‘Real Housewives of Dallas’ Star and Cancer Survivor Tiffany Hendra, 52, Says Daily Stretching Is Helping Her Cope With Menopause

Discovering Ways to Cope With Menopause

• “Real Housewives of Dallas” star Tiffany Hendra, 52, says her 10-minute morning stretching routines have helped her cope with joint pain related to the onset of menopause.
• “Menopause means different things to different people. The average experience begins with sleep disturbances, hot flashes, night sweats, and cessation of periods. The actual medical definition of menopause is more than twelve months of no periods,” Cedars-Sinai Medical Center OB/GYN and oncologist Dr. Bobbie J. Rimel explains to SurvivorNet.
• Hendra is also a skin cancer survivor after sharing her diagnosis in 2021. She underwent Mohs surgery to treat melanoma. The procedure works by removing the skin cancer layer by layer by making small incisions.
• Melanoma starts in the same cells that give your skin, hair, and eyes their color. In melanoma, the cells change, allowing them to spread to other organs.
• The most important thing to look for when finding melanoma in its early stages is a new spot on your skin or a spot that changes in size, shape, or color.

“Real Housewives of Dallas” star Tiffany Hendra, 52, takes a different approach to coping with menopause. She embraces this new stage in her life with physical fitness at the forefront of her mind. In addition to staying fit through exercise, Hendra emphasizes stretching. “It’s been a game changer to implement a morning stretch sesh to my morning routine during menopause,” Hendra said in an Instagram post.

RELATED: Breast cancer risk for post-menopausal women – Taking hormones can increase your risk. The National Institute on Aging describes menopause as a natural part of aging. It typically occurs in women between the ages of 45 and 55, marking the end of their reproductive years. “ Menopause means different things to different people. The average experience begins with sleep disturbances, hot flashes, night sweats, and cessation of periods. The actual medical definition of menopause is more than twelve months of no periods,” Cedars-Sinai Medical Center OB/GYN and oncologist Dr. Bobbie J. Rimel explains to SurvivorNet.

“We’ve been talking a lot about the importance of lifting weights as we age, but we can’t forget the importance of stretching,” Hendra said in the Instagram video. “Around the end of 2022, I was dealing with a major frozen shoulder and overall stiffness, so I committed to ten minutes of stretching first thing in the morning. It’s been a total game-changer during menopause for helping relieve the joint pain,” Hendra added.

Helping You Cope With Skin Cancer

• 3 Skin Cancer Myths, Busted: Can One Bad Sun Burn Cause Cancer?
• Signs of Skin Cancer Can Show Up On Your Nails, But Don’t Jump to Conclusions Just Yet
• Am I at High Risk for Melanoma?
• Beating Aggressive Melanoma: An Immunotherapy Success Story

Understanding Hormone Replacement Therapy

Hormone replacement therapy (HRT) is prescribed to help women manage menopausal symptoms. However, it’s also known to increase your risk of certain cancers. According to the U.S. Department of Health & Human Services, women are diagnosed with menopause after they have gone one year, or 12 months, without a period. Menopause is diagnosed when a woman is in her 40s or 50s. However, the average age of menopause in the United States is 51. Some women experience intense symptoms during menopause:

• Hot flashes
• Problems with sleeping
• Bone thinning
• Pain during sex

As a result, doctors may prescribe hormone replacement therapy, which controls the levels of estrogen and progesterone in a woman’s body.

HRT Related Cancer Risks

A 2019 analysis of 26 studies that include more than 4 million women found a correlation between HRT and ovarian cancer incidence for women in the United States and Europe. The correlation was highest in two subtypes (epithelial-stromal and endometrioid ovarian tumors). However, the association couldn’t be reproduced in women in other parts of the world. A 2017 study found that women on HRT had a 32% increased chance of developing serous borderline ovarian tumors. It’s also been determined that most types of HRT increase a woman’s risk of developing breast cancer . It’s important to note that HRT is sometimes part of ovarian cancer treatment after a woman has removed her ovaries. “There is actually some data that suggests improved survival with HRT given to ovarian cancer patients after diagnosis,” Dr. Rimel previously told SurvivorNet. In 2012, a randomized control trial showed significantly improved survival in women with epithelial ovarian cancer who received HRT (estrogen) and standard cancer treatment. However, routine hormone replacement therapy is also debated, as it minimizes the risk of osteoporosis, cardiovascular problems, and sexual dysfunction. Still, the evidence is considered “too limited” to support its routine use.

Tiffany’s Skin Cancer Journey

In January 2021, Hendra shared with her fans that she joined the “Melanoma Warrior Tribe” while sharing a photo of her bandaged shoulder, which underwent treatment for melanoma, which is a type of skin cancer. “It’s been a whirlwind week, and I must share this journey to encourage everyone to be in tune with your body and do regular at-home body scans as well as yearly scans with your doc,” Hendra wrote at the time. She said a flat-looking freckle on her upper arm “popped up like a pimple.” She watched the unusual spot on her arm for a few months and noticed it “grew with a vengeance.” Several months later, she underwent a full body scan. After examining the spot on her arm, it was diagnosed as melanoma. Melanoma starts in the same cells that give your skin, hair, and eyes their color. In melanoma, the cells change in a way that allows them to spread to other organs. You’re most likely to find melanoma on sun-exposed skin areas like your face, neck, arms, and legs. However, areas with little to no sun exposure may also get melanoma, such as your palms, feet, eyes, mouth, or under your nails. Hendra underwent Mohs surgery , which removes the cancer layer by layer until all abnormal cells are gone. WATCH: How Mohs Surgery Removes Skin Cancer With Small Incisions. According to SurvivorNet's experts, changes to a mole you’ve had for a while or a new growth on your skin could be signs of melanoma. You’ll want to watch for them and tell your doctor about any changes you notice. WATCH: How do you perform a skin check using the ABCDEs? SurvivorNet experts recommend avoiding unprotected sun exposure because ultraviolet (UV) radiation can lead to melanoma. Tanning beds pose ultraviolet radiation risks for skin cancer and should be avoided. Many dermatologists recommend using spray tans to reduce the risk of melanoma skin cancer. SurvivorNet's medical experts say the most important thing to look for when it comes to finding melanoma is a new spot on your skin or a spot that is changing in size, shape, or color.

Questions to Ask Your Doctor

If you are diagnosed with skin cancer, you may have some questions for your doctor. SurvivorNet suggests some of the following to help you on your cancer journey.

• What type of skin cancer do I have?
• What treatment options exist for my type of melanoma?
• Will insurance cover this treatment?
• Would treatment through a clinical trial make sense for me?
• What resources exist to help manage my anxiety because of this diagnosis?