Dr. Avrum Bluming and Heather Hirsch MD discuss Estrogen and Breast Cancer Risk

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Dr. Avrum Bluming and Heather Hirsch MD discuss Estrogen and Breast Cancer Risk // Does estrogen really increase the risk of breast cancer when taken to relieve menopausal symptoms? In this podcast, Dr. Bluming and Dr. Hirsch discuss the safety of estrogen and if hormone replacement therapy should be used after a cancer diagnosis.
#menopause #estrogenmatters #avrumbluming
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29 сен 2024

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Комментарии : 114

@debrarodgers2311 Год назад

I recently retired as a licensed mental health therapist due to GSM. I didn't want to retire, my clients needed me, but I was in so much pain and honestly could not find appropriate medical attention. I went doctor shopping, and found lots of nitwits who told me to avoid coffee. I researched myself with my husband's help and got into pelvic floor therapy and began vaginal estrogen therapy (my PCP reluctantly prescribed after I was sobbing). I am so frustrated, although I am recovering slowly. I wish I could go back to work again. I am 67 and was hoping to work till 80. Mental health quite frankly can not afford to lose any more good clinicians to menopause symptoms! Geeez!!

@lindajones4849 6 месяцев назад

Sorry GSM was so severe for you. You should have been given vaginal estrogen immediately. Because of your posting I asked my alternative medicine doc for intravaginal estrogen at the first mild symptoms of genital irritation. I told him of some of the on line postings of women having severe pain and that I thought I'd get a better response if we started early. I am hoping that with more time your symptoms will resolve. Remember it takes longer to reverse well established symptoms than to prevent them ( keep them from ever starting).

@iss8504 3 месяца назад

Your doctors are incompetent. My son in med school and his board exams clearly covered GSM and vaginally estrogen as the solution.

@marylouko2312 Год назад

No ONE.. not even Doctors! I’ve been suffering the last 7 years and no one told me anything the benefits of HRT.. it’s frustrating and so SAD because I feel these doctors do not care about our health! Thank you so much for sharing this.. I’ve just recently started HRT👏🏻

@lmartineau5761 10 месяцев назад

After breast cancer? How? Help! My quality of life is horrible. 😢

@blondebeautylush 7 месяцев назад

No one told me either but I take my health as top priority and learned on my own the benefits of BHRT. Your health is no one’s responsibility but your own

@c.h.7581 5 месяцев назад

Hard to just go get hrt in a country that seems dead against it (I live in Greece).. and without a trusted medical professional to discuss it with! From my own research, I believe hrt needs to be personally tailored (I have a history of blood clots & breast calcification), so yes, we're responsible for our own health to a point.. but I feel completely lost as I don't have a medical pro to talk this over with! ..And the months/years are ticking by & I'm already worried it's getting too late for me! What to do?? 😢

@12stepmeditations55 25 дней назад

Does this apply to woman whose Breast cancer is Hormone receptor positive?

@larajohnson8174 Год назад

Dr Bluming’s book “Estrogen Matters” which I read 5 years ago in 2018, changed my life. I immediately contacted my ob/gyne and argued that I wanted HRT. Wasn’t easy to convince her, but I’m now with a menopause specialist. Thank you Dr Bluming (and Dr Tavris who is his co-author).

@normapenetta5940 Год назад

My doctor not only refused, he told me no place in the country would give it to me. He went on to say that he likes me but he has 4 children to feed and send to college and he wouldn’t risk losing his license. He then offered me a new med for hot flashes that can’t be used with a bad liver. I have NASH/ liver fibrosis. He talked down to me so badly that I left in tears. I wasn’t even that upset with the cancer diagnosis. I don’t know how to get the help I need or how to be “allowed” to chose my risks. I’m at an utter loss..

@larajohnson8174 Год назад

@@normapenetta5940 I’m sorry your doctor treated you so poorly. If you are in the US, you could see if Dr Hirsch’s practice will accept you - I understand she works with patients online in the US. Good luck - you’ll find a good menopause doctor!

@normapenetta5940 Год назад

@@larajohnson8174 thank you. Unfortunately she doesn’t do NJ. I can’t find anyone here.

@lmartineau5761 10 месяцев назад

@@normapenetta5940I'm with you. Why can't I decide the risk of recurrence or the risk of .... disability from joint pain after removing my ovaries. I couldn't handle anastrozole either. Went off it in two months, had my ovaries removed and have been enduring life ever since. Misery.

@virginia6793 Год назад

It really sucks being a woman. We have it rough as soon as we get our periods and it never ends.

@debbiejenkins4039 4 месяца назад

True

@spiritualawakening2753 Месяц назад

As a woman u get to have men opening doors for you and pay for you and take care of you . Being a woman gives opportunity to look and feel beautiful . Periods are amazing at keeping our natural hormonal balance . Menopause can be treated with HRT !!!!!! Wohoo celebrate being a woman

@Cerceify4645 Месяц назад

At least young women know not to quit the birth control pills. That is don't replace them with the placebos and you won't have a period. Those doctors in the 70 and 80's really stabbed us working women in the back saying: "Oh its more natural to have a period every month!"

@marywidener1409 Год назад

So awesome!! I loved it, so information!! 🙏 41:10 Are there any newer studies or thoughts on HRT and heart health? I haven’t seen much about that.

@lmartineau5761 10 месяцев назад

When I chose to have my ovaries removed I was told before I did so I should know it increases the risk of heart disease, stroke, Alzheimers and Osteoporosis. I already have osteopenia. That was two years and they warned me before I made the decision. How stupid I was. Zero quality of life!

@commonsense6967 10 месяцев назад

I plan to search some newer studies about this on public domain of PubMed to see what the latest thinking is. Everyone I know that has come down with breast cancer was either taking HRT or had been on hormonal birthcontrol years before. So I'm a bit skeptical.

@nicolemerz1731 10 месяцев назад

Dr. Bluming is brilliant - soooo on the point!!!

@Mac-u2n 21 день назад

Was his wife already on Hrt when she developed cancer?

@paulineyu4472 Год назад

what a wonderful podcast!!! I am already on hrt but my pcp wants me to stop it because it will cause breast cancer. I told her I have done 2 years of research on the hrt and all I found are the benefits for the heart , bone and brain and this is including reading estrogen matter. She told me don't take it more than 5 years. I was planning to take the hrt for the rest of my life. Is there a time limit to take the hrt? Would it be harmful to take on hrt for many year? Thank you.

@nicolemerz1731 10 месяцев назад

No, absolutely no time limit anymore. NOBODY would recommend anybody to stop their hypothyroidism therapy after 5 ys😂. I can't wholeheartedly recommend the podcasts from Dr Louise Newson on this question (you can find them on RU-vid). Best of luck to you from Germany! 🍀

@commonsense6967 10 месяцев назад

I absolutely know that no doctors when I was going through peri-menopause/ menopause realized that my heart palpitations were caused by menopause, so I had no idea what was causing them! Scared me to death! Just like a panic attack, but without any emotions! I made them give me an exercise stress test, which made the doctor mad. I didn't want or really need HRT, but I just wanted to know what was happening with my heart! (It's still perfectly normal years later, at 72.) And btw, menopausal symptoms are largely TEMPORARY, thank goodness.

@bandanapanda2421 9 месяцев назад

I have fibroadenoma and cyst ,then can i stop estradiol 2mg estrogen ,what i do?,please give me answer

@heatherhirschMD 9 месяцев назад

I don't see any reason to stop

@SunsetCookieCutters Год назад

Is estrogen creams safe .?

@commonsense6967 10 месяцев назад

@nicolemerz1731 10 месяцев назад

Transdermal Gynokadin gel is absolutely safe !

@cookiebuzz 5 месяцев назад

@@commonsense6967Why do you say that? I’m about to start!!! 🤔🤔🤔

@Healing_Decibels 5 месяцев назад

My Obgyn says creams don’t provide enough estrogen to affect you systemically

@SunsetCookieCutters 5 месяцев назад

@@Healing_Decibels I started seeing another Gyno,and she said the estrogen cream is safe. She suggested i use it 2 x a week. I use Monday night and Friday night. I just turned 47 This month and i’ve never had any dryness . My problem is current UTI’s. I take antibiotic before intercourse to prevent a uti. But i keep getting the symptoms. I had cystoscopies done and bladder ctscan & ultrasounds. My bladder is normal, Dr. thinks i might be having IC symptoms and not UTi’s. I really want to stop taking the antibiotic because I’m scared it will affect my immune or stomach. So i also take probiotics for my gut health.🙏

@andreagray202 Месяц назад

I am on a 0.05 mg ESTRADIOL PATCH (the most currently recommended and safer form of estrogen, and safer delivery method instead of oral estrogen meds ), 100 mg oral MICRONIZED progesterone (again, currently the most recommended and safer form)and recently added a cream form of Testosterone applied as 1 pump daily (this is for increased energy, easier building of lean muscle mass, and of course helps w/libido as well. I thought I would never ever want to do hormone therapy. Of course that was until I actually went into menopause. And I quickly realized there was absolutely no way in hell I was going to spend the last half of my life feeling like THAT! I feel so so much better(clearer headed, more energetic, less easily agitated, and most importantly stronger. I’ve researched heavily. I’ve heard the arguments on both sides. And I still landed on feeling quite comfortable with my choice. I won’t close my mind to learning in case there is more data later. After all that is science, we learn, we do better. my doctor luckily is wonderful and is taking a low and slow approach with this. Thank God the tide is turning and the information is getting out there👏🏻

@nancyferrari6743 4 месяца назад

I’m feeling like this estrogen conversation is much like the initial stages of the mRNA vaccines. I was on bio identical hormones when I was 48 years old, had a full hysterectomy at 50 due to a growth in my uterus. I continued with HRT until I was diagnosed with breast cancer last year at the age of 67. I was immediately told my Stage 2 breast cancer was estrogen driven and they told me to stop all my hormone therapy. After surgery, radiation, now I’m grappling with AI drugs. Anastrozole gave me bad side effects and my oncologist gave me a break and will start Letrozole next week. These drugs are creating angst knowing more side effects will come my way. Some people might refer you to me as old but I’m still vibrant and want to live my best life. I’m more confused than ever as I felt so good on estrogen and progesterone. By the way, I’m ER+, PR+ and HER-

@jenniferann577 Год назад

How do you ask your oncologist for HRT when she's advising Tamoxifen?? Do you first take the Tam for 5 years and then the HRT.... it's all so conflicting.

@mskim4552 Год назад

I’m on hrt and it’s been a life saver. I was open about it with friends but most talk to their doctor and get push back. Comments like “we don’t do that here” 😮 they think I’m nuts. I read Estrogen Matters and now just point people to the book and you channels. 5-7%! Wow!

@Cerceify4645 Месяц назад

I've been on Estring for almost 20 years. Now Walgreens says they can't get it but I found a source and am calling my MD this week. My GYN retired and my cancer specialist with 3K patients got fed up with paperwork and moved to the V.A. hospital down the street.

@crepesuzette5540 Год назад

Thank you for this!!!! So important!!! True Women’s Health information!!! I have read Estrogen Matters. I’m a breast cancer stage 1a survivor and I will not live without estrogen and progesterone!!! In retrospect, I had symptoms of low progesterone for about 8 years before my estrogen positive breast cancer appeared. If I had to guess, the low progesterone was the root cause. I now pay close attention to my keeping progesterone up.

@larajohnson8174 Год назад

Can I ask - how did you convince your doctor to prescribe HRT?

@crepesuzette5540 Год назад

@@larajohnson8174 I gave my breast cancer team the Estrogen Matters book!

@L-ash777 6 месяцев назад

@@crepesuzette5540I may do the same, seems they need education

@ummtaimann6819 6 месяцев назад

Hi I know it’s a late question but was oestrogen positive ?

@crepesuzette5540 6 месяцев назад

@@ummtaimann6819 Yes.

@athenachloewoodrow6356 Год назад

Wonderful man, dedicated doctor, and compassionate human being. I'm grateful for all you have done for women.

@nicolemerz1731 10 месяцев назад

He is brilliant!!!❤

@stephaniesteiner6028 6 месяцев назад

This

@bstewartnasielski303 Год назад

Thank you so much! I’ve been searching everywhere for months for exactly this content! I am a breast cancer survivor (ER stage 1 with bilateral mastectomy and reconstruction) now it’s 4 years. I took tamoxifen for 18 grueling months, and gave up. My periods came back for 2 years but now at 53, I’m in natural menopause, and struggling with these symptoms again. All I have seen in the research I’ve done is how great HRT is for women’s overall health and longevity, but not until this interview have I seen ANY hope that I might be a candidate. I now have hope!! I’m buying the book for myself and my OB, and look forward to sharing this paper (when published) with my entire cancer surgery and oncology team. Thank you again! And ‘never give up’ empowering women!

@nicolemerz1731 10 месяцев назад

Don't give up - keep fighting for your HRT - it will help you stay healthy. All the best to you! ❤

@christinesaahnazer380 Месяц назад

Thank you, doctors. But what about women who are at increased risk of breast cancer?

@joannepigliavento7930 Год назад

Disheartening for us 60 + women who are just learning about this information when it’s too late

@charleedell92 6 месяцев назад

It's not too late, some of the benefits may not be as great but it protects your bones at any age - one in two women get osteoporosis and that is far less treatable and has much higher mortality than breast cancer. HRT also reduces bowel cancer, which never gets mentioned.

@cookiebuzz 5 месяцев назад

I hope that’s right bc I’m 72 and just waiting for my compounding pharmacy to make it for me.

@pejisan 5 месяцев назад

i am 71 and just started it two weeks ago - might be a placebo effect but i already feel better!

@jt8142 3 месяца назад

My new gynecologist prescribed the following hormonal medications to me 5 weeks ago; I’m almost 61 years old and have been post-menopausal for more than 10 years: 1) Oral Micronized Progesterone 2) Transdermal Estradiol patch 3) Topical vaginal Estradiol cream for Genitourinary Syndrome of Menopause (GSM) symptoms

@Cerceify4645 Месяц назад

@@charleedell92 Check out retinal problems for elderly women not taking estrogen.

@kimberlyd5379 Год назад

That you soooooo much for getting the word out!!! So many Dr.s are not even touching hormones in peri menopause / menopause. Even my OB/GYN. I was so suffering until I self-educated and brought a list of research etc. So many women are still being told only the bad!!

@Cerceify4645 Месяц назад

I had surgery for breast cancer and had a hysterectomy. My gynecologist immediately ordered Estring for me. Tamoxifen caused constant hot flashes for 5 years though. Now I just take Raloxifene for osteoporosis and to prevent recurrence of cancer. I am worried about lack of estrogen and retinal problems that a surgical opthalmologist told me about. He has a great business in surgical repair in elderly women who do not take estrogen.

@susancourtney882 Год назад

Thank you. This man is a brilliant advocate for women.

@melaniepare2609 6 месяцев назад

Very irritating that he started to listen to women when he saw his own wife suffering. Can’t listen. Too mad.

@c.h.7581 5 месяцев назад

It's just human nature.. try not to judge too harshly n miss the info! ❤

@mtntm5628 Год назад

I love this video so much. What great information. Thank you, thank you, thank you Drs. Hirsch and Bluming.

@vanessaallens6118 11 месяцев назад

What about for BRCA2 genetics? I thought we can't take estrogen

@mmags 3 месяца назад

I wish this was addressed. Same. BRCA2 + had cancer 15 years ago, dbl MX, ovaries removed. I battle this out every day . I want the light to go back on! I’m 57 still have years left. We need advocates for our category! Thanks for posting your question💕🩷

@lorisnow8230 9 месяцев назад

So does this mean that my age 64 I can’t take estrogen? I’m a little confused about this.

@auaticamazon 5 месяцев назад

You would benefit from cardiac assessment first to make sure you don’t have arteriosclerosis because of the risk of emboli first year.

@Elenitsa21 Месяц назад

I’m very confused. We put breast cancer survivors on estrogen blockers for years but then we’re saying HRT is safe for these same women? Which is it? Estrogen doesn’t cause cancer but it can make estrogenic cancer cells grow. Info on the use of HRT is still very conflicting.

@Cerceify4645 8 дней назад

My gynecologist put me on Estring years ago and then retired. That was after I had breast cancer but didn't need Chemo, just Tamoxifen for 5 years with constant hot flashes ! Now my oncologist doesn't seem to like this but it is 20 years since my surgery. I have been taking Raloxifene and she says I must take it if I continue Estring. No Problem. A surgical ophthalmologist told me that his best clients are elderly women who don't take estrogen. They develop retina tears or some sort of detachment. I do need to see if I can take HRT for general health, especially HRT.

@dianashaw6229 7 месяцев назад

I have estrogen fed breast cancer

@c.h.7581 5 месяцев назад

PLEASE HELP... I'm finding so much conflicting info (& dont even know if I can find a doc to prescribe hrt.. my gyne was proud to declare they don't prescribe it!), hardly sleeping from hot flashes 🔥 & cant think properly!! ..So, is the recommendation now with a uterus, take estrogen + progesterone? And I have a history of blood clots (grandma's sister & mum).. is this still a risk worth taking? Please help.. feeling so stressed & lost!!! 😢

@Hollowmoon007 3 месяца назад

Did you contact Alloy or MIDI online? I’ve learned the clot risk is lowest for transdermal estradiol and oral micronized progesterone only.

@angelaemmens9235 4 месяца назад

My medication costs 3000k a month. That's crazy I have medication that my oncologist wanted me to have on hand when I am better it costs 35k for one month supply. Thats 40k a month. Thats why all about money. The pharmaceutical companies make to much money to cure cancer. I am so mad that we are treated as commodity.

@auaticamazon 5 месяцев назад

Fantastic talk. The book Estrogen Matters is very empowering to advocate for yourself with our reluctant physicians

@irenewilliams-nicol8162 Год назад

I’m 59 years old and a breast cancer survivor (diagnosed and treated in 2015). I’ve only recently begun to be exposed to information regarding menopause and hormone therapy. I had an ablation of my uterus when I was in my 40s so I was never able to know for sure when I “went through menopause” as my periods stopped as of the time of the ablation. I’ve gone through almost a decade of menopause symptoms without knowing that’s what was going on. My doctor never connected the dots or suggested the things I’ve been going through could be menopause related. I have GSM and zero libido. Is it too late for me to try taking estrogen?

@julenelauro4308 11 месяцев назад

This is very informative but disappointing for women over 60.

@jt8142 3 месяца назад

I’m almost 61 years old, am more than 10 years post-menopausal, and started MHT 5 weeks ago. 1. Oral Micronized Progesterone 2. Transdermal Estradiol patch 3. Topical vaginal Estradiol cream for Genitourinary Syndrome of Menopause (GSM) symptoms

@tammymorris5723 Год назад

I am allergic to estradiol cream and have vaginal atrophy from a hysterectomy when i was 32, yes they took my ovaries both, so i am on a search for help.

@monikaengel5515 10 месяцев назад

I'm almost 5 years breast cancer survivor estrogen positive stage 3 and continued for total 10 years anastrozole and zoladex and feel horrible:dry skin,sleep issues,anxiety,slow metabolism,feel like a crap but I'm continued walk 5 miles,lifting weights and fasting and eat clean but miles is not the same plus joint pain and risk osteoporosis

@lindajones4849 6 месяцев назад

I'm impressed that you have continued to exercise despite feeling like crap

@bak6194 Год назад

Thank you for this I have just been diagnosed with h e r two positive protein ductal invasive cancer. I'm 48 I'm at the very beginning of praying menopause and had every intention of going bioidentical hormones... Menopause scares the crap out of me. Of course they want to put me on hormone blockers. Chemotherapy radiation and they haven't even done the surgery yet. The biopsy has been done. I would love some good data and information about this what would be the best thing for me to do and maintain any kind of quality of life. Not to mention Alzheimer's and heart problems run rampant in my family cancer has almost no place. Is there anybody you can refer me to or if I could talk to the doctor that would be wonderful

@L-ash777 6 месяцев назад

Don’t take those aromatise inhibitors or Tamoxifen, 2 & 1/2 yrs and have stuffed my spine. I stopped them

@debbiejenkins4039 5 месяцев назад

On Arimedix for stage 1 estrogen based. Breast cancer. Had mastectomy. Now have osteoporosis. Now what? Prolia was prescribed. Dont want to take. What do i do???

@kathysteiner9468 4 месяца назад

Anastrozole about killed me. Could hardly do anything.i think you need a little estrogen

@lisahardeman-dunn9211 Месяц назад

Here’s the big question, HR twoneg -10 years out stage one feeling like crap for 20 years. Oncologist did prescribe Estring and gynecologist. Also try DHEA inserts and so on not very effective so the question is. DOES. transdermal estrogen have any effect on cognition, Alzheimer’s/dementia.???

@catherineforest2472 5 месяцев назад

I follow Dr Avrum, I am wondering how he is received by oncologist in the US and Canada and all over the world. I need hope that change is coming. As an Hr+ breast cancer survivor, I need to believe that our quality of life will be considered. AI and tamoxifen are useful but have brutal side effects.

@lisahardeman-dunn9211 Месяц назад

Got a bump the needle on that 10 year window. Yes the average woman my age 67 probably is in pretty poor health with brittle vessels, but not all of us. Many of us have been waiting for this day to get on HRT or back on HRT, when somebody would finally become informed, and the provider area to actually give us some help.

@lisahardeman-dunn9211 Месяц назад

Most symptoms last a lifetime maybe not hot, hot flashes, but just about everything else but escalates not diminishes. How could it?

@virginia6793 Год назад

Does HRT cause your breasts to get denser and what are the statistics of this happening?

@nicolemerz1731 10 месяцев назад

I've been researching this topic for months now and I heard "NO" - but I'm not a specialist or a doctor - just a curious teacher. 😅

@lisahardeman-dunn9211 Месяц назад

Vaginal transdermal, the question does it help with cognition brain issues?

@stephaniesteiner6028 6 месяцев назад

This sings to my soul on so many levels. SCIENCE SPEAKS

@workhardplayharderx2 6 месяцев назад

Unless you are talking about the jab, then nobody follows that science lol people cherry pick the science they follow.

@mmags 2 месяца назад

Where do BRCA2 patients who had breast cancer fall in this approach to HRT?

@normapenetta5940 Год назад

How to I find someone to help? My doctor won’t even listen and adamantly refuses to prescribe

@beth5870 11 месяцев назад

I want to know this too.

@commonsense6967 10 месяцев назад

There's a reason for that!

@normapenetta5940 10 месяцев назад

First, doctors are now prescribing estrogen cream per my oncologist. Second, the medical profession has to be open to change as new information is discovered. It’s my life and if quality is more important to me than length of life I should have a say. I would happily sign a waiver

@bstewartnasielski303 Год назад

Thank you again so much for this overview. It means so much to so many people. I’ve been trying to find Dr Blumimg’s meta analysis white paper referenced in the session, however, I have not been able to do so. Is there any way you can send me a copy of this peer reviewed journal/document? I have discussed it with my OB/Gyn would like to share with my oncologist. At least to get people thinking a little bit more broadly. Thank you again for all that you do!

@virginia6793 Год назад

Is there a generic form of Prometrium?

@elleh4562 Год назад

Yes, it’s just called Progesterone

@jt8142 3 месяца назад

I get oral Micronized Progesterone from my local pharmacy in California, which is the generic version of Prometrium

@cathyg1473 Год назад

How about my gyn told me. Everything looks normal. So my burning I have on one side of labia, is just part of menopause. Also told not too many options for this issue. Feeling defeated

@laineyhavertape7049 Год назад

You might have a pelvic floor physical therapist take a look at you. I don't know your back story, but depending on the cause, they could help you with that.

@ngendoh Год назад

Find a menopause certified gynecologist

@c.h.7581 5 месяцев назад

@@ngendohThinkin these don't exist in my town in Greece.. help! ...Also feeling lost & overwhelmed!!! 😢

@LaurenR-wv3ub Год назад

pubmed.ncbi.nlm.nih.gov/35594465/ Here is the article :) I to an early stage breast cancer survivor at 40 - now nearly 43 and Tamoxifen has driven me to needing a hysterectomy and have been asked to consider removal of my ovaries …. This is an interesting study for support going through menopause! Thanks All the way from Australia :)

@lmartineau5761 10 месяцев назад

Thank you!!