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@debbie1956 , thanks. Was your Menopause Society physician a conventional GYN or functional GYN? Do you have any family cancer risk? For example, my mother had CVD and breast cancer and I have none of that. My CAC test was 0.
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@leeosteo, a cac score of 0 in late 60s is very impressive! However, since you have a family history of cvd, you might want to consider a thorough evaluation by a cardiologist, as a 0 cac doesn't always show the full picture (like 'soft' plaques, genetic factors and other underlying medical conditions). I’m happy to share the list of labs and tests I had during my evaluation if that helps.
Regarding the breast cancer history, the details of your mom's diagnosis - like her age and the specific type - could matter quite a bit. There are online tools such as the Tyrer-Cuzick model that can help estimate risk, but discussing those details with a knowledgeable physician is really the key.
Whether you choose a traditional doctor or a specialized clinic, getting a second or even a third opinion might be worth it for your own peace of mind.
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@leeosteo My menopause society physician is a naturopath physician in BC Canada. She also has some oncology training. No I don't have a family history of cancer or heart disease and I also had a coronary artery scan score of zero.