Breast Cancer Survivor Finds Relief: Alternatives to Hormone Therapy

As of November 15, 2025, women struggling with menopause symptoms but unable to take hormone therapy have more options than ever before. Shilpa Gajarawala, a 58-year-old physician assistant from Jacksonville, Florida, is one such woman. After battling breast cancer, Gajarawala could not use hormone therapy to ease her hot flashes, night sweats, sleep problems, and brain fog.

For two years, Gajarawala tried to "power through" her menopausal symptoms. However, doctors now advise that women in her situation do not have to suffer. While many women take hormone therapy medications, those with certain medical conditions, such as severe liver disease or a history of heart attack, stroke, or a specific type of breast cancer, are advised to avoid them.

Fortunately, there are alternatives. Lifestyle changes, including increased physical activity and a plant-forward diet, can make a significant difference. Prescription non-hormonal medications, such as antidepressants, drugs for overactive bladder, and new drugs like Veozah and Lynkuet, also offer relief without the risks associated with hormone therapy. Over-the-counter products and therapies like cognitive behavioral therapy and hypnosis can further help manage menopausal symptoms.

The key, according to experts, is that there is a solution for every woman. Gajarawala now skips red wine, walks 10,000 steps a day, practices tai chi, and takes an extended-release antidepressant, leading to a "significant improvement" in her symptoms.