Breast cancer survival rates continue to improve, with over 4 million survivors in the United States alone. However, the journey beyond diagnosis presents significant challenges to quality of life, particularly for women with hormone receptor-positive (HR+) cancers who require long-term endocrine therapy. Sexual dysfunction affects up to 93% of women on aromatase inhibitor therapy, profoundly impacting intimate relationships and marital satisfaction. This article examines the biological mechanisms underlying these challenges, the impact on relationships and marriages, and evidence-based treatment strategies specifically tailored for HR+ breast cancer survivors seeking to reclaim their sexual health and intimate connections.

Metformin, also known as Glucophage, is an affordable and effective option for women in perimenopause or menopause who aren’t eligible for GLP-1 medications but still want to manage weight and support healthy aging. This well-studied drug enhances insulin sensitivity and can stabilize blood sugar levels, potentially reducing stubborn midsection fat. Some women also report better bowel regularity, which can be a welcome relief during hormone fluctuations. One patient, Cassandra, lost eight pounds of body fat over six months without major changes to her lifestyle. Metformin’s decades of data and accessibility make it a compelling choice for those seeking a steady, evidence-based approach to weight control and vitality.

This blog offers practical guidance and personal reflections on working with an exercise trainer during the physical shifts of perimenopause. It explains why strength training matters at this stage, not only to maintain muscle and manage changes in body composition, but also to support bone health and help prevent osteoporosis. Readers will find straightforward discussions on technique, form, and how a trained professional can provide steady support, accountability, and tailored programs to keep them progressing safely.

Menopause brings significant changes, and understanding your body's needs is crucial during this time. This blog explains VO₂ max—a key indicator of cardiovascular fitness—and its importance for women in perimenopause and menopause. It offers practical advice on improving VO₂ max through exercises like High-Intensity Interval Training (HIIT) and hill training, tailored to support your health and well-being during this transition.

Highlights from the New Pause symposium on October 19, 2024

At Bonza Health, we believe menopause offers an opportunity to set the stage for a vibrant, healthy future. This blog highlights the importance of addressing the cardiovascular risks, body composition changes, and increased risk of chronic diseases like diabetes and heart disease that come with declining estrogen levels.