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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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I was born after 9/11. I still carry the memories of that day.

Earlier this week, I was talking with my mother over the phone about her experience on 9/11. She walked me through the familiar parts — how she was in our Upper West Side apartment when she learned about the attacks from a relative, how she went to the garage to get the car so they could drive to a friend’s house upstate once she realized the attacks were acts of terror. There were still hijacked planes in the air, and she worried New York City might be targeted again. Then, she said, “This part is going to make me cry.”

I hadn’t remembered what came next, but suddenly it came back to me. “Oh no, me too,” I said.

While she waited for my father to come back uptown from his office in the Financial District, she stopped inside a fire station across from the garage. Inside was a lone firefighter, who’d stayed behind to man the station while the rest of his company was inside the towers. He was watching the news on television, and my mom stood next to him, watching too, when the towers fell.

“We just lost so many men,” he said.

I wasn’t there when it happened; I wasn’t even alive. But I’d heard this story before, I’d walked dozens of times past that same fire station, which now has a plaque commemorating the seven firefighters who died on 9/11. Hearing the story again on the phone, I found myself walking down the streets of Washington D.C., bawling.

I’m 23, born a year-and-a-half after 9/11. Most Americans my age learned about the attacks in school, as history. I’m part of the 16% who learned through family or friends.

The discovery happened by accident, when I was in kindergarten. My mom and I were in a children’s store on the Upper West Side, when we started flipping through a picture book about the history of New York City. Most of the book was unremarkable, but the end was unexpected: a scene of the smoldering twin towers.

I forget what exactly happened next, but here’s what I do remember: My mom was upset that the shop hadn’t provided a warning about the book’s end, and I was confused about why she was upset. I was five, too young to understand the image and never one to let a question go unanswered; I must have pestered her until she offered up an explanation.

The author, as a five-year-old. Photo by Sage Lattman

She hadn’t been prepared to tell me about terrorism. She’d been evading the topic for some time, telling half-truths to avoid it. When I’d ask her why we had to take our shoes off in line at the airport, she’d just say it was to make sure no one had anything dangerous, leaving out the part about how a man had tried to get on a flight with bombs hidden in his shoes.

“9/11 is a huge thing for a parent to have to tell a kid about,” my mom told me this week. “You were a happy kid, and I didn’t want you to get scared or traumatized.”

The events, and impacts, of that day slowly unfolded for me as the years passed. I learned that my father had watched from Battery Park as the South Tower fell; he ran westward as plumes of smoke billowed toward him. I learned that my parents had friends who’d died in the towers, one of whom was the father of a boy I grew up with. I remember going to the 9/11 Memorial and Museum when it opened in 2014, feeling sick as I watched footage of people jumping out of the towers.

The New York Times recently interviewed dozens of Gen Z Americans about 9/11. I was struck by how disconnected many felt from the event. “It’s hard to feel sad about something that you don’t remember,” said Annika Heegaard, a 25-year-old now living in New York.

But for me, 9/11 doesn’t feel quite so far away. By now I’ve lived through other mass casualty events, like the Parkland shooting and the Oct. 7 Hamas attacks. But 9/11 is the only tragedy that my family members had such a direct connection to. “It was devastating,” my mom said.

I think the reason I can remember the exact moment I found out about 9/11 is because it changed my view of the world. I remember being almost unable to comprehend that anyone would do what the hijackers did. I wasn’t, as my mom feared, traumatized by learning about the attacks; I didn’t fear for my safety each day. But the knowledge was in some ways a loss of innocence — a discovery that people could do awful things and that the world wasn’t as safe a place as I had assumed.

The post I was born after 9/11. I still carry the memories of that day. appeared first on The Forward.

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The DSA’s latest win was not about Israel — and it hurts the Jewish community to insist it was

When Democratic socialist David Morales defeated the incumbent mayor of Providence, Brett Smiley, in a historic primary win this week in Rhode Island, the election quickly became part of a narrative that has been coalescing around progressive political wins in the last year — the election of Zohran Mamdani as mayor of New York City, Abdul El-Sayed’s primary win in Michigan, the sweep of DSA-backed candidates in New York City’s recent primaries. The idea is that  this race was all about Israel — that it turned on a struggle between Zionists and pro-Palestinian activists.

A Jewish Telegraphic Agency story on Morales’s win features a quote from the founder of the Rhode Island-Israel Collaborative that Morales’s campaign was “fueled by pro-Palestinians and Israeli haters.” The founder of the far-right Rhode Island Coalition for Israel called some of Morales’ stances “anti-Israel and anti-Jewish.” Jewish Insider published a story the day before the primary headlined, “Antisemitism roils Providence mayoral race.” The Times of Israel’s story on the election is titled, “Jewish mayor of Providence loses Democratic primary to anti-Israel challenger.” (Smiley converted to Judaism in 2024, and made a controversial visit to Israel in 2025.)

But this narrative is false: Israel did not play a decisive role in this election. In reality, Morales was laser-focused on affordability, and — like most progressive candidates this year — rarely, if ever, brought up Israel unprompted. Indeed, the defining issue for the Morales campaign was not Israel, but rent stabilization.

Last April, Smiley vetoed legislation passed by Providence’s City Council to cap annual rent hikes at 4%. This ordinance is desperately needed: A recent study found that Providence is the least affordable city for renters in the country. Longtime residents are getting priced out, and essentially everyone who rents — and renters comprise 59% of the households in the city — understands that our trajectory is simply not sustainable.

By vetoing the most significant-ever attempt to bring this crisis under control, Smiley made this a race about a challenger fighting to make Providence affordable and an incumbent prioritizing his corporate donors, who gave Smiley a historically large $1.3 war chest for his campaign. (Morales had less than $300,000, largely from individual donors.)

This issue served as precisely the kind of defining contrast that pro-Israel Super PAC spending became in recent congressional elections elsewhere. Support from AIPAC has provided an impossible-to-obscure contrast to Democratic primary voters in races such as Illinois’s 9th Congressional District, New York’s 10th Congressional District, and Michigan’s Senate primary. But in Providence, the scandal wasn’t AIPAC donors — it was the wealthy developers and corporate landlords who funded Smiley’s campaign.

It is true that Morales criticized Smiley’s active participation in the Combat Antisemitism Movement, a project so Trumpian that the Jewish Federations of North America and Jewish Council for Public Affairs both left the group after it released a video claiming that diversity, equity, and inclusion efforts are antisemitic. Morales also came out in support of a ballot initiative that would require the City of Providence to divest from the debt of foreign countries “conducting ethnic cleansing, apartheid, illegal military occupation, or genocide,” as determined by U.S. and international law. Some of Morales’s supporters — and in particular some portion of his army of campaign volunteers — were undoubtedly motivated by an appreciation for Morales’s willingness to take a moral stance. But it simply wasn’t a top five, or even (by my estimation) a top 10 issue in this race.

And I don’t understand the inclination to claim otherwise. Certainly it doesn’t make sense for members of the Israel lobby; after all, having another election be lost due to voters’ anger over a politician’s fealty to Israeli Prime Minister Benjamin Netanyahu is not good for their political project. But more importantly, these allegations — particularly the false claim that this race was somehow “roiled” by antisemitism — are harmful to Rhode Island’s Jewish community as a whole.

Take, for example, the “antisemitism” referenced by Jewish Insider, which consisted, in total, of a few instances in which a Hitler mustache and devil horns were drawn on Smiley’s campaign signs. Of course, defacing political signs is never good, and Morales immediately condemned the vandalism. But as a Jewish former elected official who experienced actual antisemitism over the course of my time in Rhode Island politics, I have to laugh at the idea that this graffiti was antisemitic.

To compare someone to Hitler is basically to say they’re the worst person ever. It’s often a problematic comparison (because almost nobody is actually as evil as Hitler), but it’s not antisemitic to say, in effect, “Hitler was bad, and so is this other guy.” And vandals were drawing devil’s horns on pictures of Smiley years before he converted. In fact, I don’t think the average Providence voter even knows Smiley is Jewish; it’s certainly not an important part of his political identity, given that he literally wasn’t yet Jewish when he first won election to the mayor’s office in 2022, or during his prior run for the seat in 2014.

Antisemitism is a real and growing problem — in our country, and here in Rhode Island. Just a few years ago, dozens of swastika-brandishing neo-Nazis rallied a block from my home. Every time that cynical politicians cry wolf on this threat, they are minimizing its danger in the eyes of most people, making our community less prepared to respond to actual incidents of antisemitism when they occur.

Even worse, when some partisans of Israel claim that everyone who dares to say Israel is committing genocide and apartheid is an antisemite — that is, someone who hates all Jews — the implication is that Israel’s wars and violence against Palestinians are somehow projects undertaken by all Jews, rather than the crimes of a specific far-right government and its supporters. And if you repeat that message often enough, some people are going to start believing it — which certainly does not make me or my young Jewish sons safer.

David Morales ran on a pledge to build a Providence for all. “All” includes members of the Jewish community, many of whom — including myself, and Morales’s campaign manager and field director, to name just a few — are excited to support his vision. It is to no one’s benefit — least of all Providence’s Jews — to try to seed conflict and distrust in what should be a moment of profound hope and possibility for our whole city.

The post The DSA’s latest win was not about Israel — and it hurts the Jewish community to insist it was appeared first on The Forward.

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Jewish and Muslim leaders avoided the hardest interfaith topic for years, and now face a ‘massive fault line’

It’s been a quarter century since a wave of distrust and violence against Muslims swept across America in the wake of the Sept. 11, 2001 terror attacks. But in some pockets of New York City and across the U.S., Jewish neighbors extended a hand of friendship and an interfaith movement was reborn.

Dialogues turned into dinners. Dinners spawned theatrical collaborations. Collaborations turned out volunteers to feed the homeless and sent interfaith teams to Capitol Hill.

Still, as the Palestinian uprising known as the Second Intifada continued to unfold in the Middle East, even the most promising partnerships avoided the Israeli-Palestinian conflict.

“We deliberately parked it on the side,” said Daisy Khan, the former executive director of American Society for Muslim Advancement and founder of the Women’s Islamic Initiative. “We called it the elephant in the room that none of us could handle.”

Now, 25 years after the terrorist attacks that inspired a movement, leaders realize that silence was a critical mistake.

As this year’s Jewish High Holidays, a time of remembrance and repentance, begin at sundown on the 25th anniversary of the Sept. 11 attacks, American Jewish leaders are reflecting on mistakes made and words they wish they could take back, confronting rising antisemitism, and along with their longtime Muslim partners, asking: Where do we go from here?

“Rosh Hashanah is known as Yom Hazikaron, the day of remembrance,” said Rabbi Joshua Davidson of Manhattan’s Temple Emanu-El, adding that remembrance usually refers to the hope that God will remember the covenant with the Jewish people. “When you talk about a day of remembrance, you also talk about the experiences that have shaped us into who we are. 9/11 certainly is an experience that has shaped us into who we are. Anyone who lived in New York is forever changed by that day.”

Interfaith bridge-building

On Sept. 11, 2001, Davidson was a young associate rabbi at another Manhattan institution, Central Synagogue. Feeling otherwise helpless that morning as the towers fell, he headed straight to the nearby mosque on 55th Street to assure his Muslim neighbors that they would not be judged by the actions of the terrorists – his instinct born from years of interfaith dialogue already underway.

The same instinct led President George W. Bush to the Islamic Center of Washington D.C., a week later to proclaim, “Islam is peace.” But that perspective did not prevail in all corners.

Prominent evangelical figures condemned Islam as “evil and wicked.” Mosques were set ablaze, and the Justice Department in the three months after the attacks labeled nine murders as “possible hate crimes.” Despite the community’s fear, the term “Islamophobia” was not widely embraced, as if it was a product of Muslims’ imaginations.

“So many American Muslims were experiencing the anxiety that President Bush recognized right away,” Davidson told the Forward. “So 9/11 crystallized for many the importance of the work of interfaith bridge building … We can learn from one another. When the world becomes complicated and your own community is in jeopardy or is being targeted, you realize how valuable it is to have those friendships.”

Those existing friendships and the ground rules that had sustained them laid the foundation for the aftermath of Sept. 11 and propelled many individuals and groups working behind the scenes to publicly counter what seemed to be an anti-Muslim zeitgeist. While the previous approach to interfaith work had been intimate Shabbat dinners, Ramadan iftars, and discussion groups, the new approach involved rallies, live performances and large-scale programs.

On the morning of Sept. 12, Israeli cellist Udi Bar-David called someone with whom he had collaborated a few times – Majid Alsayegh, an Iraqi-born Muslim engineer and architect in Philadelphia. Determined to offer a constructive response, they formed a team and in Spring 2002 launched a nonprofit for creative intercultural exchanges.

“Because of the tensions of Muslim and Jewish, Arabic and Jewish communities, because of the violence, we felt we needed to speak up and do more,” Alsayegh told the Forward, “to help them understand that dialogue in many forms, including music, is much more powerful than shooting each other.”

Seeking to help audiences listen with less anger, more empathy, artists from B’nai Jeshurun, a synagogue on New York’s Upper West Side, teamed up with Methodists and Muslims to present hard truths gathered from more than 100 New Yorkers. The project titled “Same Difference” later became a documentary.

In the years that followed, connections became more purposeful and direct. In 2008, Rabbi Marc Schneier’s Foundation for Ethnic Understanding launched an annual Weekend of Twinning, which paired scores of synagogues and mosques to explore the parallels and similarities within their traditions. It also enabled them to compare notes about the discrimination each faced as religious minorities and band together to fight the hatred that targeted both.

Khan cherishes the time she spent in synagogues and the friendships she formed there.

“We had such deep ties and such deep relations we weren’t afraid to go to bat for one another,” Khan said. “I think those relationships have even served us to this day.”

‘A massive fault line’

Still, cracks began to show. In 2010, Khan and her husband at the time, Imam Feisal Abdul Rauf, proposed Cordoba House, a mosque and community center in Lower Manhattan. Modeled after JCCs across the country and named for a city in Spain that once had been a center of peaceful coexistence, the proposed facility would offer prayer space, a wedding venue and a swimming pool.

Opponents focused on the location: two blocks from Ground Zero. Many Jewish leaders endorsed the project. Abe Foxman, longtime leader of the Anti-Defamation League, did not.

“We believe that in this place of tragedy and pain and anguish … if you want to heal, the best way to heal is not to do it in your face.”

Foxman, who died in May, never apologized for his remarks, but his successor Jonathan Greenblatt later acknowledged “we were wrong, plain and simple.”

In 2011, when U.S. Congressman Peter King of New York, then-chairman of the Homeland Security Committee, held hearings on Capitol Hill denouncing the radicalization inside American mosques, Jewish friends showed their support by helping to organize a “Today, I am Muslim too” rally in Times Square.

Those shows of solidarity grew throughout the years. Jewish partners joined crowds at airports to protest the Trump administration’s executive order on immigration. Congregations helped each other pick up the pieces when their houses of worship or sacred sites came under assault. But the tougher conversation, probing where people stood on the Middle East conflict and why, remained largely untouched.

As anyone  in interfaith relations or diplomacy of any kind will tell you, constructive conversations are best had before there’s a crisis. That crisis arrived on Oct. 7, 2023, when Hamas attacked Israel, murdering more than 1,200 and taking 250 hostages. The war that followed in Gaza sparked virulent protests on college campuses and in public squares and a spike in antisemitic incidents. It also created a chasm of grief too deep and wide for many partnerships to survive.

“When Gaza happened, it created a massive fault line,” Khan said. “For Jews it reinforced existential fears about Jewish safety. For the Palestinians: ‘It’s our existential thing too. We feel we’re getting wiped out.’”

But because many conversation partners had for years avoided the hardest topic of all, they missed the opportunity to feel the emotional weight carried on both sides and hold that tension. When the grief, trauma and fear of Oct. 7  was thrust upon them, leaders could not adequately navigate the emotional landscape to offer moral clarity or comfort, Khan said.

“We could have called for calm,” she said. “We could’ve said that human loss is terrible. We could’ve said a lot of things that calmed people down. None of that happened. It became very tribal.”

Laboratory phase

Dr. Ari Gordon, director of Muslim Jewish Relations for American Jewish Committee, said while some Muslim partners have walked away from their joint advocacy work, some have stayed in touch. Khan and Alsayegh remain committed and hold out hope that their Muslim peers will return and give it another try.

“Everyone in this space has had the hits they’ve taken after Oct. 7,” Gordon said. “Relationships are a long-term investment. They can take dips and turns, peaks and valleys. On a personal level, as a friend, you have the right to say I want to engage with a person. I don’t want to. As a Jewish community we have a responsibility to keep our doors open.”

But it’s also important to keep the trajectory and time frame in perspective. The transformation of Christian-Jewish relations offers a lesson in that regard.

“The idea that a relationship can be beset by conflict and challenges for centuries and undergo transformation,” he said, “is one that I carry in my mind all the time.”

Gordon calls the past 25 years a “laboratory phase of Muslim-Jewish relations.” The Shabbat dinners, iftars, dialogue groups, coalitions, concerts – they all have fortified a connective tissue between American Muslims and Jews that did not exist 25 years ago.

“That trust may not have been sufficient to meet the stress test of October 7 and the continued war but it was definitely there and it didn’t go away,” he said. “After October 7 we entered a new phase and it’s one where we’re not going to go back to the way it used to be, but build something new.”

The post Jewish and Muslim leaders avoided the hardest interfaith topic for years, and now face a ‘massive fault line’ appeared first on The Forward.

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