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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.
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Jewish groups welcome ceasefire plan as a step toward a ‘lasting regional peace’
Jewish organizations across the ideological spectrum offered cautious optimism following the announcement of the first phase of a Gaza peace agreement, expressing profound relief at the planned return of hostages living and dead and tentative hopes that the plan might lead toward lasting regional peace.
As for what such a last peace might look like, only groups that have consistently advocated for a two-state solution offered a specific vision, putting their hopes in a solution that is implicit in the Trump administration’s 20-point peace plan, but which Israeli Prime Minister Benjamin Netanyahu rejects adamantly.
Nearly all the organizations noted that the war began with Hamas’s deadly attacks on Israel on Oct. 7, 2023, and urged “vigilance” that Hamas would uphold its side of any agreement.
“This development represents a hopeful step toward resolving the conflict, securing the release of all hostages, and establishing the conditions for lasting peace and security in the region,” read a statement by Betsy Berns Korn and William C. Daroff, the chair and CEO, respectively, of the Conference of Presidents of Major American Jewish Organizations. “This moment demands unity, resolve, and the moral clarity to ensure that peace and security endure and every hostage returns home.”
Federations similarly welcomed the deal for its humanitarian implications, with the Jewish Federations of North America saying “our prayers are answered — not completely, for the pain of loss remains — but with the long-awaited promise of healing, renewal, and hope.”
Groups also thanked the Trump administration for brokering the deal. The American Israel Public Affairs Committee said in its statement that it “applauds President Trump and his negotiating team for this tremendous achievement and for working together with Israel to broker this peace plan.”
AIPAC also framed the last two years as an affirmation of the “enduring partnership between the United States and our ally Israel,” despite cracks that showed during the Biden administration and to a lesser extent under Trump.
A lobbying group that tends to reflect the policies of the sitting Israeli government, AIPAC also spoke in brief of what some are calling “the day after,” saying that the peace deal “creates a tremendous opportunity to forge a better future for Israelis, Palestinians, and people across the Middle East.”
J Street — the advocacy group often described as the progressive counterpart to AIPAC — did not mention the two-state solution in a statement by its president, Jeremy Ben-Ami. But Ben-Ami did urge the parties to take steps toward realizing the “full US-backed 20-point plan — one that ensures Israel’s security, ends Hamas’s reign of terror, delivers a massive surge of humanitarian aid and sets the region on a path toward a comprehensive and permanent peace.”
In the 19th point of its 20-point plan, the White House suggested without making any pledges that “the conditions may finally be in place for a credible pathway to Palestinian self-determination and statehood, which we recognise as the aspiration of the Palestinian people.” And while a number of key European allies recently recognized a Palestinian state, the idea has been effectively stalled and faces formidable obstacles on the ground, including strong opposition by both the current Israeli government and key segments of the Israeli and Palestinian publics.
Other groups were more explicit in reiterating the two-state solution. The Israel Policy Forum, founded to advance the idea of two states, said it hoped the agreement might pave the way for “rekindled Israel-Arab diplomacy, a reformed Palestinian Authority with new, empowered, and legitimate leadership, an eventual expansion of the Abraham Accords that advances Israel’s integration in the Middle East, and the pursuit of a viable political horizon to the Israeli-Palestinian conflict based on two states.”
The Reform movement, in a statement signed by the leaders of its rabbinical, congregational and seminary arms, also hoped the ceasefire would create the conditions for renewing a solution which the statement acknowledged “feels remote at this point.” Nevertheless, according to the statement, “a two-state solution in some configuration must remain the worthy, long-term goal for Israelis and Palestinians as they contemplate a future with safety, dignity, and hope for all.”
Further to the left, Jewish groups welcomed the return of the hostages but also reiterated their criticism of Israel’s prosecution of a war whose death toll, according to the Hamas-controlled Gaza health ministry, surpassed 67,000.
Partners for Progressive Israel called the agreement “a victory for the hostage families in Israel and their supporters” as well as “the many international bodies who have sought to hold Hamas and this Israeli government accountable for the war crimes perpetrated in the last two years.”
While few right-leaning groups commented on the deal in the hours after its announcement, which also coincided with the end of the first two days of Sukkot, Religious Zionists of America-Mizrachi welcomed the news, calling it “a potentially hopeful step toward restoring calm and securing the release of Israeli hostages.”
RZA-Mizrachi’s president, Steven M. Flatow, whose daughter Alisa Flatow was killed in a suicide bombing near a Jewish settlement in the Gaza Strip in 1995, also warned that “Hamas’s word is worth little.” He cautioned that any plan’s success “depends entirely on whether Hamas and its supporters can be trusted to abide by their commitments—a lesson history teaches us to approach with clear eyes.”
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In National Book Awards finalist, Jewish trans boy and golem team up to save the world
Jewish author Kyle Lukoff’s latest novel, “A World Worth Saving,” was named one of the finalists for this year’s National Book Awards in the Young People’s Literature category.
The novel, which is aimed for middle-grade readers, features a young Jewish transgender boy who teams up with a golem, a creature from Jewish folklore, to save the world from demons that feed off of pain and suffering, including the one haunting his conversion therapy program.
It is Lukoff’s second National Book Awards finalist nod. In 2021, he was also a finalist in the Young People’s Literature category for “Too Bright to See,” a novel about a transgender boy living in a haunted house.
“I’m shortlisted for the National Book Award!!!! (again). I could not be more thrilled, and am excited to read the other finalists,” wrote Lukoff in a post on Instagram. (He also celebrated the award with a feast of Ashkenazi food.)
Lukoff, who is transgender, told blogger Kyle Ranson-Walsh that the concept behind “A World Worth Saving” first came to him from a librarian friend who messaged him: “You should write a book about a golem that protects trans kids.”
While researching Jewish mythology for the novel, Lukoff, who was born in Skokie, Illinois, and graduated from Barnard College, came across “Spirit Possession in the Jewish Traditions: Case Studies from the Middle Ages to Today” by Matt Goldish.
“I realized that I could stay within Jewish mythology for this story. Everything I needed I could find from that lore,” Lukoff told Ranson-Walsh. “That allowed the book itself to become more deeply Jewish, because I didn’t have to go outside that lane to find ways to make it work.”
Lukoff is also the author of “Call Me Max,” a picture book about a young trans boy that has been banned at several school districts around the United States, as well as “My Little Golden Book About Pride.”
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Austria may withdraw from hosting Eurovision 2026 if Israel is excluded
(JTA) — The chancellor of Austria is pressuring its public broadcaster and the city of Vienna not to host next year’s Eurovision Song Contest if Israel is excluded.
The potential withdrawal from hosting the competition comes as several countries, including Ireland, the Netherlands, Slovenia, Spain and Iceland, have announced they will not participate in next year’s competition if Israel is included due to the war in Gaza.
Unlike those countries, Austria has a right-wing government. “It’s unacceptable that we, of all people, should prohibit a Jewish artist from coming to Vienna,” a top representative of the Austrian People’s Party told Austrian news outlet oe24.
The party’s leader, Chancellor Christian Stocker, and State Secretary Alexander Pröll are urging the Austrian Broadcasting Corporation and Vienna to cancel hosting if the boycott goes ahead.
The mayor of Vienna, Michael Ludwig, told oe24 that excluding Israel would be “a serious mistake,” but no formal plans to withdraw from hosting the competition have been announced. If the city does pull out of hosting, ORF would potentially owe the new host country up to 40 million euros, or roughly $46 million.
Members of the European Broadcasting Union are set to vote in November on whether the Israeli public broadcaster, KAN, will be allowed to participate in next year’s competition. They have previously rebuffed entreaties to exclude Israel, but pressure is higher this year.
Talks of Austria canceling its 2026 Eurovision hosting come after German Chancellor Friedrich Merz said Sunday that Germany would skip the contest if Israel is boycotted.
“I consider it a scandal that this is even being discussed. Israel is part of it,” Merz told German talk show host Caren Miosga, according to German news outlet Der Spiegel. He added that he would “support” Germany voluntarily withdrawing from the competition if the boycott takes effect.
The post Austria may withdraw from hosting Eurovision 2026 if Israel is excluded appeared first on The Forward.