Ep. 502 Why Ovarian Cancer Is So Hard to Diagnose – Inside the Complex World of Gynecologic Oncology with Rachel Frankenthal, PA-C | Menopause & Cancer

Ep. 502 Why Ovarian Cancer Is So Hard to Diagnose – Inside the Complex World of Gynecologic Oncology with Rachel Frankenthal, PA-C | Menopause & Cancer

Today, I am honored to connect with Rachel Frankenthal, a board-certified physician assistant with a master's degree in public health, specializing in gynecologic oncology. Rachel is on the staff at UCLA Health, where she treats women with gynecologic cancers and women at high risk for uterine or ovarian cancer due to genetic mutations or a strong family history. In our discussion, we unpack GYN oncology, covering the five GYN cancers, why ovarian cancer is the silent killer, and the labs and ultrasounds to help screen for ovarian cancer. We dive into genetics, including BRCA mutations and Lynch syndrome, appropriate genetic counseling, and what Rachel considers when dealing with younger patients still at peak fertility versus older patients. We explore the importance of HRT utilization for cancer previvors, the effects of pelvic radiation, vaginal and sexual health, and what thriving looks like after cancer. Rachel shares her stepwise approach to hot flashes, and we also discuss the importance of lifestyle, bone health, and specific research on the benefits of GLP-1s for women with ovarian and endometrial cancer. This conversation is especially relevant as we are in GYN and Ovarian Cancer Awareness Month. I look forward to having Rachel back again, hopefully later this fall, to discuss the use of hormone replacement therapy with GYN oncology survivors. IN THIS EPISODE, YOU WILL LEARN: How the lack of effective screening makes ovarian cancer hard to detect due to How BRCA and Lynch syndrome influence cancer risk and treatment choices The benefits of HRT for cancer previvors Risks that arise from surgical menopause without sufficient or properly dosed HRT Why less than 50% of eligible women actually receive hormone therapy How pelvic radiation impacts menopause, vaginal tissue, bladder, and GI health The support that is crucial for cancer survivors after pelvic radiation Lifestyle factors to improve cancer treatment outcomes Rachel shares her stepwise approach to managing hot flashes What GLP-1 research reveals about reducing ovarian cancer mortality and endometrial cancer risk Bio: Rachel Frankenthal Rachel Frankenthal is a board-certified and licensed Physician Associate and Menopause Society Certified Practitioner with a Master's in Public Health. She specializes in gynecologic oncology, treating women with gynecologic cancers as well as women at high risk for uterine or ovarian cancer due to genetic mutations. Rachel has a special passion for menopause and midlife women's healthcare. She developed the menopause clinic for gynecologic cancer survivors and previvors at UCLA and has played an integral role in developing the GYN cancer survivorship program, where she teaches the weekly yoga and meditation class. Rachel lectures at UCLA and across the country on the importance of comprehensive menopause care in cancer survivorship and has created a course on hormone therapy for gynecologic cancer survivors through the Heather Hirsch Academy. In addition to being a medical practitioner, Rachel is a certified yoga and Pilates instructor, a prior Broadway performer, and an advocate for integrative, holistic health. Connect with Cynthia Thurlow Follow on X, Instagram & LinkedIn Check out Cynthia’s website Submit your questions to support@cynthiathurlow.com Connect with Rachel Frankenthal On Instagram

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Ep. 68 The Impossible Burger, and Other Alternatives to Meat

Ep. 68 The Impossible Burger, and Other Alternatives to Meat

In this episode, Cynthia Thurlow and Kelly Donahue, PhD talk about one of the most controversial, trending food substances that has been circulating in the nutrition space. They dove into what makes a food healthy or unhealthy, better and worse alternatives to meat and the general role and impact of food and nutrition to our overall health.

26 Loka 201931min

Ep. 67 The Carnivore Diet, Health Benefits and Lifestyle

Ep. 67 The Carnivore Diet, Health Benefits and Lifestyle

In this episode, we are joined by Dr. Shawn Baker. Dr. Shawn Baker is a doctor, an athlete, a father and a proponent of a carnivorous lifestyle. His achievements are as heavy as the weight he can lift and include serving as a chief of orthopedics and as an orthopedic surgeon for several high establishments. He has a past history as a nuclear weapons Combat Commander, is a Gold Medal holder of the Texas Strong Man, and was in the top 5 of the USA Strongest Man Contest.

19 Loka 201942min

Ep. 66 Lifestyle Medicine, Prevention and Cure to Illnesses

Ep. 66 Lifestyle Medicine, Prevention and Cure to Illnesses

In this episode, Cynthia Thurlow and Kelly Donahue, PhD talked about Personalized Lifestyle Medicine, its definition, benefits and implementation. They talked about the common misconceptions of traditional medicine, benefits of Personalized Lifestyle Medicine and its impact on an individual's health that goes way beyond just prescribing medicine. They also touched on trending diets, nutrition and the importance of lifestyle change for illness and disease prevention.

12 Loka 201932min

Ep. 65 Redesigning Lifestyle and Nutrition to Treat Chronic Autoimmune Diseases

Ep. 65 Redesigning Lifestyle and Nutrition to Treat Chronic Autoimmune Diseases

In this episode, we are joined by Dr. Terry Wahls. Dr. Terry Wahls is a clinical professor of medicine at the University of Iowa where she conducts clinical trials. She is also a patient with secondary progressive multiple sclerosis, which confined her to a tilt-recline wheelchair for four years.

5 Loka 201941min

Ep. 64 Healthy Libido, Science in Sex & Intimacy

Ep. 64 Healthy Libido, Science in Sex & Intimacy

In this episode, we are joined by Susan Bratton. Susan Bratton is a champion and advocate for all who desire passionate relationships. Considered the “Dear Abby of Sex,” Susan’s fresh approach and original ideas have helped millions of people of all ages and across the gender spectrum transform sex into passion.

28 Syys 201945min

Ep. 63 Hormonal Imbalance and How to Correct It

Ep. 63 Hormonal Imbalance and How to Correct It

In this episode, we are joined by Dr. Beth Westie. After having her 3rd pregnancy, she suffered shooting pains due to ovarian cysts. These pains got so bad that she was taking 35 supplements and was even rushed to the Emergency Room. This is when she started looking into eastern medicine and healthier lifestyles to balance her hormones.

21 Syys 201944min

Ep. 62 Entrepreneurship, Grit and Success

Ep. 62 Entrepreneurship, Grit and Success

In this episode, we are joined by Tony Whatley. He finished college while working full-time as a pipefitter and welder. He later began working his way through engineering design roles, and then into Project Management. Alongside his oil career, he became an expert at creating part-time “side-hustle” businesses. He managed to create both 6-figure and 7-figure online businesses and became a millionaire at the age of 34 when he sold one of his online companies.

14 Syys 201942min

Ep. 61 Perimenopause, Symptoms and Solutions

Ep. 61 Perimenopause, Symptoms and Solutions

In this episode, we are joined by Katarina Wilk. Katarina Wilk is a health and medicine journalist and the author of the book Perimenopower - the ultimate guide for women who started to experience strange symptoms with sleep, mood and body that are linked to perimenopause.

7 Syys 201927min

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