Breast Cancer & Menopause: Empowering Women Through Awareness, Action & Advocacy

To continue our Breast Cancer Awareness Month blog series, we’re diving deep into the intersection of breast cancer and menopause—a critical space where awareness, science, and self-care must come together.

October is a powerful time to reflect, honor, and take action. At MenopauseNetwork.org, we stand with women of all ages, especially those navigating midlife transitions, where hormonal shifts, lifestyle stressors, and long-term health planning converge. This season is a reminder that knowledge isn’t just power—it’s prevention, treatment, and survival.

In this edition, we highlight key insights from Dr. Marisa Weiss, a leading oncologist, breast cancer survivor, and founder of Breastcancer.org, who recently appeared on The TODAY Show. Dr. Weiss offered a powerful look at what’s changing in breast cancer care—and how women can take charge of their health journeys, especially during perimenopause and menopause. Here’s what we learned:

Breast Cancer in a Changing Landscape

While breast cancer is often associated with older women, a troubling rise in diagnoses among women under 40 has experts concerned. Dr. Weiss pointed out in her TODAY Show interview:

“More women are being diagnosed at younger ages—and they’re not benefiting from early detection because screening guidelines don’t cover them.”

This means we need to rethink how we approach risk, screening, and education, especially for women in their 30s and early 40s who are often overlooked by standard protocols.


Hope Through Innovation: What’s New in Breast Cancer Treatment

Dr. Weiss shared that the current era of breast cancer care is one of hope, innovation, and personalization. Thanks to cutting-edge science, we’ve moved far beyond one-size-fits-all treatment models.

Key Advances Include:

  • Targeted Therapies: Medications tailored to specific tumor markers
  • Immunotherapy: Engaging the immune system to attack cancer
  • Precision Radiation: Lower damage, faster healing
  • Less Invasive Surgeries: More options for breast-conserving treatment

Women today have more tools than ever—and clinical trials are a critical way to access the newest options.

Dr. Weiss advises: “Ask your doctor: Am I eligible for a clinical trial? It’s not a last resort—it’s a smart move.”


The Power of Genetic Testing

If you’ve ever questioned whether you carry a hereditary risk for breast cancer, now is the time to act. Genetic testing can uncover mutations in genes like BRCA1, BRCA2, and others that significantly increase your lifetime risk.

Why It Matters:

  • Determines which treatments will work best for you
  • Provides insight into risk for other cancers
  • Helps assess risk for your children and family members

Good news: The test is non-invasive (just saliva or blood), and most insurance plans now cover it.

Dr. Weiss shared that even young women—especially those with family history—should consider testing.


What’s Driving the Increase in Early Diagnoses?

We don’t yet know exactly why more young women are being diagnosed, but Dr. Weiss outlined several likely contributors:

Potential Risk FactorLifestyle Link
Increased alcohol useMany women in midlife drink daily or socially
Sedentary lifestylesDesk jobs and long commutes reduce activity
Poor sleep & stressHormonal imbalance and emotional burnout
Processed foodsInflammation and hormonal disruption

“Most breast cancers aren’t inherited. They’re linked to how you live, what goes in, on, and around you.” — Dr. Weiss


Your Breast Health Action Plan (Especially During Menopause)

Let’s take Dr. Weiss’s powerful guidance and transform it into a practical, midlife-focused breast health checklist that you can start today.

1. Get Your Screenings Up to Date

  • Women 40 and up should have annual mammograms
  • If under 40 with family history, ask about early screening or MRI
  • Include clinical breast exams in your annual wellness visits

2. Ask About Genetic Testing

  • Especially if:
    • You have a family history of breast, ovarian, or prostate cancer
    • You’re of Ashkenazi Jewish ancestry
    • You’ve had multiple cancer types in your family
  • Talk to your doctor about BRCA or multigene panel testing

3. Consider Clinical Trials

  • Access to new treatments before they hit the market
  • Could offer better outcomes or fewer side effects
  • Search for trials at clinicaltrials.gov or ask your care team

4. Transform Lifestyle Habits

Dr. Weiss reminds us that breast health = women’s health. Every change you make in your daily habits ripples across your health journey.

Healthy HabitBreast Health Benefit
🏃‍♀️ Regular ExerciseReduces estrogen levels and inflammation
🥗 Mediterranean DietRich in antioxidants, fiber, healthy fats
🍷 Limit AlcoholKeep to 1 drink/day or less
🚭 Quit SmokingSignificantly lowers cancer risk
😴 Prioritize SleepSupports immune function and hormone balance
🧘‍♀️ Manage StressReduces cortisol, inflammation, emotional strain

Start with one. Build from there. Movement is a great first step, as Dr. Weiss noted:

“When you start with exercise, you’re more likely to succeed with everything else.”

5. Know the Warning Signs

Breast cancer symptoms aren’t always a lump. Be aware of:

  • Breast or nipple changes in shape or texture
  • New pain or swelling
  • Unusual discharge
  • Skin dimpling or thickening

Listen to your body. If something feels off, don’t wait. Early detection is everything.


Why Menopausal Women Must Be Proactive

Menopause is a pivotal time in a woman’s health journey. It’s also a window of opportunity—to catch risks early, modify habits, and advocate for yourself. Hormonal shifts can influence your breast tissue, and in some cases, increase risk.

If you’re considering HRT (Hormone Replacement Therapy), talk to your doctor about how it may impact your individual breast cancer risk.


Celebrating Breast Cancer Awareness Month — With Action

This October, let’s go beyond pink ribbons. Let’s take real steps toward real change. Whether you’re in your 30s navigating perimenopause or well into your 60s redefining your power, this is your moment.


Breast Health Checklist for Women 40+

✅ Annual mammogram
✅ Monthly self-exams
✅ Ask about genetic testing
✅ Get moving (150 minutes/week)
✅ Eat more plants & healthy fats
✅ Limit alcohol
✅ Prioritize sleep
✅ Quit smoking
✅ Manage stress
✅ Know your body & speak up


Resources

Every woman deserves access to lifesaving information, early detection, and compassionate care. Whether you’re seeking prevention strategies, navigating a diagnosis, or supporting a loved one, know this:

Breast Health in Perimenopause: What Changes to Expect

Let’s talk about your breasts. Yes, they change—sometimes subtly, sometimes dramatically—during perimenopause. And if you’ve been wondering why they feel sore, lumpy, or just… different lately, you’re not alone. This phase of life ushers in a tidal wave of hormonal shifts that ripple through nearly every system in your body, and your breasts are no exception.

And here’s a timely reminder: October is Breast Cancer Awareness Month. It’s a powerful moment for all of us to pause, tune in, and prioritize our breast health. Whether you’re in your 30s, 40s, or beyond, this is a conversation that matters deeply—for prevention, early detection, and peace of mind.

In this article, I’ll guide you through what’s happening, what to watch for, and how to take charge of your breast health with confidence—not fear. We’ll talk about hormonal breast changes, when to schedule mammograms, how to do a self-exam that actually helps, and a practical tool you can use to track it all.


What’s Actually Happening to Your Breasts During Perimenopause?

Here’s the truth: your breasts are hormone-responsive organs. They listen closely to the ebb and flow of estrogen and progesterone—and when those hormones start fluctuating wildly (as they do in perimenopause), your breasts react. You might feel tenderness, swelling, lumpiness, or changes in density. It’s not in your head. It’s hormonal.

As estrogen surges or dips from month to month and progesterone starts its slow decline, your breast tissue begins to shift:

  • Glandular tissue begins to shrink (a process called lobular involution)
  • Fatty tissue becomes more prominent
  • Connective tissue may increase in stiffness or thickness
  • Some women experience more fibrocystic changes—think of them as hormone-driven lumps and bumps

These changes aren’t dangerous by default, but they can make it harder to know what’s “normal” versus what’s worth checking out. That’s where awareness—and tracking—comes in.


Common Breast Symptoms in Perimenopause (and What They Mean)

Let’s walk through a few typical breast symptoms and whether they’re expected—or something you should bring to your doctor:

1. Tenderness or Soreness

Often cyclical, but during perimenopause, the timing can feel random. You may notice aching, swelling, or sensitivity that lingers longer than before. This is largely due to shifting estrogen levels and is usually benign.

2. Size and Shape Changes

Your breasts may start to feel softer or look less perky. Welcome to the effects of lower estrogen and decreased collagen production. This is a normal part of breast aging.

3. Lumpiness or Nodules

These could be fibrocystic changes—fluid-filled cysts or dense tissue bands that come and go with your cycle (even if that cycle is irregular). They’re typically harmless but can mask or mimic more concerning lumps, so it’s smart to track them.

4. Nipple Changes or Discharge

A little sensitivity? Okay. Clear or milky discharge? Sometimes normal. But discharge that’s bloody, spontaneous, or only from one nipple? That’s a red flag. So is nipple retraction or skin puckering.

5. Persistent Lumps

A lump that sticks around beyond a cycle or grows in size? Definitely get that checked.

Bottom line: Listen to your body. If something feels different, speak up.


What About Mammograms? When to Start and What to Know

Most women begin mammograms around age 40, depending on risk factors. But here’s the nuance: breast density matters.

Dense breasts (common in perimenopausal women) can make it harder to detect tumors through traditional mammography. Newer 3D mammography (tomosynthesis) helps, offering a clearer view through overlapping tissue. Ask your provider about it—especially if you have dense breast tissue.

If you’re using hormone therapy (HRT), know this: studies have shown that HRT can increase breast density and, in some women, breast cancer risk. It’s not a one-size-fits-all scenario. Your risk is influenced by your family history, lifestyle, and personal health history. That’s why personalized screening plans matter.

General screening recommendations:

  • Ages 40–49: Talk with your provider about your individual risk factors
  • Ages 50–74: Mammograms every 1–2 years
  • Higher risk? You may need earlier and more frequent screenings

Self-Exams: Do They Still Matter?

Yes—if you do them with awareness, not anxiety.

The goal isn’t to turn yourself into a breast radiologist. It’s to know what your normal feels like so that if something changes, you’ll notice.

How to Do a Breast Check That Works:

  1. Look: In front of a mirror with arms at your sides, then overhead, and on your hips. Watch for dimpling, puckering, or skin/nipple changes.
  2. Feel (Lying Down): Use your fingertips to make small circles across your entire breast, using light, medium, and firm pressure.
  3. Feel (Standing Up): Do the same in the shower—it’s often easier when your skin is wet.

Make a note of anything unusual: a lump, a spot of tenderness, a change in texture. Then check again the next month. Tracking changes is more powerful than panicking about any single bump.


Track It to Trust It: Breast Health Calendar

Let’s be real: when you’re juggling cycles that are all over the place, plus work, family, and maybe hot flashes at 3 a.m., remembering what your breasts felt like last month isn’t easy.

That’s why I created a Breast Health Tracking Calendar. It’s a simple tool to log what you’re feeling, when you’re feeling it, and how it changes over time. It helps you:

  • Spot patterns and triggers (hello, PMS or HRT?)
  • Track mammogram dates and self-checks
  • Share clear info with your provider if needed

👉Download the free Breast Health Tracking Calendar here.


When to Call Your Provider

You don’t need to panic about every change—but you also don’t want to ignore real warning signs. Call your doctor if you notice:

  • A lump that doesn’t go away after one menstrual cycle
  • Nipple discharge that’s bloody or spontaneous
  • Skin changes like dimpling, puckering, redness, or scaling
  • New asymmetry or sudden changes in size
  • Pain that’s localized, persistent, and not related to your cycle

The Big Picture

Your breasts will change as you move through perimenopause—and that’s okay. What matters is understanding why it’s happening, staying informed, and checking in with yourself regularly.

Perimenopause doesn’t have to mean confusion or fear. With the right knowledge and tools—like regular self-checks, appropriate screening, and a breast health calendar—you can navigate these changes with calm and clarity.

You’ve got this.


Please remember: This information is for educational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. Always consult with your healthcare provider before making any changes to your health routine, especially if you have existing health conditions or are taking medications. What works for one person may not work for another, and your individual health needs are unique to you.

Valentine’s Day Easy Recipes for Perimenopause & Menopause

A Collection of Nourishing Meals for Balance & Well-Being

Breakfast Recipes

Berry & Flaxseed Smoothie Bowl

A heart-healthy, fiber-rich start to your day!

Ingredients:

  • 1 cup frozen mixed berries (strawberries, blueberries, raspberries)
  • 1/2 cup unsweetened almond milk
  • 1 tbsp ground flaxseeds
  • 1/2 cup Greek yogurt
  • 1 tbsp chia seeds
  • 1 tsp honey

Instructions:

  1. Blend the frozen berries, almond milk, and flaxseeds until smooth.
  2. Pour into a bowl and top with Greek yogurt, chia seeds, and a drizzle of honey.

💖 Valentine’s Tip: Serve with heart-shaped sliced strawberries on top!


Avocado & Spinach Breakfast Toast

Nourishing and energizing for hormone balance!

Ingredients:

  • 1 slice whole-grain toast
  • 1/2 avocado, mashed
  • 1/4 cup fresh spinach, chopped
  • 1 poached egg
  • 1/2 tsp sesame seeds

Instructions:

  1. Toast the whole-grain bread until crispy.
  2. Spread mashed avocado on top and layer with fresh spinach.
  3. Add the poached egg and sprinkle with sesame seeds.

💖 Valentine’s Tip: Use a heart-shaped cutter to shape the toast before serving!


Lunch Recipes

Quinoa & Roasted Veggie Salad

A protein-packed, phytoestrogen-rich meal!

Ingredients:

  • 1/2 cup cooked quinoa
  • 1/2 cup roasted sweet potatoes (cubed)
  • 1/2 cup roasted broccoli
  • 1/4 cup chickpeas
  • 2 tbsp tahini
  • Juice of 1/2 lemon
  • 1/2 tsp cumin
  • Salt & pepper to taste

Instructions:

  1. Toss cooked quinoa with roasted sweet potatoes, broccoli, and chickpeas.
  2. In a small bowl, whisk together tahini, lemon juice, cumin, salt, and pepper.
  3. Drizzle over the salad and mix well.

💖 Valentine’s Tip: Serve in a heart-shaped bowl for extra love!


Salmon & Kale Wrap

Rich in omega-3s to support heart and hormone health!

Ingredients:

  • 1 whole-grain wrap
  • 1/2 cup canned or grilled salmon
  • 1/4 cup kale, chopped
  • 1/4 avocado, sliced
  • 2 tbsp yogurt-dill sauce (Greek yogurt + fresh dill + lemon juice)

Instructions:

  1. Spread the yogurt-dill sauce on the wrap.
  2. Layer salmon, kale, and avocado.
  3. Roll up tightly and slice in half.

💖 Valentine’s Tip: Serve with pink pickled onions for a festive touch!


Snack Recipes

Dark Chocolate & Almond Energy Bites

A mood-boosting, magnesium-rich treat!

Ingredients:

  • 1 cup rolled oats
  • 1/4 cup almond butter
  • 1/4 cup dark chocolate chips
  • 1 tbsp honey
  • 1 tbsp flaxseeds

Instructions:

  1. Mix all ingredients in a bowl until well combined.
  2. Roll into small bite-sized balls.
  3. Refrigerate for 30 minutes before serving.

💖 Valentine’s Tip: Drizzle with melted dark chocolate for an extra indulgent touch!


Cucumber & Hummus Stacks

Refreshing, hydrating, and rich in plant-based protein!

Ingredients:

  • 1 cucumber, sliced
  • 1/4 cup hummus
  • 1/2 tsp paprika or sesame seeds

Instructions:

  1. Spread hummus on cucumber slices.
  2. Sprinkle with paprika or sesame seeds.

💖 Valentine’s Tip: Serve with red bell pepper hearts on the side!


Dinner Recipes

Lentil & Vegetable Curry

Anti-inflammatory and protein-packed!

Ingredients:

  • 1/2 cup red lentils
  • 1 cup coconut milk
  • 1/2 tsp turmeric
  • 1/2 tsp ginger
  • 1 clove garlic, minced
  • 1/2 cup spinach
  • 1/2 cup carrots, chopped
  • Cooked brown rice (for serving)

Instructions:

  1. Sauté garlic, ginger, and carrots in a pan.
  2. Add lentils, coconut milk, and turmeric. Simmer for 15 minutes.
  3. Stir in spinach before serving.

💖 Valentine’s Tip: Garnish with red chili flakes for a fiery touch!


Grilled Chicken with Steamed Greens

A lean, balanced dinner for bone and muscle health!

Ingredients:

  • 1 chicken breast, grilled
  • 1/2 cup steamed broccoli
  • 1/4 cup cooked quinoa or sweet potato mash

Instructions:

  1. Grill the chicken breast until cooked through.
  2. Serve with steamed broccoli and quinoa/sweet potatoes.

💖 Valentine’s Tip: Marinate the chicken in lemon and rosemary for extra love!


Dessert Recipes

Chia Seed Pudding with Pomegranate

A fiber-rich, omega-3-filled dessert!

Ingredients:

  • 2 tbsp chia seeds
  • 1/2 cup almond milk
  • 1 tsp maple syrup
  • 2 tbsp pomegranate seeds

Instructions:

  1. Mix chia seeds, almond milk, and maple syrup. Refrigerate overnight.
  2. Top with pomegranate seeds before serving.

💖 Valentine’s Tip: Serve in a wine glass for an elegant touch!


Baked Apples with Cinnamon & Walnuts

A cozy, comforting dessert!

Ingredients:

  • 1 apple, halved
  • 1/2 tsp cinnamon
  • 2 tbsp chopped walnuts
  • 1 tsp honey

Instructions:

  1. Sprinkle cinnamon and walnuts on the apple halves.
  2. Drizzle with honey and bake at 350°F (175°C) for 15 minutes.

💖 Valentine’s Tip: Serve with a dollop of Greek yogurt and a sprinkle of dark chocolate shavings!


Beverage Recipes

Golden Milk Latte

A warming, anti-inflammatory drink!

Ingredients:

  • 1 cup almond milk
  • 1/2 tsp turmeric
  • 1/4 tsp ginger
  • 1/4 tsp cinnamon
  • 1 tsp honey

Instructions:

  1. Heat almond milk and whisk in turmeric, ginger, and cinnamon.
  2. Sweeten with honey before serving.

💖 Valentine’s Tip: Serve with a cinnamon stick for stirring!


Mint & Cucumber Infused Water

Refreshing and hydrating!

Ingredients:

  • 1/2 cucumber, sliced
  • 5 mint leaves
  • 3 cups water

Instructions:

  1. Combine all ingredients in a pitcher and let infuse overnight.

💖 Valentine’s Tip: Serve in a fancy glass with a strawberry garnish!


Valentine’s Day Ideas for Women Over 40: Celebrate Love (Including Self-Love!)

Valentine’s Day isn’t just about candlelit dinners and heart-shaped chocolates (though we’re not saying no to those!). For women over 40, love takes on a deeper meaning—whether it’s romance, friendship, or the all-important self-love. This year, skip the clichés and celebrate in a way that truly speaks to you.

Here are some fresh, meaningful ways to make this Valentine’s Day special—whether you’re coupled up, flying solo, or somewhere in between.

1. Romantic Getaway (Even If It’s Just You!)

Who says you need a partner to enjoy a dreamy escape? Whether you’re planning a weekend trip with your significant other or indulging in a solo retreat, get out of town and treat yourself to relaxation. Think spa resorts, cozy mountain cabins, or even a luxe hotel stay in your own city.

Solo Self-Love Twist: Book a one-night stay at a boutique hotel, order room service, and revel in uninterrupted “me-time.”

2. Wine & Dine—With a Twist

Instead of the usual restaurant dinner, shake things up! Try a wine-tasting night at home, a gourmet cooking class, or a private chef experience. If you have a partner, make it a romantic date; if you’re single, invite your best girlfriends for a “Galentine’s” feast.

Self-Love Twist: Cook a decadent meal just for you, pair it with your favorite wine, and enjoy every bite without distractions.

3. Pamper Yourself Like a Queen

There’s never a wrong time for self-care, but Valentine’s Day is the perfect excuse to go all out. Book a massage, schedule a facial, or take a long bubble bath with candles and a good book.

DIY Spa Night Tip: Mix up a homemade face mask (try honey and yogurt for hydration), play relaxing music, and wrap yourself in your softest robe.

4. Get Your Heart Pumping—Literally!

Love and endorphins go hand in hand. This Valentine’s, try a new activity that gets you moving—dance classes, a fun hike, or even an at-home yoga session by candlelight. Bonus: Exercise boosts mood and energy, making you feel even more radiant.

Self-Love Bonus: Put on your favorite playlist and dance like nobody’s watching—because, really, who cares?

5. A Love Letter… to Yourself

When was the last time you truly appreciated yourself? Take a moment to write a love letter listing everything you admire about yourself—your resilience, your kindness, your laugh lines that tell a lifetime of stories. Read it whenever you need a reminder of your worth.

Extra Idea: Write love notes to your closest friends or family members, reminding them how special they are.

6. Jewelry with Meaning

Forget waiting for someone else to buy you jewelry—pick out something that symbolizes your journey, whether it’s a charm bracelet, a birthstone ring, or a pendant with an empowering message.

Tip: Consider a piece engraved with a meaningful word, like “strength,” “love,” or your personal mantra.

7. Celebrate Friendships

Romantic love gets all the hype, but deep friendships are just as precious. Plan a Galentine’s gathering—host a brunch, go to a comedy show, or have a cozy night in with movies and wine.

Single & Thriving? Make it a tradition! Lifelong friendships deserve celebration, too.

8. Do Something Completely for You

Use Valentine’s Day as a checkpoint: What’s something you’ve been meaning to do but keep putting off? Whether it’s signing up for a painting class, starting a new book, or finally booking that dream trip, take the first step today.

Final Thought: Love Comes in Many Forms

Valentine’s Day after 40 is about celebrating love in all its forms—romantic, platonic, and most importantly, self-love. Whether you’re pampering yourself, laughing with friends, or sharing a quiet moment with your partner, make this day about joy, connection, and feeling good in your own skin.

So, how will you celebrate this year? ❤️