That Can't Be True with Chelsea Clinton The Truth about Menopause, HRT and Breast Cancer Risk with Dr. Heather Hirsch & Tamsen Fadal
Nov 20, 2025
Dr. Heather Hirsch, a leading expert in women's midlife health, and journalist Tamsen Fadal, a menopause advocate, tackle the complexities of menopause and hormone replacement therapy (HRT). They discuss the recent FDA decision to lift the 'black box' warning on many HRTs, clarifying misconceptions about breast cancer risks. The duo shares personal experiences, highlights the importance of individualized care, and reviews both hormonal and non-hormonal treatment options. They also caution against online misinformation and stress informed decision-making.
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Clear Definitions For Menopause Stages
- Menopause is defined as one year without periods and marks the start of postmenopause.
- Perimenopause is the preceding phase with early and late stages causing varied symptoms like hot flashes and brain fog.
Track Symptoms And Try A Diagnostic Trial
- Track symptoms and menstrual patterns to identify perimenopause signals and cyclic changes.
- Consider a trial of hormone therapy as it can be diagnostic when symptoms improve with treatment.
Menopause Timing Varies Widely
- Menopause timing varies widely, from premature in teens to perimenopause lasting into the late 50s.
- Surgical removal of ovaries causes premature menopause and changes management needs.
