Dr. Jessica Shepherd

They themselves have had breast cancer and specifically a hormone receptor positive type of cancer, right? It responds to hormones. So the reason why I kind of doubled down on personal history is that there is a lot around breast cancer when we think I've had a family member, a cousin, an aunt, that doesn't put you in the same category as having a personal history of breast cancer.

They themselves have had breast cancer and specifically a hormone receptor positive type of cancer, right? It responds to hormones. So the reason why I kind of doubled down on personal history is that there is a lot around breast cancer when we think I've had a family member, a cousin, an aunt, that doesn't put you in the same category as having a personal history of breast cancer.

It's a very nuanced conversation. Okay. And you definitely should be talking to your doctor specifically about what type of cancer that you've had, the course of cancer that has taken on your life, but also the age of when you were diagnosed and what that means. Okay. And the second thing is if you've had an Pulmonary embolism, you've had a clot in your lung.

It's a very nuanced conversation. Okay. And you definitely should be talking to your doctor specifically about what type of cancer that you've had, the course of cancer that has taken on your life, but also the age of when you were diagnosed and what that means. Okay. And the second thing is if you've had an Pulmonary embolism, you've had a clot in your lung.

It's a very nuanced conversation. Okay. And you definitely should be talking to your doctor specifically about what type of cancer that you've had, the course of cancer that has taken on your life, but also the age of when you were diagnosed and what that means. Okay. And the second thing is if you've had an Pulmonary embolism, you've had a clot in your lung.

Or even if you've had maybe a very large event of a clot somewhere else in your body, it has to be pretty significant for you not to be a candidate for hormone replacement therapy. And why do those two things... make you not a candidate for hormone replacement therapy?

Or even if you've had maybe a very large event of a clot somewhere else in your body, it has to be pretty significant for you not to be a candidate for hormone replacement therapy. And why do those two things... make you not a candidate for hormone replacement therapy?

Or even if you've had maybe a very large event of a clot somewhere else in your body, it has to be pretty significant for you not to be a candidate for hormone replacement therapy. And why do those two things... make you not a candidate for hormone replacement therapy?

That's a great question because of the hormones and the response of the body, whether it's the clot or the breast cancer, that introducing hormones again may precipitate or cause another event like that.

That's a great question because of the hormones and the response of the body, whether it's the clot or the breast cancer, that introducing hormones again may precipitate or cause another event like that.

That's a great question because of the hormones and the response of the body, whether it's the clot or the breast cancer, that introducing hormones again may precipitate or cause another event like that.

Yeah, because there's a history of has your family had it and been exposed to and what was that and why? Do you have a genetic predisposition to that same cancer in your family? So those, again, that should be where that list is being kind of narrowed down when you talk to your doctor. But I want women to, even if they have a family history, that's where the conversation starts.

Yeah, because there's a history of has your family had it and been exposed to and what was that and why? Do you have a genetic predisposition to that same cancer in your family? So those, again, that should be where that list is being kind of narrowed down when you talk to your doctor. But I want women to, even if they have a family history, that's where the conversation starts.

Yeah, because there's a history of has your family had it and been exposed to and what was that and why? Do you have a genetic predisposition to that same cancer in your family? So those, again, that should be where that list is being kind of narrowed down when you talk to your doctor. But I want women to, even if they have a family history, that's where the conversation starts.

I've had so many women who are like, oh, I can't do it. Then they just never talk about it. And I'm like, but what if, what if you found yourself that you can be exposed to it? Wouldn't that be great? Is there an age where it's too late to start hormone replacement therapy?

I've had so many women who are like, oh, I can't do it. Then they just never talk about it. And I'm like, but what if, what if you found yourself that you can be exposed to it? Wouldn't that be great? Is there an age where it's too late to start hormone replacement therapy?

I've had so many women who are like, oh, I can't do it. Then they just never talk about it. And I'm like, but what if, what if you found yourself that you can be exposed to it? Wouldn't that be great? Is there an age where it's too late to start hormone replacement therapy?

This is another beautiful question because for a long time from that WHI study 20 years ago, we used to say you can't start hormones now. if you've started 10 years after your last period, which is clinically menopause, or after the age of 60. And so we have shifted those, quite frankly, and again, it's a nuanced conversation, but there are plenty of women

This is another beautiful question because for a long time from that WHI study 20 years ago, we used to say you can't start hormones now. if you've started 10 years after your last period, which is clinically menopause, or after the age of 60. And so we have shifted those, quite frankly, and again, it's a nuanced conversation, but there are plenty of women

This is another beautiful question because for a long time from that WHI study 20 years ago, we used to say you can't start hormones now. if you've started 10 years after your last period, which is clinically menopause, or after the age of 60. And so we have shifted those, quite frankly, and again, it's a nuanced conversation, but there are plenty of women