HRT and Breast Cancer Risk: What Every Woman Should Know

Have you ever been told, “You can never have hormones again” because of a breast cancer diagnosis, and felt terrified to even ask a follow-up question? This episode is for every woman who’s been left in limbo between cancer care and menopause care, wondering what’s actually safe and what’s fear and old data talking.

In this conversation, I’m joined by Dr Corinne Menn, a board-certified OB/GYN, Menopause Society Certified Practitioner and breast cancer survivor who went through treatment-induced menopause in her early 20s. Drawing on both her clinical expertise and lived experience, Corinne unpacks how breast cancer became so tightly (and often inaccurately) linked to HRT, what “estrogen receptor positive” really means, and why so many survivors are excluded from nuanced conversations about hormones and long-term health.

In this episode, you’ll learn:

• How one study and its miscommunication sparked decades of fear around HRT and breast cancer

• What “estrogen receptor positive” actually means, and why it doesn’t prove estrogen caused your cancer

• Why short-term HRT cannot biologically create a breast cancer that develops over the years

• The difference between baseline breast cancer risk, family history, and what HRT truly changes

• How synthetic progestins, body-identical progesterone, and estrogen-only therapy differ in safety data

• Practical steps to prepare for appointments, track symptoms, and advocate for vaginal or systemic hormones

If you’ve ever felt scared, confused, or dismissed when asking about hormones after breast cancer, this episode offers clarity, comfort, and evidence you can trust, helping you understand real risk, navigate safer options, and feel more empowered in your care.

For more resources from Dr Corinne Menn:

Visit her website: https://www.drmenn.com/

Follow her on Instagram: https://www.instagram.com/drmennobgyn/?hl=en


Follow Dr Shauna and the podcast on social:

Podcast Website: ⁠www.allaboutyoupod.com⁠

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Disclaimer: This podcast and any information, advice, opinions or statements within it do not constitute medical, health care or other professional advice. Information is provided for educational and entertainment purposes only.

00:00 – Introduction & Why Hormones Feel Confusing

00:37 – How HRT Became Fear-Based

01:10 – Meet Dr Corinne Menn

02:10 – Corinne’s Cancer & Early Menopause

04:15 – How HRT Got Linked to Breast Cancer

07:09 – What ER+ Really Means

10:44 – Family History & True Risk

11:22 – How HRT Affects Risk

15:12 – What WHI Actually Showed

16:32 – Why Balanced Risk Matters

17:26 – Modifiable vs Fixed Risk Factors

20:55 – Synthetic vs Body-Identical Hormones

23:44 – Hormone Absorption Explained

25:39 – Transdermal vs Oral Hormones

30:17 – Benefits & Limits of Progesterone

32:54 – Early Menopause & HRT Needs

38:16 – Challenges for Survivors

41:52 – Local vs Systemic Hormones

45:24 – Vaginal Estrogen Safety

48:56 – Advocating for Yourself

* HRT after breast cancer

* estrogen receptor positive explained

* vaginal estrogen breast cancer survivors

* Dr Corinne Menn interview

* menopause after chemotherapy

* surgical menopause HRT dosing

* premature menopause health risks

* bioidentical vs synthetic hormones

* breast cancer family history risk

* modifiable breast cancer risk factors

* menopause and cancer support

* hormone therapy WHI study

* progesterone and breast density

* advocating for vaginal estrogen

* women’s health podcast midlife