Eleonora Teplinsky, MD

04/22/2026

This is National Infertility Awareness Week and a topic that is incredibly important when we are talking about AYA cancer is the impact of cancer treatment on fertility.

Recently, I spoke with .sekhon, a reproductive endocrinologist and infertility specialist and author of the bestselling book, The Lucky Egg: Understanding Your Fertility and How to Get Pregnant NOW on my podcast and we talked all about fertility and cancer. You can listen to our full conversation wherever you listen to podcasts and on YouTube.

I also spoke about fertility at the 2026 National Consortium of Breast Centers Conference in Cleveland a few weeks ago and there is no better time than to share the information here with all of you.

In this Substack, I talk about these topics:
⭐️Why Fertility Preservation Belongs at the Beginning
⭐️Not All Patients Carry Equal Risk
⭐️What Are the Options for Fertility Preservation
⭐️Is Fertility Preservation Safe in Breast Cancer?
(And I answer some of your questions!)

Read it here: https://open.substack.com/pub/drteplinsky/p/fertility-and-cancer?utm_source=app-post-stats-page&r=645vr&utm_medium=ios

Part 2 coming soon where I will review the data on pregnancy after a breast cancer diagnosis (including interrupting endocrine therapy to attempt pregnancy!).

Let me know your experiences and your questions about fertility and .

04/21/2026

A wonderful day in DC meeting with members of Congress to advocate for research funding and other policy changes.

I want to share this incredible story. When we met with the office of Representative Josh Gottheimer, we met with his Senior Policy Advisor who told us about a meeting they had with about supporting improved access to care for AYAs (adolescent and young adult) with cancer.

This meeting led to a “Dear Colleague Letter” (this is an official correspondence which is sent by a Member, committee, or officer of the United States House of Representatives or United States Senate and which is distributed in bulk to other congressional offices) to try to get as much support and guidance for AYA services (such as fertility preservation and survivorship support) and have this incorporated into the 2027 appropriations bill.

Your voice matters.
Our collecting voice matters.
Keep speaking up and sharing your story. 🩷🩷

04/21/2026

In DC for ASCO Advocacy Summit to meet with members of Congress to talk about increasing funding for cancer research, fixing prior authorization and making telehealth flexibilities permanent. We have heard how important it is for members of Congress to hear from their constituents and you can contact your senators and representatives directly - https://asco.quorum.us/action_center/ - share your story! They want to hear how these issues affect you on a personal level.

04/19/2026

Make spinach and mozzarella egg 🥚bites with me and !

Full video is on YouTube! https://youtu.be/P1Afct0yZeE?si=LsTa0xKQ6Q0SJ8vs

What You Need:
A dozen eggs
8-10 oz spinach (1 medium bag)
½ white onion
1/4 cup of shredded cheese
Splash of milk
Seasoning (we used garlic salt, TJs umami and green goddess blends)
1/2 lemon (optional)

Steps:
1. Preheat oven to 350F
2. Crack all the eggs into a large bowl and mix together
3. Add a splash of milk (we used soy milk but you can use whatever you milk you have)
4. Add seasoning blends (we used garlic salt, Trader Joe’s umami and green goddess blends)
5. Chop onion
6. Saute the chopped onion (do not need to wait for it to brown)
7. Add the spinach and cook until wilted
8. Add additional garlic salt and seasoning
9. Can add the juice of half a lemon to give it a bit more flavor
10. Take off the stove and let it sit to cool down
11. Mix in the mozzarella cheese to egg mixture
12. Slowly pour in spinach and onion mixture into the bowl with the eggs and cheese and keep mixing
13. Pour into muffin tin (do not overfill each one!)

Cook at 350 degrees for at least 15 min (may need to add more time)
*We filled these a bit too much so we cooked for about 25 minutes and increased temp to 375 for last few minutes

We hope you enjoy!!!

04/19/2026

This week, I am headed to DC for the American Society of Clinical Oncology Advocacy Summit on Capitol Hill. I’ll be there with ASCO and oncologists throughout the country and we will meeting with representatives and senators to advocate for three critical issues impacting the oncology community.
1. Support cancer research funding.
2. Address prior authorization burdens.
3. Make telehealth flexibilities permanent.

I want to hear from you. I would love to share some of your messages during the congressional meetings. Tell me why these topics and issues matter to you, whether as a patient or a healthcare professional.

Looking forward to sharing more over the next two days!

04/18/2026

Earlier in the week, I shared how NCCN had updated their guidelines to incorporate AI based risk assessment for breast cancer screening starting at age 35 which was a very positive step and now here we are w new American College of Physicians (ACP) Guidelines for breast cancer screening that are outdated and may be harmful. The American College of Radiology has already issued a statement stating these may cost lives.

I break down all their recommendations in the video but the two biggest concerns I have is that they don’t recommend routine screening starting at age 40, citing concerns for overdiagnosis and “psychological distress” and ignoring the data that we screening starting at age 40 saves the most lives. They do not take into account the rising rates of breast cancer under age 50 as well as racial and ethnic disparities in breast cancer incidence, screening and outcomes especially in this age group.

The guidelines also say that ultrasound or breast MRI should not be done in patients with dense breasts. This is harmful. We should absolutely be discussing supplemental imaging in patients w dense breasts.
Dense breasts can make it hard to detect a cancer on a mammogram, especially with extremely dense breasts.

More in the video. I would love to know your thoughts!

04/17/2026

New ✨ Interlude Podcast is here with .caroline.cook.do!

She is a 2.5-year triple-positive breast cancer survivor, a board-certified emergency physician, and certified in lifestyle medicine and menopause care. At 37, her own breast cancer diagnosis turned her life upside down — like it does for so many young women. After a very emotional setback at diagnosis, she began focusing on everything she could do to live and live well through all phases of treatment. Using evidence-based menopause care and lifestyle habits based the 6 pillars of lifestyle medicine, she focuses on strengthening her long-term health, protecting her heart and bones, optimizing her brain and metabolic health.

As a physician, she was shocked by how little preparation she had for menopause and for the lived experience of chronic disease — despite treating patients every day. Breast cancer didn’t just change her life; it changed how she practices medicine— so much so, that she just launched the brand new Marigold Clinic, a telehealth private practice, to help younger breast cancer survivors navigate menopause, long-term side effects, and whole-person survivorship care.

Her goal is truly to help women live well after a breast cancer diagnosis.

We talk about all of this on today’s episode, starting with her story, how breast cancer impacts both short and long term health, and a huge discussion on lifestyle medicine and all the things we can all do to optimize health (some fantastic tips in here! If you have been wanting to know how to increase your plant and fiber 🌱 intake, this one is for you).

You can find the Interlude Podcast 🎙️anywhere you listen 🎧 to podcasts. Enjoy the conversation!

04/17/2026

194. Dr. Caroline Cook (Breast Cancer Survivor, Emergency Physician, Certified in Lifestyle Medicine and Menopause Care)

In this episode of Interlude, Dr. Eleonora Teplinsky speaks with Dr. Caroline Cook, a 2.5-year triple-positive breast cancer survivor, a board-certified emergency physician, and certified in lifestyle medicine and menopause care. At 37, her own breast cancer diagnosis turned her life upside down — like it does for so many young women. After a very emotional setback at diagnosis, she began focusing on everything she could do to live and live well through all phases of treatment....

In this episode of Interlude, Dr. Eleonora Teplinsky speaks with Dr. Caroline Cook, a 2.5-year triple-positive breast cancer survivor, a board-certified emergency physician, and certified in lifest…

04/16/2026

Answering your questions about Clairity AI and breast cancer risk assessment!

04/15/2026

Let’s talk about - Clairity Breast - the first FDA-authorized AI platform that predicts a woman’s five-year future risk of developing breast cancer, using only her existing screening mammogram. This is huge as breast cancer is on the rise in young adults, current risk models miss a lot of people and this test is meant to start at age 35.

The big recent update is that using imaging based risk assessment was added to NCCN guidelines which can then be used to support additional screening with mammogram or ultrasound (and other risk reducing measures).

BTW, Clairity AI research was funded in part by — this is why supporting breast cancer research matters!!

While this is huge and I am really excited about this, there are still some questions that remain. Who is going to pay for and cover that baseline mammogram at age 35? Clairity Breast is still fairly new and not yet widely available. I think this will all change with time and I look forward to seeing whether technology like this can lower breast cancer rates and/or lower the rates of later stage breast cancer diagnoses. More to come! Let me know all of your questions!