105 | Hormone Therapy After Breast Cancer: Breaking Down The Fear, Myths & Research With Dr. Susan Hardwick Smith

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105 | Hormone Therapy After Breast Cancer: Breaking Down The Fear, Myths & Research With Dr. Susan Hardwick Smith

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For decades the answer to the question of hormone therapy after breast cancer has been a single word. No. No conversation, no nuance, no consideration of what that decision means for a woman's long-term health, her quality of life, her intimacy, or her sense of self.But what if that answer is not based on science? What if it is based on fear?In this episode of Pleasure in the Pause, Gabriela welcomes back Dr. Susan Hardwick Smith, one of the most respected voices in women's midlife health, for a conversation that every woman needs to hear — whether she has faced breast cancer or not. Dr. Hardwick Smith walks us through what the research actually says about hormones and breast cancer recurrence, why the science has been misread and misrepresented for decades, and what women on the other side of a diagnosis are actually allowed to ask for — and receive.This is not a conversation about ignoring risk. It is a conversation about understanding it clearly, separating fear from facts, and reclaiming the right to make informed decisions about your own body.Are you ready to awaken your sensuality and feel more empowered in your body? Access the FREE Pleasure Upgrade Bundle at https://www.pleasureinthepause.com/gift.About our guest: Dr. Susan Hardwick-Smith is a Board-Certified Gynecologist and certified menopause practitioner specializing in women's midlife wellness, hormone optimization and sexual wellness. She is the founder of Complete Midlife Wellness Center in Houston, TX, and the best-selling author of "Sexually Woke- Awaken the Secrets to Your Best Sex Life in Midlife and Beyond." She also hosts the popular podcast "Empowering Midlife Wellness." Dr. Susan is the recipient of the Texas Super Doctor award over a dozen times, as well a multiple time recipient of H-Texas magazine's Top Doctor and Top Doctor for Women awards. She also has been chosen as one of Houston's "3 best rated" gynecologists several consecutive years. Dr. Susan is also an ICF certified life and leadership coach, multiple time marathoner and Ironman triathlete, and mother of 3 teenagers. Highlights from our discussion include:What the Women's Health Initiative actually found — and why the headline that ran around the world was wrong The difference between breast cancer types and why not all of them have anything to do with hormones What 24 out of 25 studies on hormone use after breast cancer actually showed Why women on aromatase inhibitors can still take progesterone, testosterone, and vaginal estrogen How to go into a doctor's appointment with the right questions, the right papers, and the confidence to demand a real conversation Why the best time to think through this decision is before you ever need to make it This decision belongs to you. Not to a white coat, not to a headline from 2002, and not to a fear that has never been properly examined. You deserve the full picture. This episode is a start. If you're seeking to reclaim your pleasure and vitality, join Gabriella at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.pleasureinthepause.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for this enlightening journey into the heart of female pleasure and empowerment.Resources:Dr. Susan Hardwick Smith: https://drsusan.com/ Instagram: https://www.instagram.com/drsusanofficial/ Empowering Midlife Wellness Estrogen Matters by Dr. Avrum Bluming: [INSERT LINK] Bluming review article in Cancer journal (2022): https://pubmed.ncbi.nlm.nih.gov/35594465/ Menopause Society consensus paper (January 2026): https://www.imsociety.org/statements/position-papers-and-consensus-statements/ CONNECT WITH GABRIELLA ESPINOSA:InstagramLinkedInWork with Gabriella! Full episodes on YouTube.The information shared on Pleasure in the Pause is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

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