The Menopause and Cancer Podcast

In this episode, I’m joined by Lindsey Lester, a British Menopause Society-accredited specialist and breast cancer survivor, for an essential conversation on bone health after cancer and menopause.
Bone health is one of the most common — and least talked about — long-term effects of cancer treatment. Whether your menopause was triggered suddenly by treatment or has developed over time, the impact on your bones can be significant.
We explore how treatments such as chemotherapy, endocrine therapies (including tamoxifen and aromatase inhibitors), steroids, and treatment-induced menopause can all affect bone density — across different types of cancer, not just breast cancer.
We also talk about who may be most at risk, how quickly bone density can change, and why bone loss is often called a “silent” condition — with many people not realising until much later.
A key part of this conversation is understanding DEXA scans — when to have one, how often to monitor your bone health, and what it really means if you’re told you have osteopenia or osteoporosis.
But most importantly, this episode is about what you can do.
From nutrition and movement to medications and monitoring, Lindsey shares clear, practical ways to protect your bones — and answers one of the biggest questions so many people have after cancer:
Can we improve our bone health without HRT?
This episode will help you feel more informed, more in control, and better equipped to make decisions about your long-term health.
Episode Highlights:
00:00 Intro
06:09 Participant introductions and background questions
09:00 Discussing osteoporosis awareness plan
13:03 Postmenopausal bone health risks
15:16 Discussing bone health awareness
20:08 Young people unaware of health risks
22:49 Discussing tamoxifen and ovarian function
28:51 Experiencing medical and surgical menopause
31:37 Calcium and vitamin D for bone health
39:52 Tracking calcium on a vegan diet
44:54 Discussing exercise for bone health
49:30 Cholesterol management with exercise
51:47 Benefits of building muscle
Here are some links we mentioned:
https://theros.org.uk/information-and-support/bone-health/nutrition-for-bones/calcium/calcium-rich-food-chooser/
https://strwebstgmedia.blob.core.windows.net/media/0lhowmrk/about-exercise-fact-sheet-february-2019.pdf
You can find Lindsey here: https://healthinmenopause.co.uk/meet-the-team/
Connect with us:
For more information and resources visit our website: www.menopauseandcancer.org
Or follow us on Instagram @menopause_and_cancer
Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

In this episode, I’m doing something a little different.
I’m sharing real stories of who I met, what went on in our menopause after cancer community, and real experiences of what menopause after cancer actually feels like. The parts that often go unspoken.
I mull over if menopause after cancer needs a rebrand?
What does it mean to set realistic expectations?

And alongside that, I’m answering your questions.
From hair to how long does menopause last to GLP-1’s and risk — this is a space to bring it all together.
Because so often, we’re told what should happen…
but not what it really feels like to live through it.
And because sometimes the best meaning advice is hard to implement for yourself - right at the end, I’m reading a beautiful poem to you by Jeff Foster - it’s called: Slow Down Friend.
You’re not alone in this. And there are ways to feel better.
Episode Highlights:
00:00 Intro
05:42 Discussing menopause after cancer support
17:40 Answering listener questions on hair thinning
20:54 Diagnosing and treating hair loss
23:04 Discussing hair fibres and re-growth helmets
25:55 Discussing menopause after ovary removal
29:33 Managing cancer treatment and lifestyle risks
32:11 Considering whole patient health
35:26 Finding solace in the poem, Slow Down Friend
Episode mentions:
Episode 118: https://podcasts.apple.com/gb/podcast/ep-118-what-is-the-evidence-between-hrt-and-breast/id1631842514?i=1000666722248
Episode 191: https://podcasts.apple.com/gb/podcast/episode-191-i-cant-shift-the-weight-should-i-consider/id1631842514?i=1000736358058
Connect with us:
For more information and resources visit our website: www.menopauseandcancer.org
Or follow us on Instagram @menopause_and_cancer
Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

When you’re thrown into menopause after breast cancer treatment, the symptoms can feel relentless: hot flushes, insomnia, anxiety, joint pain, low mood to name a few.
And when conventional options feel limited, it is understandable that many people begin looking into herbal medicine.
But then the confusion starts.
- What herbal medicine actually is — and what it isn’t
- Is black cohosh safe?
- What about red clover and phyto-oestrogens?
- Are adaptogens like ashwagandha helpful — or risky?
- Could herbs interfere with endocrine therapy?
In this episode, we are joined by Melinda MacDougall, a qualified medical herbalist and we will go through all of your many questions.

Episode Highlights:
00:00 Intro
03:50 What Is Herbal Medicine?
18:49 "Holistic Approach to Herbal Healing"
19:57 "Tamoxifen and Herbal Interactions"
24:47 Black Cohosh: Menopause Symptom Relief
29:56 "Skullcap & Lemon Balm Benefits"
33:00 "Black Cohosh for Menopause"
34:38 Holistic Self-Care Matters
41:14 "Sea Buckthorn Supplement Tips"
43:55 "Misleading Supplements"
48:20 "Adaptogens: Stress-Modulating Herbs"
53:26 "Plant Oestrogens"

Here are some helpful links:
You can find Melinda here: https://www.melindamcdougall.com/
Here is an article on herbal medicine: https://menopauseandcancer.org/herbal-medicine-for-menopause-after-cancer-current-research/
Here is a great blog that lists Tamoxifen contraindications: https://owise.uk/tamoxifen-what-you-should-avoid/

Connect with us:
For more information and resources visit our website: www.menopauseandcancer.org
Or follow us on Instagram @menopause_and_cancer
Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

In this honest and judgment-free conversation, Dani is joined by cancer survivors Emily and Anita to explore their relationship with alcohol after cancer and during menopause.
Together, they talk openly about questioning drinking habits, attempts to moderate or stop altogether, the social shifts that come with drinking less, and the impact on identity and relationships.
We know that no amount of alcohol is completely safe. Large studies show that alcohol increases the risk of at least seven different cancers, and it can also worsen menopause symptoms such as hot flushes, poor sleep, and anxiety. But this episode isn’t about shame or blame.
It’s an invitation to reflect — gently and without judgement — on your own relationship with alcohol.
Whether you drink occasionally, regularly, or not at all, this conversation creates space to pause and ask: Is this still serving me?
Episode Highlights:
00:00 Intro
06:41 "Finding My People Alcohol-Free"
13:20 "Alcohol-Free Holiday Journey"
16:37 "Redefining Roles When Sober"
24:34 "Sober Struggle with Moderation"
26:37 "Authentic Connections Without Alcohol"
30:26 Alcohol, Endometriosis, and Regret
32:03 Alcohol, Cancer, and Self-Blame
35:14 "Individual Choices in Health"
41:06 "Sober Journey, New Experiences"

These are the websites Anita and Emily mention:
https://besober.co.uk/ and https://soberbutterfly.com/
You can find Anita here https://yogaandsoundwithanita.co.uk/
And Emily here https://www.linkedin.com/in/emily-lunn-4931b3106/

Connect with us:
For more information and resources visit our website: www.menopauseandcancer.org
Or follow us on Instagram @menopause_and_cancer
Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub

In this episode of The Menopause and Cancer Podcast, I’m joined by Dr Susanna Unsworth, GP and menopause specialist at the Cambridge breast unit, to talk about why menopause after cancer can sometimes feel like such a complex and at times controversial area of medicine.
We explore why medical opinions can differ, why this space is not always black and white, and what happens when new research starts to challenge long-held assumptions.
A big focus of this conversation is the PIONEER trial, a Cambridge-led study looking at whether megestrol acetate — a drug that acts on the progesterone receptor — could be used alongside standard anti-oestrogen treatment in oestrogen receptor-positive breast cancer and how it may also help with hot flushes!
It’s a bit mind-blowing when you think that all we hear all the time is NO to any HORMONES after breast cancer!
So we talk about why that finding has caught so much attention.
We also talk about the very real emotional burden of endocrine therapy, the impact on quality of life, and why so many patients feel stuck between wanting to reduce recurrence risk and wanting to feel more like themselves again.
Susanna also shares how the Cambridge breast unit is developing its menopause service, including group education sessions to help prepare patients earlier and improve access to support.
This is a really thoughtful conversation about evidence, uncertainty, quality of life, and why people affected by cancer deserve honest, nuanced menopause care.
Episode Highlights:
00:00 Introduction
04:49 "World Menopause & Cancer Day"
06:21 GP Turned Women's Health Specialist
09:44 "Menopause, Breast Cancer, and Controversies"
13:29 Progesterone Trial Slows Cancer Growth
17:13 Hormonal Interplay and Cancer Risk
22:40 "Balancing Treatment Choices Carefully"
26:46 "Menopause, Social Media, and HRT"
32:05 Creating seminars to deliver information to more women

About my guest
Dr Susanna Unsworth is a GP and menopause specialist working within the breast unit in Cambridge, supporting patients experiencing menopause symptoms after breast cancer treatment. She also works more broadly in women’s health and community gynaecology. You can find her here: You can find Susanna here https://cambridgewomenshealth.co.uk/about

Resources and links
The Cambridge-led PIONEER trial article is here https://www.cam.ac.uk/research/news/hot-flush-treatment-has-anti-breast-cancer-activity-study-finds

Connect with us:
For more information and resources visit our website: www.menopauseandcancer.org
Or follow us on Instagram @menopause_and_cancer
Join our Facebook group: www.facebook.com/groups/menopauseandcancerchathub