102 - Melanie Martins: Treat me like a patient but there’s no ’one size fits all’

102 - Melanie Martins: Treat me like a patient but there’s no ’one size fits all’

This episode features a very open and honest account from GP and Newson Health doctor, Melanie Martins. Mel was diagnosed with breast cancer at the age of 34 and, after a further diagnosis and chemotherapy, found herself 'flung' into the menopause with very little warning or discussion with the health professionals caring for her at the time.

Dr Martins shares with Dr Louise Newson why she believes every woman's experience of breast cancer is unique to them and a 'one size fits all' approach must be avoided. She shares about her own quest for help with persistent and worsening genitourinary symptoms and the psychological process of navigating evidence and making a decision to take vaginal estrogen, when she had avoided contact with this hormone for years.

Dr Martin's 3 pieces of advice for women experiencing menopause after breast cancer are:

  • If you're troubled by vulval and vaginal symptoms, stop using soap or shower gel and use an emollient wash instead. You can buy this over the counter in any chemist. These symptoms tend to worsen over time, don't struggle on and get desperate, seek help for them. Vaginal estrogen is safe, it can be used in the long term, alongside HRT, or on it's own.

  • Find accurate information about menopause and treatments after breast cancer. And then make a decision that's right for you and you alone. You need to be at peace with that decision, and remember it's not set in stone forever. We can only make decisions based on the information we have and how we feel at the time, so don't look back with regret about what you did or didn't decide to do.

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Episoder(368)

Bonus: When hormones are missed in mental health

Bonus: When hormones are missed in mental health

In this episode, Dr Louise Newson is joined by mental health nurses Jayne and Diane to discuss the often overlooked role of hormones in women’s mental health.Drawing on their experience working in men...

26 Mar 29min

52 – Why psychiatrists must start thinking about hormones

52 – Why psychiatrists must start thinking about hormones

In this episode, Dr Louise Newson is joined by consultant psychiatrist Dr Gareth Jarvis to explore the important, and often overlooked, connection between hormones and mental health.  Louise and Garet...

24 Mar 32min

51 – A man’s guide to menopause

51 – A man’s guide to menopause

In this episode, Dr Louise Newson is joined by journalist and author Joe Warner to discuss his new book exploring menopause from a partner’s perspective. It’s called “Burning Up, Frozen Out: What Ever...

17 Mar 30min

50 - Testosterone and breaking the stigma

50 - Testosterone and breaking the stigma

In this episode, Dr Louise Newson is joined by urologist, educator and hormone health advocate Dr Kelly Casperson to challenge some of the most persistent myths surrounding testosterone and women’s he...

10 Mar 29min

49 – Endometriosis, dismissal and the fight to be heard

49 – Endometriosis, dismissal and the fight to be heard

In this episode for Endometriosis Awareness Month, Dr Louise Newson is joined by author and women’s health advocate Evelyn Scott to share her personal experience of living with endometriosis, a condit...

3 Mar 33min

48 – Why heart disease in women is still being missed

48 – Why heart disease in women is still being missed

In this episode, Dr Louise Newson is joined by Dr Jayne Morgan, a cardiologist and leading advocate for improving recognition of cardiovascular disease in women. Despite being the number one cause of ...

24 Feb 28min

47 - Rethinking mental health and antidepressant prescribing

47 - Rethinking mental health and antidepressant prescribing

Content advisory: this episode contains themes of metal health and suicidalityIn this episode, Dr Louise Newson is joined by Dr MarkHorowitz, who is a psychiatrist, researcher and world-leading expert...

17 Feb 35min

46 - Why understanding your hormones changes everything

46 - Why understanding your hormones changes everything

In this episode, Dr Louise Newson is joined by Professor Mary Ryan, Consultant Endocrinologist, Adjunct Associate Professor at Trinity College Dublin and author of It’s Probably Your Hormones. Togethe...

10 Feb 31min

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