A 32-year-old female asked:
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total hysterectomy at 32 for bilateral dermoid cysts. on estradiol hrt. told its safe and no breast cancer risk with estrogen only? is this true?

3 doctor answers
Dr. Sewa Legha
49 years experience Medical Oncology
Yes it is safe: Estrogens in small physiologic doses in younger womem are safe and do not increase the risk of breast Cancer. After 50 years of age(HRT) does carry a small risk of breast cancer but that happens mostly in women who were also taking progestational hormones to stop their menses. I think you are safe until 50. Then you should get an annual screening mammogram done starting at age 40 years.
Answered on Nov 18, 2017
Dr. Claudette Anderson
Specializes in Gynecology
I would agree: Your surgeon ie breast surgeon ,if you had one may not agree.I would say that at this point in your life the benefits outweigh the risks,especially if you don't have a breAst cancer history in your family.The problem with having surgical menopause at such a young age , is genitourinary atrophy and bone loss.It also affects libido
Answered on Nov 18, 2017
Dr. Myron Arlen
63 years experience Surgical Oncology
Yes: As mentioned, only carcinogens and viruses can lead to breast cancer. The use of hormone does not induce breast cancer but can lead to progression of an existing lesion, DCIS in particular.
Answered on Nov 18, 2017

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Related questions:

A 32-year-old female asked:
Dr. Myron Arlen
63 years experience Surgical Oncology
No breast Ca risk: Question is raised as to rationale of total hysterectomy at 32. Hormone therapy is indicated but has no relationship to the induction of breast Canc ... Read More
1
1 thank
A 33-year-old female asked:
Dr. John Berryman
53 years experience Obstetrics and Gynecology
Boron/estradiol: Boron as a dietary supplement can act to convert estradiol to the active form, 17-beta estradiol, so additional estrogens may affect conditions such a ... Read More
A 43-year-old female asked:
Dr. Stan Golin
21 years experience Radiation Oncology
Not always but often: Hrt does increase the chances of breast cancer . No current consensus among medical community on who can safely take hrt and for how long with those c ... Read More
3
3 thanks
A 38-year-old female asked:
Dr. Wayne Ingram
Specializes in Obstetrics and Gynecology
Sun most likely: The sun is probably the culprit as estrogen patches are not known for such events.

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