Menopause is a challenge for many women, but for those who experience it after breast cancer treatment, the journey can feel particularly overwhelming. Sudden hormonal changes, surgical menopause or treatment-induced menopause present unique challenges, often leaving women feeling unprepared.
Here, we explore the insights shared by Kirstie Blanchette, the Beyond Breast Cancer Coach, who has first hand experience of this transition. Diagnosed with breast cancer at 35, Kirstie underwent a double mastectomy, ovary removal and treatment-induced surgical menopause. Today, she supports women with life after treatment.
Here are five practical tips to improve your menopause experience after breast cancer, enhanced by Kirstie’s personal reflections and expert advice.
Get Prepared Before Surgery or Treatment
Preparation is key when facing treatment that could trigger menopause. Kirstie recalls feeling underprepared for the realities of surgical menopause. While medical teams may briefly explain the transition, the long-term effects on health, mood and lifestyle often require deeper exploration.
Because I was so young and knew nothing about menopause, I felt so alone with it. It just made me feel like I was going mad,” Kirstie explains.
Knowing what to expect can alleviate some of the shock and help you prepare both emotionally and physically.
Actionable Tip: Ask your medical team detailed questions about menopause symptoms, lifestyle adaptations and available support. Look for resources tailored to cancer survivors, as general menopause advice might not fully apply.
Acknowledge the Emotional Impact
The emotional toll of sudden menopause, particularly for younger women, can be immense. Kirstie shares how unexpected symptoms and feeling different from her peers added to the stress.
It’s such a balm for the soul when you meet someone who says, ‘I know just how you feel.’ You suddenly breathe a big sigh of relief: I’m not going mad. I’m not alone.”
Kirstie found online forums like Breast Cancer Now and Macmillan, really helpful and a place where she could connect with others experiencing similar challenges.
- Actionable Tip: Seek mental health support, such as counselling or support groups for breast cancer survivors. Connecting with others who share your experiences can reduce feelings of isolation.
Understand Your Treatment Options
For many women, breast cancer treatment limits the use of traditional hormone replacement therapy (HRT). However, as Kirstie explains, options are evolving and some women may now have access to tailored HRT plans.
Options are changing and it’s worth exploring what might be right for you. You’re not alone in feeling confused or frustrated—specialists can help you navigate this.”
Actionable Tip: Work closely with a menopause specialist to understand what treatments or alternatives might suit your situation. Non-hormonal therapies and lifestyle changes can provide relief.
Adopt a Holistic Approach to Recovery
Post-treatment life often feels like a “cliff edge,” where the structured care during cancer treatment disappears, leaving many women unsure of their next steps. Kirstie emphasises the importance of focusing on both physical and mental recovery.
I had to look at everything—physical health, nutrition, emotional health, even how I communicated with people. Looking back, I feel like a completely different person.”
Small, manageable changes made a significant difference for Kirstie, from adjusting her diet to embracing exercise despite her initial hesitation.
Exercise wasn’t my jam before. But now, I see it as essential—not optional. If I want to protect my heart and bone health, I have to prioritise cardio and strength training.”
Actionable Tip: Prioritise balanced nutrition, gentle exercise and techniques like breathwork or meditation. These practices can support overall wellbeing and help manage symptoms like fatigue, anxiety and hot flushes
Seek Continued Support
Kirstie highlights the value of ongoing support after treatment. Whether through coaching, support groups or trusted professionals, having someone to guide you through the next stage of life can make a significant difference.
When you’re in a heightened state of stress, finding ways to bring your cortisol levels down is essential. ” Kirstie
“Breathwork puts you in the driving seat—you have something tangible to help yourself feel better.” Julie, Essex Menopause Coach
Breathwork became a transformative tool for Kirstie, helping her manage anxiety and regain control over her emotional state.
- Actionable Tip: Look for a coach or community that understands the unique challenges of post-treatment menopause. Kirstie’s work is a great example of how shared experiences can empower and guide women toward thriving post-treatment.
Menopause after breast cancer is complex but it doesn’t have to be faced alone. Kirstie’s story is a powerful reminder of the resilience women can find when equipped with the right tools and support.
This post draws on my discussions with Kirstie Blanchette in my podcast Transform Your Menopause. For more expert advice, listen to the full episode, Menopause After Breast Cancer: 5 Practical Tips or watch on YouTube. Be sure to read the episode description to access the FREE DOWNLOAD – A guide to wellness in Cancer induced menopause.