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Jewish women struggling with early menopause due to cancer treatment find new help

Beverly was 41, had two children and was contemplating a third when her first mammogram revealed a lump. Diagnosed with breast cancer, Beverly, who lives in Portland, Oregon, opted for chemotherapy, immunotherapy and a double mastectomy.

She knew the chemo would affect her fertility. What she didn’t know was that the type of cancer she had would necessitate hormone suppression drugs that would lead to severe menopausal symptoms.

For Beverly, now 46, that meant hot flashes, vaginal atrophy, zero libido, thick curly hair that turned straight, sparse and wispy, and what she describes as “old lady bones.” 

“If I’m lucky enough to live to 95, am I just going to crumble into a pile of chalk?” she said.

Beverly, who asked that her last name be withheld for privacy reasons, is not alone in experiencing severe menopausal symptoms following breast cancer or ovarian cancer treatment or prophylactic surgery, which entails breast and/or ovary removal, sometimes along with removal of the uterine and fallopian tubes.

Risk-reducing surgery is often recommended for women who carry a BRCA1 or BRCA2 gene mutation, which significantly increases the risk of breast and ovarian cancer. These mutations are found in Ashkenazi Jews — in both women and men — at rates about 10 times higher than in the general population.

For women who test positive, surgery can reduce the risk of developing ovarian cancer by over 75%. There may also be reduced risk of breast cancer, though research findings are mixed.

While hormones gradually decline as older women approach menopause, younger women who undergo surgery-induced menopause may experience a sudden and dramatic hormonal crash.

“Natural menopause is gradual; surgical or medically induced menopause is intense,” said Elana Silber, CEO of Sharsheret, a Jewish nonprofit organization that provides support, counseling, patient navigation, financial assistance and education in the United States and Israel for those facing breast cancer and ovarian cancer.

“Doctors focus on immediate cancer treatment plans; Sharsheret helps support and educate women about what comes next,” Silber said. “We highlight these critical issues so that women know to raise them with their healthcare providers, and we make sure they don’t face those questions alone.”

As public discussions about menopause have become more common, Sharsheret has fielded a growing number of inquiries from young women seeking information on the subject and ways to connect with peers. Many are navigating an abrupt and frightening transition for which they never prepared, and they sometimes describe it as even more traumatic than their breast surgeries.

“Menopause brought on by breast cancer surgery or treatment doesn’t follow a normal, natural progression,” said Adina Fleischmann, Sharsheret’s chief services officer.

Sharsheret has responded by connecting women with social workers and genetic counselors to help them understand both the medical and emotional impact of treatment-induced menopause.

Through peer-to-peer connections, survivors are matched with others who have gone through the same surgeries and drug regimens. They get real-world perspectives that many women say they don’t receive from their physicians.

The organization also provides survivorship kits, medical webinars, and tailored educational materials on sexual health, bone strength, fertility preservation, and non-hormonal strategies for coping with hot flashes, sleep disruption, and vaginal dryness.

Beyond the physical symptoms, it’s not uncommon for women undergoing early menopause to experience depression, according to Dr. Gila Leiter, an Ob/Gyn affiliated with New York’s Mount Sinai Hospital and a member of Sharsheret’s medical advisory board.

“Knowing what symptoms to expect — and expect pretty suddenly — is very important,” Leiter said.

Liora Tannenbaum, Sharsheret’s Israel regional director, underwent risk reducing surgeries as a result of being a BRCA carrier. She said she was less fearful of the physical recovery from having her ovaries and uterus removed than when she did her double mastectomy, but she was terrified of the emotional and mental recovery.

“As much as I looked for people to talk to for support who had been through this, I found that so many women were suffering in silence,” Tannenbaum said. “The lowered tones and discomfort around the entire conversation caught me by surprise.”

One woman, M., 44, recalled symptoms “hitting like pile of rocks” after surgery five years ago to remove her ovaries, fallopian tubes and uterus. (She asked to use only an initial to preserve her privacy.)

Just 23 when she lost her mother to ovarian cancer, M. was 28 when she learned she carried the BRCA1 mutation. She spent several years considering her options before ultimately choosing to remove her ovaries and uterus.

“It took me a long time,” M. said. “The biggest concern is you want to have kids, and when you have these surgeries you can’t have kids.”

Most doctors, including M.’s, recommend such surgery by age 40. By 39, after two children, a third miscarriage, and ongoing exams, a suspicious finding — which proved to be nothing — made her doctor insist on risk-reducing surgery if she wanted to live to see her kids’ bar mitzvahs. 

“I was already considering surgery, and that scare pushed me to do it,” M. said. “I’m glad I did.’”

But the sudden loss of hormones – not just estrogen, but also progesterone and testosterone – left her with vaginal dryness, loss of muscle mass, dry skin, diminished libido and a return of asthma. M., now a nurse who volunteers for Sharsheret’s peer network, noted that she wasn’t told during her medical appointments what to expect.

“The message was: ‘Don’t worry about it. We’ll give you a low-dose hormonal patch and everything will be fine,’” she recalled.

Menopausal symptoms aren’t severe for all women, and sometime they’re only temporary.

Farrah Zweig was 31 when she was diagnosed with hormone-positive, HER2-negative breast cancer. She had a lumpectomy, radiation and chemotherapy. She also took Lupron, a hormone suppression drug, which put her in menopause.

“My medical team did not discuss menopause with me,” said Zweig, now 42. “My only source of information was from people who had gone through it due to age, not as a result of a medical treatment like mine.”

She experienced the hot flashes and difficulty sleeping, which she expected, and also had a tough time losing weight she’d gained during chemo.

Leiter said physicians often don’t inform patients about treatments that might help their symptoms — even those that don’t involve hormones. She noted that antidepressants can reduce hot flashes and mitigate some of the irritability or emotional fluctuations. Meditation, cognitive behavioral therapy for insomnia, and laser treatments for vaginal dryness also can be effective.

“Knowing what you may feel and how you’re going to handle it, what medications are available, what support systems you’re going to have and maybe lining up your therapist or acupuncturist in advance makes all the difference,” Leiter said.

To speak with a social worker or someone at Sharsheret, visit www.sharsheret.org or call 866.474.2774.


The post Jewish women struggling with early menopause due to cancer treatment find new help appeared first on Jewish Telegraphic Agency.

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The call of this Hanukkah moment remains simple and urgent: Light candles everywhere. Even when we’re under attack.

The massacre in Sydney has left Jews around the world shaken and grieving. This act is far more than a heinous crime: It is a regression to darker times, when Jewish visibility itself carried mortal risk.

The commandment of Hanukkah is not simply to light candles, but to light them publicly – pirsumei nisa, the publicizing of the miracle. The point is not private consolation, but shared visibility. Jewish survival, the tradition teaches, is not meant to occur behind closed doors, but in full view.

Historically, however, it rarely did. In exile, Jews learned caution. The Talmud records how, in times of danger, the candles are to be moved indoors – lit discreetly, shielded from hostile eyes. This was not a theological revision but a concession to reality: When the public sphere is unsafe, Jewish life retreats into the private domain. For most of our history, this was our reality.

Modern democracies promised something different. Jews would no longer have to choose between safety and visibility. We could light openly again – on windowsills, in public squares, in front of city halls – because the surrounding society would protect us not merely by law, but by norm. Antisemitism would not just be illegal, it would be unthinkable.

The Sydney massacre, alongside countless incidents in societies Jews have long trusted, forces us to ask whether that promise is still being kept.

Jewish safety in the diaspora does not rest primarily on police presence or intelligence services – necessary though they are. It rests on something more fragile and more fundamental: a public culture in which Jews are not merely tolerated but embraced; in which antisemitism is not merely condemned after the fact but rejected instinctively and unequivocally as a violation of the moral order.

When Jews are attacked for being Jews, and the response is muted, conditional, or delayed, the message is unmistakable. Jews may still live here, but only quietly.

That is why the response to Sydney must not be withdrawal, but the exact opposite. We cannot and will not retreat into hiding our light. The call of this moment is simple and urgent: Light candles everywhere.

Jewish communities and organizations must orchestrate public Hanukkah candle lightings in the central squares of democratic cities across Europe, across the English-speaking world, wherever Jews live under the protection of free societies. Not hidden ceremonies. Not fenced-off gatherings on the margins. But civic events, hosted openly and proudly, with the participation of local and national leaders – and of fellow non-Jewish citizens.

This is not unprecedented. Every year, a Hanukkah menorah is lit at the White House. The symbolism is powerful precisely because it is mundane: Jewish light belongs at the heart of the civic space, not as an exception, not as an act of charity, but as a matter of course. That model should now be replicated widely.

Israeli diplomatic missions, together with local Jewish organizations, should work actively with municipalities and governments to make these public lightings happen – not merely as acts of Jewish resilience, but as declarations of democratic commitment. Because this is not only a Jewish question.

A society in which Jews feel compelled to hide their symbols is a society already retreating from its own values. Antisemitism is never a stand-alone phenomenon; it is the canary in the democratic coal mine. Where Jews are unsafe, pluralism is already fraying.

Lighting candles in public squares will not undo the horror of Sydney. But it will answer it – not with fear, and not with silence, but with a refusal to normalize xenophobia, antisemitism, and Jewish invisibility.

The ancient question of Hanukkah – where we light – has returned as a modern moral test of democratic societies and leaders worldwide. Where Jewish light is extinguished, democracy itself is cast into shadow. If it can still be lit openly, with the full backing of the societies Jews call home, then the promise of democratic life remains alive.

Our light must not hide. Not now. Never again.

The post The call of this Hanukkah moment remains simple and urgent: Light candles everywhere. Even when we’re under attack. appeared first on The Forward.

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Australia shooting terrifies Jews worldwide — and strengthens the case for Israel

If the shooters who targeted Jews on a beach in Australia while they were celebrating Hanukkah thought their cowardly act would turn the world against Israel, they were exactly wrong: Randomly killing people at a holiday festival in Sydney makes the case for Israel.

The world wants Jews to disown Israel over Gaza, but bad actors keep proving why Jews worldwide feel such an intense need to have a Jewish state.

Think about it. The vast majority of Jews who settled in Israel went there because they felt they had nowhere else to go. To call the modern state “the ingathering of exiles” softpedals reality and tells only half the story. The ingathering was a result of an outpouring of hate and violence.

Attacking Jews is the best way to rationalize Zionism.

Judaism’s holidays are often (humorously) summarized as, “They tried to kill us, they failed, let’s eat.” Zionism is simply, “They tried to kill us, they failed, let’s move.”

Theodor Herzl, the founder of modern Zionism, didn’t have a religious or even a tribal bone in his body. He would have been happy to stay in Vienna writing light plays and eating sacher torte. But bearing witness to the rise of antisemitism, he saw the Land of Israel as the European Jew’s best option.

The Eastern European pogroms, the Holocaust, the massacre of Jews in Iraq in 1941 — seven years before the State of Israel was founded — the attacks on Jews throughout the Middle East after Israel’s founding, the oppression of Jews in the former Soviet Union —  these were what sent Jews to Israel.

How many Australians are thinking the same way this dark morning?

There’s a lot to worry about in Israel. It is, statistically, more dangerous to be Jewish there than anywhere else in the world. But most Jews would rather take their chances on a state created to protect them, instead of one that just keeps promising it will – especially when the government turns a blind eye to antisemitic incitement and refuses to crack down on violent protests, as Australia has.

For over a year we have seen racist mobs impeding on the rights and freedoms of ordinary Australians. We have been locked out of parts of our cities because the police could not ensure our safety. Students have been told to stay away from campuses. We have been locked down in synagogues,” Alex Ryvchin, the co-CEO of the Executive Council of Australian Jewry, wrote a year ago, after the firebombing attack on a Melbourne synagogue.

Since then a childcare centre in Sydney’s east was set alight by vandals, cars were firebombed, two Australian nurses threatened to kill Jewish patients, to name a few antisemitic incidents. There were 1,654 antisemitic incidents logged in Australia from October 2024 to September 2025 —  in a country with about 117,000 Jews.

“The most dangerous thing about terrorism is the over-reaction to it,” the philosopher Yuval Noah Harari said. He was talking about the invasion of Iraq after 9/11, the crackdown on civil liberties and legitimate protest. But surely it’s equally dangerous to underreact to terrorism and terrorist rhetoric.

Israel’s destruction of Gaza following the Hamas attack of Oct. 7, 2023 led to worldwide protests, which is understandable, if not central to why tensions have escalated.

But condemning civilian casualties and calling for Palestinian self-determination — something many Jews support — too often crosses into calls for destroying Israel, demonizing Israelis and their Jews. That’s how Jews heard the phrase “globalize the intifada” — as a justification for the indiscriminate violence against civilians.

When they took issue with protesters cosplaying as Hamas and justifying the Oct. 7 massacre, that’s what they meant. And look at what happened in Bondi Beach, they weren’t wrong. Violence leads to violence, and so does support for violence.

Chabad, which hosted the Hanukkah celebration in Sydney, has always leaned toward a more open door policy with less apparent security than other Jewish institutions. But one of the reasons it has been so effective at outreach has also made it an easy target.

As a result of the Bondi shooting, Chabad will likely increase security, as will synagogues around the world. Jewish institutions will think hard about publicly advertising their events. Law enforcement and public officials will, thankfully, step up protection, at least for a while. These are all the predictable result of an attack that, given the unchecked antisemitic rhetoric and weak responses to previous antisemitic incidents, was all but inevitable.

It’s not inevitable that Australian Jews would now move to Israel, no more than it would have been for Pittsburgh’s Jewish community to uproot itself and move to Tel Aviv after the 2018 Tree of Life massacre. That didn’t happen, because ultimately the risk still doesn’t justify it.

But these shootings, and the constant drip of violent rhetoric, vandalism and confrontation raise a question: If you want to kill Jews in Israel, and you kill them outside Israel, where, exactly, are we supposed to go?

The post Australia shooting terrifies Jews worldwide — and strengthens the case for Israel appeared first on The Forward.

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These are the victims of the Bondi Beach Hanukkah celebration shooting in Sydney

(JTA) — A local rabbi, a Holocaust survivor and a 12-year-old girl are among those killed during the shooting attack Sunday on a Hanukkah celebration in Sydney, Australia.

Here’s what we know about the 11 people murdered in the attack, which took place at a popular beachside playground where more than 1,000 people had congregated to celebrate the first night of the holiday, as well as about those injured.

This story will be updated.

Eli Schlanger, rabbi and father of five

Schlanger was the Chabad emissary in charge of Chabad of Bondi, which had organized the event. He had grown up in England but moved to Sydney 18 years ago, where he was raising his five children with his wife Chaya. Their youngest was born just two months ago.

In addition to leading community events through Chabad of Bondi, Schlanger worked with Jewish prisoners in Australian prisons. “He flew all around the state, to go visit different people in jail, literally at his own expense,” Mendy Litzman, a Sydney Jew who responded as a medic to the attack, told the Jewish Telegraphic Agency.

Last year, amid a surge in antisemitic incidents in Australia, Schlanger posted a video of himself dancing and celebrating Hanukkah, promoting lighting menorahs as “the best response to antisemitism.”

Two months before his murder, he published an open letter to Australian Prime Minister Anthony Albanese urging him to rescind his “act of betrayal” of the Jewish people. The letter was published on Facebook the same day, Sept. 21, that Albanese announced he would unilaterally recognize an independent Palestinian state.

Alex Kleytman, Holocaust survivor originally from Ukraine

Kleytman had come to the Bondi Beach Hanukkah celebration annually for years, his wife Larisa told The Australian. She said he was protecting her when he was shot. The couple, married for six decades, has two children and 11 grandchildren.

The Australia reported that Kleytman was a Holocaust survivor who had passed World War II living with his family in Siberia.

12-year-old girl

Alex Ryvchin, co-CEO of the Executive Council of Australian Jewry, told CNN that a friend “lost his 12-year-old daughter, who succumbed to her wounds in hospital.” The girl’s name was not immediately released.

Dozens of people were injured

  • Yossi Lazaroff, the Chabad rabbi at Texas A&M University, said his son had been shot while running the event for Chabad of Bondi. “Please say Psalms 20 & 21 for my son, Rabbi Leibel Lazaroff, יהודה לייב בן מאניא who was shot in a terrorist attack at a Chanukah event he was running for Chabad of Bondi in Sydney, Australia,” he tweeted.
  • Yaakov “Yanky” Super, 24, was on duty for Hatzalah at the event when he was shot in the back, Litzman said. “He started screaming on his radio that he needs back up, he was shot. I heard it and I responded to the scene. I was the closest backup. I was one of the first medical people on the scene,” Litzman said. He added, “We just went into action and saved a lot of lives, including one of our own.”

The post These are the victims of the Bondi Beach Hanukkah celebration shooting in Sydney appeared first on The Forward.

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