In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with Dr. Daved Rosensweet for a wide-ranging, deeply informed conversation about menopause, hormone replacement therapy, breast cancer risk, and why so many women have been left without clear, trustworthy options.Dr. Rosensweet shares how the Women’s Health Initiative created lasting fear around hormones, why that fear was built on misreported data, and how the conversation around estrogen, progesterone, and testosterone has slowly begun to change.
Together, they make the case that hormones are not the enemy of women’s health and in many cases, they are central to preserving it. The conversation also turns to safety, testing, individualized dosing, and the role of breast imaging. Dr. Jenn explains why QT imaging is changing the way she thinks about screening, and Dr. Rosensweet reflects on why he has long required imaging before prescribing hormones. The result is an unusually honest, technically rich, and hopeful conversation about how to care for women better at every stage of life.
What You’ll Learn
- Why the Women’s Health Initiative misled both the public and providers
- What the data actually showed about estrogen and breast cancer risk
- Why many women were taken off hormones unnecessarily for decades
- How Dr. Rosensweet thinks about the safety of hormone replacement after breast cancer
- Why estrogen, progesterone, and testosterone all matter for women’s health
- How hormone loss contributes to sleep problems, brain fog, libido loss, bone loss, and muscle loss
- Why the timing of hormone therapy matters, but it may not be “too late”
- How Dr. Rosensweet approaches individual dosing and hormone testing
- Why topical delivery matters when it comes to clotting risk and liver metabolism
- How QT imaging fits into a safer, more modern breast-screening strategy
Chapters
00:00
Introduction and episode overview
09:50
Hormone therapy after breast cancer: what the science says
12:31
The role of estrogen and breast cancer risk
14:23
Hormones and breast cancer risk: what the latest studies show
16:22
The lag in medical progress and the 30-year delay in hormone research
17:44
Why the narrative that estrogen causes cancer persists
20:02
Recent advances and the future of hormone therapy
22:51
The importance of provider education and safe hormone protocols
25:49
Signs you should consider hormone therapy
30:44
What women can do if they missed their window for hormone therapy
33:49
Is it ever too late for hormone therapy?
36:02
Determining the right hormone levels and testing methods
37:24
How Dr. Rosensweet ensures safe hormone replacement practices
44:33
Understanding breast cancer cells and hormone receptor sites
46:03
Hormones as protectors, not causes, of breast cancer
47:08
The impact of environmental toxins on health
48:17
The need for testosterone in women and men
52:02
Addressing the lack of provider training on hormones
54:27
Empowering women to have informed conversations about hormones
55:46
Closing remarks and call to action
To talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-call
To get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuide
Connect with Dr. Jenn:
Website: https://www.perfeqtionimaging.com/
Facebook: https://www.facebook.com/DrJennSimmons
Instagram: https://www.instagram.com/drjennsimmons/
YouTube: https://www.youtube.com/@dr.jennsimmons
