“Deciding to use MHT is a personal choice and should
involve discussions about the benefits and risks with
a healthcare professional who knows your health history”.1

Umbrella

What may the Hormone Therapy and Ovarian Cancer Umbrella include?

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

  • Cancer of the Ovary
  • Hormone Replacement Therapy (HRT)
  • Hormone Therapy (HT)
  • Menopausal Hormone Replacement Therapy (MHT)
  • Ovarian Cancer

Ovarian Cancer Risk

Does hormone therapy (HT) increase the risk of ovarian cancer?

In Ovarian Cancer Symptoms & Risks: What Are the Risk Factors for Ovarian Cancer? the World Ovarian Cancer Coalition explain:

Hormone Replacement
Your risk may be higher if you have taken hormone replacement”.2

Combined HRT

Does combined hormone replacement therapy (HRT) increase the risk of ovarian cancer?

In Menopausal Hormone Replacement Therapy and Cancer Risk: Types of Hormone Treatments for Menopause and Their Risks – Estrogen-Progestin Therapy (EPT) and Cancer Risk: Ovarian Cancer, last revised 22 January 2026 the American Cancer Society (ACS) note:

“EPT is linked to a small increase in ovarian cancer risk, especially while it is being taken. Overall, the risk remains low and drops after EPT is stopped”.3

Oestrogen-Only HRT

Does oestrogen-only HRT increase the risk of ovarian cancer?

In Menopausal Hormone Replacement Therapy and Cancer Risk: Types of Hormone Treatments for Menopause and Their Risks – Estrogen Therapy and Cancer Risk: Ovarian Cancer  the ACS also note:

“EPT is linked to a small increase in ovarian cancer risk, especially while it is being taken. Overall, the risk remains low and drops after EPT is stopped”.4

Health Care Provider

If I choose to use hormone therapy (HT) what is my risk of ovarian cancer?

Different women who choose to use HT can have different risks of ovarian cancer. It may therefore be in your best interest to also choose to ask your health care provider about this.

On page one in Deciding About Hormone Therapy Use, published February 2025, the Menopause Society (formerly the North American 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”.5

Hormone Therapy and Ovarian Cancer On page three of Menopause and Menopause Hormone Therapy: 1. Who Is MHT For? Women With Existing Medical Conditions the International Menopause Society’s (IMS) Leaflet for Women for World Menopause Day 2024, the IMS include:

“Women with certain medical histories such as breast cancer and blood clots should talk to their healthcare professional about whether MHT is safe for them. Deciding to use MHT is a personal choice and should involve discussions about the benefits and risks with a healthcare professional who knows your health history”.6

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Sources

  1. Menopause and Menopause Hormone Therapy: 1. Who Is MHT For? Women With Existing Medical Conditions. 2024:3. International Menopause Society https://www.imsociety.org/wp-content/uploads/2024/10/2024-WMD-Leaflet_English.pdf Accessed: 16 March 2026
  2. Ovarian Cancer Symptoms & Risks: What Are the Risk Factors for Ovarian Cancer? World Ovarian Cancer Coalition https://worldovariancancercoalition.org/about-ovarian-cancer/symptoms-risk-factors/ovarian-cancer-symptoms/ Accessed: 16 March 2026
  3. The 2022 Hormone Therapy Position Statement of The North American Menopause Society: Ovarian Cancer – Key Points. July 2022:783. North American Menopause Society  https://menopause.org/wp-content/uploads/professional/nams-2022-hormone-therapy-position-statement.pdf Accessed: 16 March 2026
  4. Menopausal Hormone Replacement Therapy and Cancer Risk: Types of Hormone Treatments for Menopause and Their Risks – Estrogen-Progestin Therapy (EPT) and Cancer Risk: Ovarian Cancer. Last Revised: 22 January 2026. American Cancer Society https://www.cancer.org/cancer/risk-prevention/medical-treatments/menopausal-hormone-replacement-therapy-and-cancer-risk.html Accessed: 16 March 2026
  5. Menopausal Hormone Replacement Therapy and Cancer Risk: Types of Hormone Treatments for Menopause and Their Risks – Estrogen Therapy and Cancer Risk: Ovarian Cancer. Last Revised: 22 January 2026. American Cancer Society https://www.cancer.org/cancer/risk-prevention/medical-treatments/menopausal-hormone-replacement-therapy-and-cancer-risk.html Accessed: 16 March 2026
  6. Deciding About Hormone Therapy Use. 2025:1. Menopause Society https://menopause.org/wp-content/uploads/default-document-library/MenoNote-Deciding-About-HT-2025.pdf Accessed: 16 March 2026
  7. Menopause and Menopause Hormone Therapy: 1. Who Is MHT For? Women With Existing Medical Conditions. 2024:3. International Menopause Society https://www.imsociety.org/wp-content/uploads/2024/10/2024-WMD-Leaflet_English.pdf Accessed: 16 March 2026
Topic Last Updated: 16 March 2026 – Topic Last Reviewed: 16 March 2026