Nursing & Allied Health ECHO Case Presentations-Management of treatment induced menopausal symptoms

Video Transcription

Video Summary

The discussion centered on a 41-year-old ovarian cancer survivor who developed severe perimenopausal symptoms years after treatment. Ashley described how she assessed the patient’s history, symptoms, and risks in detail, then reviewed lifestyle measures, non-hormonal options, and the available guidance for hormone therapy after gynecologic cancer. Although the case was complex because of her prior endometrioid ovarian cancer and history of endometriosis, Ashley and her colleagues concluded that a cautious, low-dose estrogen approach with close follow-up was reasonable given the patient’s quality-of-life concerns and informed preferences.<br /><br />The group then broadened the conversation to gaps in menopause care for cancer survivors, including long waiting lists, inconsistent GP counseling, financial barriers, and poor access to pelvic floor, psychosexual, and fertility services. Several participants shared local initiatives such as nurse-led survivorship or pre-vivorship clinics, patient passports, and patient education resources. They also discussed the importance of genetic evaluation, individualized risk assessment, and involving patients directly in treatment decisions. Overall, the session emphasized that menopause care after cancer should be proactive, evidence-based, and integrated into survivorship care rather than delayed or outsourced.

Asset Subtitle

Recorded May 2026

Keywords

ovarian cancer survivor

perimenopausal symptoms

menopause care

hormone therapy

endometrioid ovarian cancer

endometriosis

survivorship care

non-hormonal options

patient-centered decision-making