Document Detail


Hormonal contraception and risk of endometrial cancer: a systematic review.
MedLine Citation:
PMID:  20870686     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
More than 15 case-control studies and at least four large cohort studies demonstrated a decrease in the risk of endometrial cancer of about 50% for ever use of combined oral contraceptives (COCs). In most of these studies, this protective effect persisted for more than 10-15-20 years after cessation of the COC. An increasing protective effect with longer duration of COC use has been found in most studies. The beneficial effect was independent of the composition of COC, i.e. dosage and type of progestogen, combined with ethinyl estradiol 30-50  μg/day. COCs with higher progestogen potency seem to be somewhat more effective. Nonhormonal uterine devices have also been found to be strongly protective; however, data on oral or injectable progestogen-only preparations (POPs) including the levonorgestrel-releasing intrauterine system (LNG-IUS) are still rare, but also suggest similar protective action. COCs, POPs, as well as LNG-IUS can effectively reduce endometrial hyperplasia but should only be used in exceptional cases in patients with or after endometrial cancer. In contrast to nonhormonal IUS, systemic side effects cannot be excluded with LNG-IUS, but they are certainly rare, as the main effect has decreased the endometrial estrogen response because of the high endometrial tissue levels of LNG.
Authors:
Alfred O Mueck; Harald Seeger; Thomas Rabe
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-09-23
Journal Detail:
Title:  Endocrine-related cancer     Volume:  17     ISSN:  1479-6821     ISO Abbreviation:  Endocr. Relat. Cancer     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2011-01-07     Revised Date:  2011-04-20    
Medline Journal Info:
Nlm Unique ID:  9436481     Medline TA:  Endocr Relat Cancer     Country:  England    
Other Details:
Languages:  eng     Pagination:  R263-71     Citation Subset:  IM    
Affiliation:
Department of Endocrinology and Menopause, Centre for Women's Health BW, University Women's Hospital, Calwer Strasse 7, D-72076 Tuebingen, Germany. alfred.mueck@med.uni-tuebingen.de
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MeSH Terms
Descriptor/Qualifier:
Contraceptives, Oral, Hormonal / administration & dosage*
Endometrial Neoplasms / epidemiology*,  etiology
Female
Humans
Risk Factors
Chemical
Reg. No./Substance:
0/Contraceptives, Oral, Hormonal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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