The Link Between Hormone Therapy and Breast Cancer in Seniors
What hormone therapy means in this context Hormone therapy for menopause typically refers to estrogens, sometimes paired with progestogens for those with a uterus. The benefits can include relief from hot flashes, better sleep, and protection against bone loss. The concern is how certain regimens influence breast tissue over time. Risk is not one size fits all; it depends on dose, duration, age at start, and whether a progestogen is used. What large studies generally show Combined estrogen plus progestogen therapy has been associated with a small increase in breast cancer diagnoses that rises with years of use and tends to fall after discontinuation. Estrogen alone, used by women who have had a hysterectomy, shows a more complex pattern in which some analyses suggest neutral or lower risk in certain age groups. Family history, prior biopsies, weight, and alcohol intake also influence baseline risk and must be part of the conversation. How to personalize the decision Bring a complete he...