Menopause After Ovarian Cancer: Hormones, Health, and Healing

Menopause after ovarian cancer doesn’t follow the usual path. It can happen suddenly, with stronger symptoms and more complex health concerns. At the National Ovarian Cancer Coalition (NOCC), we are here to help you make sense of it all. In the latest episode of Teal Talk – An Ovarian Cancer Podcast, we dive into the final part of our menopause series: Menopause After Ovarian Cancer: Hormones, Health, and Healing. Dr. Stephanie McNally joins us again with fresh insights, practical tips, and a message of hope. Whether you’re in treatment or long into survivorship, this episode is filled with the knowledge you need.

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Why menopause after cancer feels so different

For many survivors, menopause arrives earlier and more abruptly due to surgery or chemotherapy. That quick hormonal shift can bring on intense symptoms, often without much warning.

“You hit menopause the minute you hit the recovery room,” said Dr. McNally. “Being prepared ahead of time makes all the difference.”

If only one ovary is removed, some natural hormone production might continue. But if both are removed, menopause begins immediately. Understanding your specific treatment plan is key to knowing what to expect.

What to do:

• Ask your care team about how your treatment may trigger menopause.
  
• Clarify if hormone production will continue post-surgery.
  
• Talk to your doctor about what symptoms to expect and how to manage them.

Hormone therapy and other treatment options

Wondering if hormone therapy is right for you? The answer depends on your treatment history, cancer type, and personal health goals. Dr. McNally explains the difference between systemic and localized hormone therapy and the growing role of bioidentical and compounded hormones.

“Bioidentical hormones are very similar to what your ovaries naturally made. They can come in pills, creams, or rings,” she shared.

Survivors who cannot or choose not to use hormones still have options. New FDA-approved non-hormonal medications like Fezolinetant are helping reduce hot flashes and improve sleep. And lifestyle therapies such as acupuncture, yoga, and CBT can offer added relief.

Helpful choices include:

• Localized estrogen for vaginal symptoms
• Non-hormonal medications like SSRIs and Fezolinetant
• Complementary therapies such as tai chi, mindfulness, and strength training

Your health and wellness after treatment

Cancer survivors already face many health challenges. Menopause can add more, affecting bone strength, heart health, cognition, and emotional well-being. Dr. McNally urges patients to stay proactive and connected to care.

“Do not assume every symptom is just menopause,” she said. “Your body is going through a lot. You need a collaborative care team.”

Regular checkups and honest conversations with your doctor are essential. Survivors deserve care that looks at the full picture, including emotional health. If you’re not getting answers, keep asking.

“Be bold and be brave,” encouraged Dr. McNally. “If someone tells you no, ask why.”

Support your wellness by:

• Scheduling regular bone and heart health screenings
• Seeking emotional support through therapy or peer groups
• Talking to specialists who understand menopause after cancer

Take this with you: Menopause after ovarian cancer is manageable with the right support

Menopause after ovarian cancer is not something you should face alone. It’s complex, personal, and sometimes overwhelming, but it’s also manageable with the right tools and support. This episode of Teal Talk – An Ovarian Cancer Podcast reminds you that you have options and a community ready to walk with you every step of the way.

Remember:

• Menopause symptoms may be more intense after treatment, especially with surgical or medically induced menopause.
• Not all hormone therapies are the same. Talk to your doctor about systemic versus localized options.
• New non-hormonal treatments and complementary therapies can help ease symptoms.
• Your emotional health matters just as much as your physical health. Seek support when you need it.
• Every survivor’s journey is unique. Advocate for care that meets your specific needs.