Menopause and Hormonal Changes
Management of Side Effects
Breast cancer treatment often causes hormonal changes and premature menopause. These changes can affect sexuality, fertility, mood, sleep, bone health and weight. We have identified these common side effects and present suggestions for management and referrals. We hope this information will help you identify these possible changes and provide guidance for prevention and treatment. Please discuss any symptoms you are experiencing with your healthcare provider for further support.
Menopause and Hormonal Changes Resources
Vaginal dryness
Vaginal dryness and related painful intercourse (called dyspareunia) is one of the most common problems reported by women who are receiving or have completed cancer treatments. This OncoLink article provides information on widely available products and suggestions to relieve this common problem.
Menopausal symptoms and treatment options
UCSF gynecologist Dr. Mindy Goldman suggests treatment options for a variety of menopausal symptoms that breast cancer survivors might experience. Download PDF here.
Osteoporosis
Women who have had breast cancer treatment may be at increased risk for osteoporosis and fracture for several reasons. First, estrogen has a protective effect on bone, and reduced levels of the hormone trigger bone loss. Because of chemotherapy or surgery, many breast cancer survivors experience a loss of ovarian function and, consequently, a drop in estrogen levels. Women who were premenopausal before their cancer treatment tend to go through menopause earlier than those who have not had breast cancer.
How is osteoporosis diagnosed?
Increased risk of osteoporosis
National Osteoporosis Foundation information
Sexuality and breast cancer
Improving Intimate Relationships for Cancer Survivors
How to beat hormonal weight gain UCSF's Louann Brizendine, MD, explains why changing hormones make you hungrier and how to prevent weight gain in this More article.
