0:00 – 37:00
Hormones and cancer is the conversation that stops many physicians from prescribing — and stops many patients from getting relief. We must separate population statistics from the woman or man in front of us. Early WHI-era messaging created decades of oversimplified fear. Contemporary data are more nuanced: timing of initiation, route, dose, progesterone exposure, and baseline risk matter. Absolute risk changes are often small but emotionally amplified. I do not dismiss oncology concerns. I contextualize them. Family history, prior malignancy, imaging, and shared decision-making are non-negotiable. Our responsibility is to cite the best available evidence, explain uncertainty, and never promise zero risk — or pretend risk is infinite.