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
Instagram: https://www.instagram.com/allaboutyou_withdrshaunawatts
https://www.instagram.com/drshaunawattsgp
LinkedIn: https://www.linkedin.com/in/shauna-watts-a903a5247
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
* Gray area drinking
* Stop drinking midlife
* Alcohol and perimenopause
* Alcohol anxiety women
* Dopamine reset alcohol
* Alcohol and sleep problems
* Quit drinking support
* Sarah Rusbatch
* Dr Shauna Watts
* Alcohol free lifestyle
* Midlife health
* Gut health and alcohol
* Perimenopause symptoms
* HRT and alcohol
* Women and alcohol use
