“Cancer risk from HRT is small and depends on many
different things. This includes the type of HRT used,
how long someone takes it for, their age, and…”.1

Umbrella

What may the Hormone Therapy and Cancer Risk Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Bowel/Colon/Rectum Cancer
  • Breast Cancer
  • Cancer
  • Cervical Cancer/Cancer of the Cervix
  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Lung Cancer
  • Menopausal Hormone Therapy (MHT)
  • Ovarian Cancer/Cancer of the Ovary
  • Uterine/Womb/Endometrial Cancer

Terminology

What can it be important to be clear about with hormone therapy (HT),  hormone replacement therapy (HRT) or menopausal hormone therapy (MHT) and cancer information?

It can be important to be clear about the type of HT such as estrogen therapy (ET) or estrogen plus progestogen therapy (EPT).

What can it also be important to be clear about with HT, HRT or MHT and cancer information?

It can also be important to be clear about the type of cancer (e.g. breast, ovarian or uterus/womb cancer).

Risk

What is cancer risk from HT?

In Does Hormone Replacement Therapy (HRT) Increase the Risk of Cancer? Should I Take HRT? the (United Kingdom) Cancer Research UK elaborate on:

“Cancer risk from HRT is small and depends on many different things. This includes the type of HRT used, how long someone takes it for, their age, and general health. The benefits of taking HRT will be different for each person too. Cancer risk is only part of the decision on whether to take HRT. Your doctor can help you make an informed choice on what is right for you”.2

Who is a GP?

Dots and/or DotC (Depending on the Country) a GP may be a registered general practitioner, a medical practitioner, a medical doctor or a doctor.

Cancer Risk Reduction

How can the risk of cancer be reduced?

In Does Hormone Replacement Therapy (HRT) Increase the Risk of Cancer? Should I Take HRT? Cancer Research UK also note:

“Eating a healthy, balanced diet and being active may help with menopause symptoms. This can also help reduce your risk of cancer. Other things you can do to reduce your risk of cancer include:

  • Stopping smoking
  • Keeping a healthy weight
  • Drinking less alcohol”.3

Risks and Benefits

Is HT effective for the treatment of menopausal symptoms?

In Risks and Benefits of MHT: Key Points the Australasian Menopause Society elaborate on:

  • “For the majority of symptomatic women, the benefits of menopausal hormone therapy (MHT) outweigh the risks”.4

Breast Cancer Risk

Can taking HT increase breast cancer risk?

In Hormone Therapy for Women: Benefits and Risks the (United States) Menopause Society (formerly the North American Menopause Society) include:

  • Breast cancer — If you are wondering whether HT causes cancer, there is some good news for women who use ET. Women can use ET for 7 years before the breast cancer risk increases. The risk goes up after 3 to 5 years for women who use EPT. Their risk might be lower if they take micronized progesterone intermittently and start HT early”.5

Ovarian Cancer Risk

Can taking HT increase ovarian cancer risk?

On page two in HRT Benefits and Risks, published November 2020, the (British) Women’s Health Concern note:

“Recent evidence from the Collaborative Group on Hormonal Factors demonstrated that there may be a slight increased risk of some types of ovarian cancer associated with HRT use but this is small and equates to around 1 extra case of ovarian cancer per 1000 HRT users”.6

Cancer of the Uterus

Can taking HT increase cancer of the uterus risk?

On page one in Deciding About Hormone Therapy Use: Potential Risks, published February 2025, the Menopause Society explain:

“If you have a uterus and take estrogen with progestogen, there is no increased risk of cancer of the uterus”.7

HT or Not

Who should not use HT?

In Hormone Therapy: Frequently Asked Questions – Who Should Not Use Hormone Therapy? the Menopause Society note:

“Hormone therapy is not a good choice for every woman. For some, the risks outweigh the benefits, so careful consideration with a healthcare professional is advised. In general, women who have breast cancer, uterine cancer, unexplained uterine bleeding, liver disease, a history of blood clots, and cardiovascular disease should not use hormone therapy”.8

Hormone Therapy Alternatives

What are some HT alternatives?

In Management of Menopausal Symptoms: A Review, published 07 March 2023, the authors note:

“For women who are not candidates for hormonal treatments, nonhormonal approaches such as citalopram, desvenlafaxine, escitalopram, gabapentin, paroxetine, and venlafaxine are available and are associated with a reduction in frequency of vasomotor symptoms by approximately 40% to 65%. Low-dose vaginal estrogen is associated with subjective improvement in GSM symptom severity by approximately 60% to 80%, with improvement in severity by 40% to 80% for vaginal prasterone, and with improvement in severity by 30% to 50% for oral ospemifene”.9

Health Care Provider

If I choose to use HT what are my risks of cancer?

On page one in Deciding About Hormone Therapy Use the Menopause Society explain:

“Every woman is different, and you will decide about whether to use HT based on the severity of your symptoms, your personal and family health history, and your own beliefs about menopause treatments. Your healthcare professional will be able to help you with your decision”.10

Health Topics A-Z

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In Health Topics A-Z you may find:

Links

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Sources

Where may I find the Sources quoted?

You may find the Sources at:

Sources

  1. Does Hormone Replacement Therapy (HRT) Increase the Risk of Cancer? Should I Take HRT? Last Reviewed: 22 March 2023. Cancer Research UK. https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/hormones-and-cancer/does-hormone-replacement-therapy-increase-cancer-risk#breast Accessed: 09 April 2026
  2. Does Hormone Replacement Therapy (HRT) Increase the Risk of Cancer? Should I Take HRT? Last Reviewed: 22 March 2023. Cancer Research UK. https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/hormones-and-cancer/does-hormone-replacement-therapy-increase-cancer-risk#breast Accessed: 09 April 2026
  3. Does Hormone Replacement Therapy (HRT) Increase the Risk of Cancer? Should I Take HRT? Last Reviewed: 22 March 2023. Cancer Research UK. https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/hormones-and-cancer/does-hormone-replacement-therapy-increase-cancer-risk#breast Accessed: 09 April 2026
  4. Risks and Benefits of MHT: Key Points. Content Updated January 2021. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/risks-and-benefits-of-mht-hrt Accessed: 09 April 2026
  5. Hormone Therapy: Hormone Therapy for Women – Benefits and Risks Potential Risks. The Menopause Society https://menopause.org/patient-education/menopause-topics/hormone-therapy Accessed: 09 April 2026
  6. HRT Benefits and Risks. Updated: November 2020:2. Women’s Health Concern https://www.womens-health-concern.org/help-and-advice/factsheets/hrt-know-benefits-risks/ Accessed: 09 April 2026
  7. Deciding About Hormone Therapy Use: Potential Risks. February 2025:1. The Menopause Society https://menopause.org/patient-education/menopause-topics/hormone-therapy Accessed: 09 April 2026
  8. Hormone Therapy: Frequently Asked Questions – Who Should Not Use Hormone Therapy? The Menopause Society https://menopause.org/patient-education/menopause-topics/hormone-therapy Accessed: 09 April 2026
  9. Crandall, C. J., Mehta, J. M., Manson, J. E. Management of Menopausal Symptoms: A Review. 07 March 2023 https://pubmed.ncbi.nlm.nih.gov/36749328/ Accessed: 09 April 2026
  10. Deciding About Hormone Therapy Use: Potential Risks. February 2025: 1. The Menopause Society https://menopause.org/patient-education/menopause-topics/hormone-therapy Accessed: 09 April 2026
Topic Last Updated: 09 April 2026 – Topic Last Reviewed: 09 April 2026