For many women, menopause brings up concerns about Hormone Replacement Therapy (HRT)Â and its possible link to breast cancer. Over the last two decades, misinformation has circulated widely, causing fear and confusion. However, current research provides much-needed clarity, debunking many of these old myths.
Understanding the Misconceptions
In the early 2000s, a large study by the Women’s Health Initiative (WHI) suggested a connection between synthetic HRT and an increased risk of breast cancer. This led to widespread fear and a media frenzy, with many women either avoiding or discontinuing HRT in panic. However, this study was later criticized for several reasons, including the types of hormones used (specifically synthetic estrogen and progestin), the ages of the women included, and how the findings were presented, resulting in holes being found through-out the research and therefore lacking real credibility.
More recent, comprehensive studies now show that body-identical HRT, which uses hormones identical to those naturally produced by your body, carries far fewer risks than the old synthetic versions and for most women far more benefits. Body-identical estrogen, in particular, does not increase breast cancer risk when used alone, and when combined with body-identical progesterone, the risks are significantly lower than previously feared.
What We Know Now: Balanced Information
Today, leading researchers and medical experts agree that for the majority of women, the benefits of body-identical HRTÂ far outweigh the risks, especially when started before the age of 60 or within 10 years of menopause (a continuous 12 month time with no periods or bleeding). HRT can not only alleviate perimenopausal symptoms like hot flashes, night sweats, and mood swings, but it can also protect against serious health factors in postmenopause like osteoporosis and improve heart health.
That said, it’s important to recognize that combined HRT (estrogen and progestogen) can have a slightly increased risk of breast cancer, but it is a small risk. According to Breast Cancer Now, for every 1,000 women who use combined HRT for 5 years, there will be an additional 5 cases of breast cancer. However compare this risk to other common risk factors, for example, being overweight, not exercising, or drinking alcohol regularly which can increase your risk of breast cancer and many others.
Safer Options: Body-Identical Hormones
One of the most important developments in the world of HRT is the shift towards body-identical hormones. These hormones—specifically 17-beta estradiol (estrogen) and micronized progesterone (Utrogestan)—are chemically identical to the hormones your body produces naturally. Studies show that body-identical HRT has much lower risks when it comes to breast cancer, especially compared to older, synthetic forms of HRT that were used in past decades.
How to Make the Right Decision for You
It’s completely understandable to feel anxious about the idea of HRT, especially with the mixed messages that have been circulating for years. But it’s important to base your decisions on up-to-date, evidence-based information. If you are considering HRT, speak to a healthcare professional who is informed about the latest research on body-identical HRT.
At Womankind, we offer Initial Wellness Consultations that can help you make the best decision for your health and wellbeing. We provide a safe space for you to talk about your concerns, ask questions, and get personalized guidance on HRT options and managing menopause symptoms.
Taking Control of Your Health
As we observe Breast Cancer Awareness Month, let’s focus on clearing up the confusion surrounding HRT. The risks are lower than we once believed, and for many women, the benefits both for managing menopause symptoms and protecting long-term health are significant. Remember, every woman’s body is different, and the decision to use HRT should be based on your individual health, lifestyle and needs.
If you’re feeling uncertain about your options, or just want to learn more about how HRT could support your transition through menopause, book a session with us at Womankind. We’re here to help guide you with evidence-based, compassionate care.