153: Hormone Therapy, Safety, and the Future of Women’s Health with Dr. Daved Rosensweet

In this episode of Keeping Abreast, Dr. Jenn Simmons sits down with Dr. Daved Rosensweet for a wide-ranging, deeply informed conversation about menopause, hormone replacement therapy, breast cancer risk, and why so many women have been left without clear, trustworthy options.Dr. Rosensweet shares how the Women’s Health Initiative created lasting fear around hormones, why that fear was built on misreported data, and how the conversation around estrogen, progesterone, and testosterone has slowly begun to change. Together, they make the case that hormones are not the enemy of women’s health and in many cases, they are central to preserving it. The conversation also turns to safety, testing, individualized dosing, and the role of breast imaging. Dr. Jenn explains why QT imaging is changing the way she thinks about screening, and Dr. Rosensweet reflects on why he has long required imaging before prescribing hormones. The result is an unusually honest, technically rich, and hopeful conversation about how to care for women better at every stage of life.What You’ll LearnWhy the Women’s Health Initiative misled both the public and providersWhat the data actually showed about estrogen and breast cancer riskWhy many women were taken off hormones unnecessarily for decadesHow Dr. Rosensweet thinks about the safety of hormone replacement after breast cancerWhy estrogen, progesterone, and testosterone all matter for women’s healthHow hormone loss contributes to sleep problems, brain fog, libido loss, bone loss, and muscle lossWhy the timing of hormone therapy matters, but it may not be “too late”How Dr. Rosensweet approaches individual dosing and hormone testingWhy topical delivery matters when it comes to clotting risk and liver metabolismHow QT imaging fits into a safer, more modern breast-screening strategyChapters00:00Introduction and episode overview09:50Hormone therapy after breast cancer: what the science says12:31The role of estrogen and breast cancer risk14:23Hormones and breast cancer risk: what the latest studies show16:22The lag in medical progress and the 30-year delay in hormone research17:44Why the narrative that estrogen causes cancer persists20:02Recent advances and the future of hormone therapy22:51The importance of provider education and safe hormone protocols25:49Signs you should consider hormone therapy30:44What women can do if they missed their window for hormone therapy33:49Is it ever too late for hormone therapy?36:02Determining the right hormone levels and testing methods37:24How Dr. Rosensweet ensures safe hormone replacement practices44:33Understanding breast cancer cells and hormone receptor sites46:03Hormones as protectors, not causes, of breast cancer47:08The impact of environmental toxins on health48:17The need for testosterone in women and men52:02Addressing the lack of provider training on hormones54:27Empowering women to have informed conversations about hormones55:46Closing remarks and call to actionTo talk to a member of Dr. Jenn's team and learn more about working with Dr. Jenn visit: https://calendly.com/stephanie-1031/clarity-callTo get your copy of Dr. Jenn's book, The Smart Woman's Guide to Breast Cancer, visit: https://tinyurl.com/SmartWomansBreastCancerGuideConnect with Dr. Jenn:Website:  https://www.perfeqtionimaging.com/Facebook: https://www.facebook.com/DrJennSimmonsInstagram: https://www.instagram.com/drjennsimmons/YouTube: https://www.youtube.com/@dr.jennsimmons