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Meta-Analysis Reveals Opposing Breast Cancer Risks of Hormone Replacement Therapy in Women Under 55

Clinicians should tailor HRT recommendations based on therapy type, duration, patient age, surgical history.

Overview

  • Oestrogen-only therapy was linked to a 14% reduction in young-onset breast cancer risk, with stronger protection when started at younger ages or used longer.
  • Combined oestrogen-progestin therapy was associated with a 10% increased breast cancer risk, rising to 18% after more than two years of use.
  • Women with an intact uterus or ovaries experienced higher risk from combined therapy compared to those who had undergone hysterectomy or oophorectomy.
  • The Lancet Oncology meta-analysis pooled data from 459,476 women aged 16 to 54 across North America, Europe, Asia and Australia.
  • Health bodies and clinicians are integrating these findings into personalized guidelines, affirming unopposed oestrogen only for post-hysterectomy patients.