# Episode 232 - Normalise it and Stop the Silence Around Medical Menopause

Page: https://stenobird.com/podcast/the-menopause-and-cancer-podcast-5554044/episode-232-normalise-it-and-stop-the-silence-around-medical-menopause
Text version: https://stenobird.com/podcast/the-menopause-and-cancer-podcast-5554044/episode-232-normalise-it-and-stop-the-silence-around-medical-menopause.md
Podcast: [Navigating Menopause After Cancer](https://stenobird.com/podcast/the-menopause-and-cancer-podcast-5554044)
Published: 2026-08-26T01:30:00+00:00
Episode link: https://menopauseandcancer.org/podcast/
Audio file: https://episodes.captivate.fm/episode/1dec9f97-0cc8-4d2c-80b6-7e5a087a6b40.mp3
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JSON: https://stenobird.com/v1/public/podcasts/the-menopause-and-cancer-podcast-5554044/episodes/episode-232-normalise-it-and-stop-the-silence-around-medical-menopause
Duration seconds: 2881

## Resource

Let's stop the toxic positivity! Just because active cancer treatment may have ended, we don't have to be endlessly positive and grateful for it all. What comes next can be hard. That's why I invited Jessica Zucker, clinical psychologist, author of the bestselling book ‘Normalize It: Upending the Silence, Stigma, and Shame that Pervade Women's Lives’ and breast cancer survivor, to talk about the long silence that often follows women through miscarriage, breast cancer, tamoxifen and medical menopause. Jessica and I talk about what it means to live with the aftermath of treatment, when the symptoms linger, the uncertainty stays, and the pressure to keep smiling can feel almost unbearable. We also discuss the hidden toll of tamoxifen, the emotional impact of medical menopause, and why phrases like “you’re a warrior” or “at least” can sometimes do more harm than good. Jessica was so open about how even she, as a psychologist, found the experience of tamoxifen and long-term side effects surprising and difficult. We talk about exhaustion, brain fog, loss of creativity, grief, perfectionism and the illusion of control, and why so much of this still goes unsaid. This is a conversation about naming the harder parts out loud, and making space for honesty, nuance and connection. Key topics The pressure to stay positive after cancer and the harm of toxic positivity Jessica’s experience of tamoxifen and medical menopause Exhaustion, brain fog and the emotional impact of treatment side effects Grief, uncertainty and the pressure to make the “right” decisions Find Jessica’s fantastic book ‘Normalize It: Upending the Silence, Stigma, and Shame That Shape Women's Lives’ here https://a.co/d/0hLfwz2z Episode Highlights: 00:00 Intro 04:07 Discussing the stigma of grief 09:08 Getting a lif…

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## Transcript

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