Dr. Mindy Goldman

speaker

89 appearances 1 recordings 1 series first heard Feb 2026 last heard 11 Feb

Dr. Mindy Goldman’s voice in public audio — every appearance, attributed to the second.

Trend

recordings per month · last 12 months

Recordings per month over the last 12 months — 1 in all, peaking in Feb 2026 with 1.

Appearances

newest first · ▶ plays the moment

The Tamsen Show · The Gut Doctor: How to Boost Energy and Lose Belly Fat · 11 Feb 2026 podcast

The answer is you do not have to wait till you are in menopause to start hormone therapy.

So we know that menopausal hormone therapy will be the most effective treatment for all of those symptoms.

But what's different in perimenopause is if abnormal bleeding is a part of the whole symptomatology, hormone therapy is not going to fix that.

So if someone needs contraception,

or they're having heavy periods, if you give them a standard patch and bioidentical progesterone, that will treat all of the hot flashes and night sweats and symptoms, but it's not going to provide contraception, and it's not going to control heavy bleeding.

So in that situation, we will often do something like a

progestin IUD, and then a patch of estradiol to control symptoms.

So the important thing in perimenopause is you really need to individualize like with any other patient, but take into consideration if they need contraception and if they're having irregular bleeding.

Well, let's clarify that there are some breast cancer survivors that hormones are an option.

So breast cancer really is a compilation of many different diseases that

And for example, if someone had hormone receptor negative breast cancer and they have been free of disease for a period of time, typically five years or more, we know that hormones are a safe option.

There is no evidence that the use of hormones in the setting of hormone negative disease increases the risk of recurrence.

I would also say that the conversation is changing even for people with hormone positive disease.

Certainly the standard of care is to offer non-hormonal therapies, but we are learning more.

And it is possible that people who had prior hormone positive disease who have been free of disease for a long period of time can consider hormone therapy.

We don't yet have big randomized control trials to say if it's safe, but we are learning more and more.

So one thing I try to tell breast cancer survivors is hormones may not always be off the table.

If you're in the middle of treatment now, hormones should not be used, but there are plenty of options.

We have both off-label use of a number of different medications, and we have three

FDA approved non-hormonal therapies to treat hot flashes, all of the vasomotor symptoms that we see.

Showing 21–40 of 89 · page 2 of 5