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2001 JAN 25 - (NewsRx.com) -- Changes in breast density associated with hormone replacement therapy are dynamic, increasing with initiation, and decreasing when therapy is discontinued, according to an article in the January 10, 2001, issue of the Journal of the American Medical Association.
Carolyn M. Rutter, PhD, and colleagues with Group Health Cooperative of Puget Sound and the University of Washington, Seattle, examined the effects of initiation, discontinuation, and continued use of hormone replacement therapy (HRT) on breast density in postmenopausal women. They studied 5,212 naturally postmenopausal women between the ages 40 to 96 who were enrolled in a large health maintenance organization in western Washington State. Each of the women had two screening mammograms between 1996 and 1998.
According to background information cited in the study, initiation of HRT has been shown to increase breast density. Increased density reduces the accuracy of screening mammography. HRT has been directly associated with decreases in both sensitivity and specificity of mammography, which is likely a result of corresponding increases in density. Studies have also associated increased density with increased risk of breast cancer. Although the effect of initiating HRT on breast density has been well studied, the effects of continuing and discontinuing HRT have not been systematically examined.
The authors defined HRT to include estrogens alone and estrogens in combination with a progestin, delivered orally or by a patch. They compared breast density among women who were divided into groups based on patterns of HRT use: 1) nonusers were those who did not use HRT before either mammogram; 2) discontinuers were those who used HRT before their first mammogram, but not before their second mammogram; 3) initiators were those who did not use HRT before their first mammogram, but began using HRT before their second mammogram; 4) continuing users were those who ...
Source: HighBeam Research, Breast Density Changes as HRT Starts and Stops.(hormone replacement...