Breast cancer risk may decline in postmenopausal women who take estrogen-only hormone replacement therapy, a review released Thursday concludes. That represents a substantial change from how estrogen-only hormone therapy was viewed a decade ago, the authors said. Older observational studies suggested that both of the major forms of hormone therapy -- estrogen-only for women who have had hysterectomies and an estrogen-progestin combination for women with uteruses -- raised breast cancer risk. The landmark Womens Health Initiative found that the estrogen-progestin combination did significantly increase the risk of breast cancer in postmenopausal women. However, the estrogen-alone arm of the study was inconclusive. A reanalysis of data from that study published earlier this month found that estrogen-only did not raise the risk of breast cancer and even lowered it in women who do not have risk factors for the disease, such as a family history or a history of benign breast disease. The new review, led by Dr. Rowan T. Chlebowski of the Los Angeles Biomedical Research Institute at Harbor UCLA Medical Center, again examined the Womens Health Initiative data and concluded that estrogen-alone significantly decreased the risk of breast cancer while estrogen-progestin significantly increased the risk. A couple of points about … Continue reading
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