amzn.eu/d/0fPhc0tt Episode Highlights: 00:00 Intro 03:35 Discovering Menopause Support Needs 09:20 Writing ‘Navigating Menopause After Cancer’ 13:00 The importance of audience feedback 14:57 Kate's experience with menopause and cancer 20:27 Navigating life after cancer 21:27 Still Becoming: Embracing Multiple Identities 25:07 Listener feedback session invitation 28:14 Podcast future plans announcement 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

In this inspiring episode, Dani is joined by two breast care clinical nurse specialists from Milton Keynes University Hospital NHS Foundation Trust to explore what’s possible when healthcare professionals truly listen, learn and work together to improve menopause care for women after cancer treatment. If you’re a patient, this is a must-listen so that you can set realistic expectations of what’s possible. If you’re a healthcare professional, you’ll be blown away by what Jaqcui and her team have achieved through hard work and persistence. Clinical Nurse Specialist Jacqui shares how she helped shape and evolve the support offered within her team around menopause after cancer, bringing colleagues together, opening up important conversations, and helping create more compassionate, informed care for patients navigating life after treatment. She is joined by her colleague, Christina for an honest discussion about what they’ve learned from patients over the years, the gaps they began to recognise, and the practical changes that can happen even within stretched NHS services and limited resources. Dani says, “Thank you for being utterly amazing!” Jaqcui and Christina mention Dani’s book and say how helpful it is for them. You can buy a copy here: https://amzn.eu/d/04P0N9FX And here is www.menopauseandcancer.org for more information and support. Episode Highlights: 00:00 Intro 08:06 Addressing menopause post-cancer treatment 14:24 Learning from patient engagement 17:06 New prescribing practices in oncology 20:25 Discussing Tamoxifen Prescription Options 26:16 Discussing hormone therapy side effects 27:46 Discussing bone health in menopause 36:37 Challenges in patient care response 37:53 Menopause care post-cancer 42:44 Focusing on menopause and cancer 43:52 Planning patient support events 49:11 Empowering patient-doctor conversations 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

Who controls what happens between women’s legs after menopause? It’s a confronting question, but one that sits at the heart of this episode. In this short, powerful conversation, I am joined by menopause specialist and sexologist Dr Angela Wright to explore why so many women — particularly those who have had cancer — are still being denied access to vaginal and vulval oestrogen treatments. And why we’re not routinely having the conversation about sexual health after cancer treatment. Despite being widely recognised as one of the most effective and low-risk treatments for genitourinary symptoms of menopause (GSM), access remains incredibly low. Many women are left navigating pain, dryness, recurrent infections, loss of sexual function, and a deep impact on identity and relationships — often without being offered treatment. Or they’re told ‘no’. This episode explores: Why are women not allowed to make an informed choice about their intimate health? The realities of genitourinary syndrome of menopause (GSM) — and why it’s more than “just dryness” The added complexity for women on treatments like aromatase inhibitors (e.g. Letrozole) The emotional and relational impact of untreated symptoms How history, culture, and medical caution continue to shape women’s access to care The growing body of guidance suggesting low-dose vaginal hormones may be appropriate for many women, including after breast cancer The balance between clinical responsibility and patient autonomy This is not a black-and-white conversation. It’s not about right or wrong. It’s an invitation — to think, to question, and to open up more honest, informed conversations between patients and healthcare professionals. Because at its core, is it about choice? Links mentioned in this episode: You can find Dr Wright here: https://spicedpearhealth.co.uk/about/ Sweetness of Venus: A history of the clitoris book https://www.amazon.co.uk/Sweetness-Venus-History-Clitoris/dp/B08W3NZ1H9 Women’s Health Made Easy Book: for Healthcare Professionals, click here More information about vaginal oestrogen after breast cancer: https://menopauseandcancer.org/navigating-vaginal-oestrogen-after-breast-cancer-what-every-woman-needs-to-know/ Episode Highlights: 00:00 Intro 05:36 Doctor's journey and women's health 08:17 Challenges of Menopause Treatment 10:32 Debating hormone prescription guidelines 14:25 Discussing medical trauma and autonomy 18:19 Discussing bodily agency and benefits 21:18 Reclaiming life after trauma 24:31 Understanding compliance with endocrine therapies 26:42 Valuing women's opinions in healthcare 29:48 Discussing erectile dysfunction post-cancer 34:39 Opening conversations on sexual health 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

Do you know your rights to work after a cancer diagnosis and with ongoing menopause symptoms? From navigating time off, to returning to work, to managing menopause symptoms in the workplace, it can feel overwhelming to know what your rights are and what support you should expect. I’m joined by Barbara Wilson, from Working With Cancer, who brings over 50 years of experience supporting people through cancer at work. Together, we break this down in a really practical way— so you can feel more informed and more confident in advocating for yourself. In this episode, we cover: Whether cancer is automatically considered a disability under UK law Your rights when returning to work after treatment What a good return-to-work plan should actually look like What “reasonable adjustments” mean — and real-life examples What counts as discrimination in this context How much do you need to disclose about your diagnosis (including when applying for a job) Whether menopause is recognised as a disability under UK law How treatment-induced menopause after cancer is considered in the workplace Whether employers are expected to support menopause symptoms Episode Highlights: 00:00 Introduction 06:31 Supporting employees with cancer 08:07 Discussing cancer diagnoses and menopause 13:38 Creating flexible workplace plans 15:29 Discussing cancer disclosure at work 20:23 Discussing return to work planning 22:00 Discussing phased return to work 28:48 Supporting employees with health challenges 31:22 Menopause and post-cancer life changes 37:16 Flexible work schedule adjustments 43:07 Reevaluating work after cancer diagnosis 44:39 Easing back into work 47:52 Disclosing cancer to an employer Link to Working with Cancer: https://workingwithcancer.co.uk/ 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

In this very special community conversation, I sit down with a group of incredible women from our Menopause and Cancer community to explore something so many of us struggle with after cancer treatment… identity. I’m so grateful the group allowed me to get this conversation out to you! Lucky us. Who are we now? Together, we talk openly about the physical and emotional changes that can leave us feeling disconnected from ourselves — from body image and confidence, to work, relationships, grief, loss, purpose and rebuilding. Rather than bringing in an expert, I thought it might be best to just have an honest conversation, share experiences and learn from one another. Because the wisdom in our community is WONDERFUL! What became clear throughout this discussion is that so many of us are living in what I call “the messy middle” — no longer who we were before cancer, but not yet fully arrived in who we are becoming. If you’ve ever felt lost, changed, disconnected or uncertain about your place in the world after treatment, this episode is for you. YouTube Wellness Series: https://youtube.com/playlist?list=PLsUEBZ4ZwowoJ0t4pV-gmwGSqruDPm-2P&si=7UE81giK-2v5eByM Episode 214 - What It Really Feels Like & And Your Questions Answered: https://podcasts.apple.com/gb/podcast/episode-214-what-it-really-feels-like-and-your/id1631842514?i=1000762984322 Episode Highlights: 00:00 Introduction 03:18 Exploring identity and personal growth 07:51 The jar and pebbles analogy 12:31 Coping with treatment and diagnosis 13:49 Discussing challenges of societal expectations 16:47 Struggles with overthinking and doubt 22:47 Facing the unknown post-treatment 23:47 Sharing post-cancer treatment experiences 29:24 Reflecting on life after cancer 32:42 Coping after a mastectomy 35:11 Morning mirror positivity trick 40:24 Navigating daily challenges with compassion 45:36 Navigating menopause and survivorship 47:42 Reflecting on personal growth journey 49:40 Focusing on self-care and being present 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

In this episode, I’m joined by Rob and Andy, two partners navigating life alongside their wives through cancer and menopause. I actually asked in our Facebook community if anyone’s partners would be willing to come on the podcast… and these two were put forward by their wives — earning themselves serious brownie points in the process. This is a really honest conversation about what it feels like to be on the other side. We talk about the overwhelm, the uncertainty, and that feeling of wanting to help but not always knowing how. From the emotional impact to the mood changes, this episode sheds light on a perspective we don’t hear enough about. Because supporting someone through cancer and menopause doesn’t come with a manual — and partners need support and understanding too. And yes - I did bring up intimacy and low libido - and they did not just quit the call! I am so grateful to Rob and Andy! Thank you so much! If this resonates, do share this episode with your partner — so we can include them in this conversation too. This one is for you… and for them. Episode Highlights: 00:00 Introduction 04:13 Discovering and diagnosing cancer 14:49 Discussing menopause challenges and support 18:50 Discussing impacts of menopause 21:49 Challenges in managing menopause symptoms 22:55 Dealing with post-cancer anxiety 30:41 Discussing intimacy post-cancer 34:43 Importance of communication in relationships 37:46 Discussing menopause and HRT advice 42:05 Discussing medically induced menopause 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

In this episode, I’m joined by the incredible Lisa, founder of Make 2nds Count and The House of Hope charity in Edinburgh, who is living with secondary breast cancer while continuing to support so many others. This is an honest, heartfelt conversation about what it really means to live with ongoing cancer treatment. I ask Lisa if she feels excluded from other menopause conversations and even from the many cancer chats out there. We talk about saying it as it is, the emotional reality of menopause and secondary cancer, and the strategies that help day-to-day, alongside the strength, purpose and perspective that can still exist within it all. Lisa’s work has been a shining light for me personally, especially when I was building Menopause and Cancer and recording this episode while one of our community support sessions was taking place at The House of Hope felt like a real full-circle moment. We also share more about our upcoming Menopause Awareness Day event on the 18th June, which we’ll be marking at The House of Hope. Make sure to subscribe to our newsletter here https://menopauseandcancer.org/ , and we will let you know of all of our upcoming events! Episode Highlights: 00:00 Intro 03:55 Founding Scotland's first support center 09:31 Menopause and cancer diagnosis discussions 12:52 Discussing treatment decisions and surgery 18:27 Discussing menopause treatment options 20:36 Navigating menopause and chemo challenges 26:06 Founding a Make 2nds Count and The House of Hope 27:50 Starting a charity from my hospital bed 33:34 Charitable collaborations and community building 37:59 Balancing work and mindfulness 40:25 Menopause workshop Links: House of Hope: https://houseofhope.org.uk/ Make 2nds count: https://make2ndscount.co.uk/ 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

In this episode, I’m joined by GP and menopause specialist Dr Helen Wall, and we’re exploring something that so many of you have been talking about in our community — struggling with brain fog, focus, memory, total overwhelm, and that feeling of just not feeling like you can manage anymore. We often call it brain fog. But what if, for some of us, it could be something more? Today, we’re diving into ADHD in women, and how it can show up — or become more noticeable — during menopause and after, especially cancer treatment. Because the reality is, many women are only being diagnosed later in life. And for those of us navigating sudden menopause, hormonal changes, and the impact of cancer treatment, it can feel even more confusing to understand what’s really going on in our brains. This episode is here to help you make sense of it all. We also talk about: How do I know what’s what? Does lifestyle help my ADHD brain? Can you take ADHD medication after cancer? And so much more. Episode Highlights: 00:00 Intro 06:55 Discussing menopause and mental load 10:04 Navigating neurodivergence and perimenopause 16:24 ADHD, oestrogen, and perimenopause link 17:58 The impact of menopause on brain function 22:38 Lack of education on female hormones 25:43 Understanding ADHD in women and girls 28:07 Challenges with post-cancer employment and support 34:08 ADHD medication challenges and support 39:24 ADHD and diet considerations 44:45 Navigating ADHD and menopause You can find Helen’s book here: https://www.amazon.co.uk/Menopause-ADHD-neurodivergence-Vermilion-Empowered/dp/178504642X And this is Helen’s Instagram: https://www.instagram.com/doctorhelenwall/ 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