What is the best birth control for women who have uterine cancer in their family history?

IUD. The Mirena (levonorgestrel) iud releases Progesterone locally to the uterus and helps prevent endometrial hyperplasia. There are many types of uterine cancer and you will need to discuss with your doctor your risks based on the type that runs in your family.
IUD/Implant. Regardless of your age, blood pressure, family history, or reactions to other birth control, the most effective and safest methods of birth control are long-acting progestin-only methods, such as the implant or the hormonal IUD, which decrease rates of endometrial cancer and decrease bleeding. They're safe, reversible, and don't affect weight gain/mood. They're almost as good as getting sterilized.
Uterine Cancer. Oral contraceptive pills (ocps) are commonly given to reduce the risk of uterine (endometrial) cancer in at risk persons. They do so by reducing the lifetime burden of continuous estrogen on the uterus. Your gynecologist is in the best position to advise you on their use in your case or to recommend an alternative means of birth control.

Related Questions

My wife dr installed mirena (levonorgestrel) to prevent uterine cancer. We do not believe in abortion but are ok with birth control. Does mirena (levonorgestrel) cause abortions?

NO YOU CAN NOT BUT. Mirena (levonorgestrel) is used for birth control and does not cause abortion. There is less than 1% chance of pregnancy with Mirena (levonorgestrel) iud. Most of the pregnancies are tubal pregnancy and are not viable, others end in loss when the iud is removed during the process.
Probably. One mechanism of action for the Mirena (levonorgestrel) (and there are several) is the thinning of the endometrium. That makes the lining of the uterus less receptive to implantation of a fertilized egg. When a conception does occur, most of the time that fertilized egg will not implant and the pregnancy will not be established - this results in the Mirena (levonorgestrel) being an abortifacient at least part of the time.

Period ended on the 20th, and I'm still "bleeding". I did not have sex, and I'm not on birth control... It's not uterine cancer is it? Maybe stress?

Stress. You are too young for cancer of the uterus stress could influence you hormone balance if persist you need to be seen by GYN and remember Pap smear in general does not clear a women from cancer of the uterus only it can check for cervical cancer.

Mammogram shows macro calcifications, & bilateral axillary sub cm nodes. Ultrasound shows normal readings. Strong family history of bc &uterine cancer.

Tested for gene? Have you been tested for the BRCA gene yet? Breast, ovarian and colon cancer are associated with that gene. Uterine cancer usually will show a thickness in the lining of the uterus (endometrium) on ultrasound or irregular bleeding. Keep seeing your MD for regular evaluations and good luck.
Calcifications. Whether or not calcifications need to be biopsied primarily depends on their size, shape, and distribution. If they are typically benign based on those criteria, biopsy is usually not indicated. "Sub centimeter" axillary lymph nodes are normal findings.

Elective hysterectomy? Family history. Sister, ovarian cancer 54, mother uterine. No kids, stopped birth control 24, I am 60.

Possibly. Since your sister had ovarian cancer you are eligible to undergo brca testing. This tests for the gene that some women carry that increases the risk of ovarian and breast cancer. If that test is positive then you would consider an elective hysterectomy. If you have relatives with colon cancer then testing for lynch syndrome can also be done. Unless one of these is positive there is no need.