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[12/02 -- CLASS OF ESTROGENS LABELED CARCINOGENS - U.S. Upgrades Danger Posed by Element in Replacement Therapies, Contraceptives - All estrogens used in replacement therapies & contraceptives were listed by the federal gov’t as "known human carcinogens," a significant upgrading of the dangers they pose. However, government scientists said it is not known whether estrogens retain their cancer-causing potential when used in combination with other hormones, as they commonly are in hormone replacement therapy and oral contraceptives. Some estrogen compounds were previously listed by the National Inst of Environmental Health Sciences as likely to cause cancer in humans, but this listing of the entire class of steroidal estrogens was a broad expansion. "Based on our review of the literature, we have now put the entire class of steroidal estrogens in the category of greatest hazard," said Portier, director of the Environmental Toxicology Program for NIEHS. "For us, this is a big step." This summer, a large clinical trial of hormone replacement therapy in post-menopausal women by the Women's Health Initiative was halted early when it showed an increased incidence of breast cancer and heart disease. Many women stopped taking the medications -- which had been widely prescribed to prevent hot flashes and other symptoms of menopause, and to protect women against heart disease & osteoporosis. Another part of the study that followed women on estrogen therapy alone -- generally women who have had mastectomies -- was allowed to continue because the risk of cancer was not higher than expected. Portier said the new federal listing of estrogens was not based on that study, but rather on a review of the medical literature over the past two years. The official list of carcinogens is mandated by Congress and produced every two years. In all, 15 substances were added to the list of "known" or "reasonably anticipated" to pose a cancer risk, bringing the total to 228. Among them was methyleugenol, which occurs in spices such as ginger, nutmeg and basil, and is widespread in the food supply. Portier said the compound caused cancer in animals, and further study is needed to determine whether it poses any risk to humans. By Marc Kaufman, 12Dec02, www.washingtonpost.com/wpdyn/articles/A426532002Dec11.html ]
An IARC Monographs Working Group has concluded that combined estrogen-progestogen oral contraceptives and combined estrogen-progestogen menopausal therapy are carcinogenic to humans (Group 1), after a thorough review of the published scientific evidence.
At the same time, the Working Group stressed that there is also convincing evidence that oral contraceptives have a protective effect against some types of cancer...
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International Agency for Research on Cancer
PRESS RELEASE
N° 167
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| WHO |
29 July 2005
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IARC MONOGRAPHS PROGRAMME FINDS
COMBINED ESTROGEN-PROGESTOGEN CONTRACEPTIVES AND
MENOPAUSAL THERAPY ARE CARCINOGENIC TO HUMANS
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An IARC Monographs Working Group has concluded that combined estrogen-progestogen oral contraceptives and combined estrogen-progestogen menopausal therapy are carcinogenic to humans (Group 1), after a thorough review of the published scientific evidence.
At the same time, the Working Group stressed that there is also convincing evidence that oral contraceptives have a protective effect against some types of cancer...
There are both beneficial and adverse effects for oral contraceptives and menopausal therapy. Each woman who uses these products should discuss the overall risks and benefits with her doctor.
The Working Group, comprising 21 scientists from 8 countries, was convened by the IARC Monographs Programme of the International Agency for Research on Cancer (IARC), the cancer research agency of the World Health Organization.
Major public health importance
"These new IARC Monographs [volume 91] address exposures that are experienced daily by many millions of women world-wide," said Dr Peter Boyle, Director of IARC. "It is of enormous public health importance that we identify and understand the full range of effects of these products." Worldwide, more than 100 million women – about 10% of all women of reproductive age – currently use combined hormonal contraceptives. In addition, there has been widespread use of hormonal menopausal therapy: approximately 20 million women in developed countries at its peak around the year 2000.
ORAL CONTRACEPTIVES INCREASE RISK OF SOME CANCERS AND DECREASE RISK OF OTHERS
Use of OC's increases risk of breast, cervix and liver cancer…
There is a small increase in the risk of breast cancer in current and recent users of oral contraceptives. However, ten years after cessation of use, the risk appears to be similar to that in never-users. The risk of cervical cancer increases with duration of use of combined oral contraceptives. The risk of hepatocellular carcinoma is increased in long-term users of combined oral contraceptives in populations with low prevalences of hepatitis B infection and chronic liver disease – two major causes of human liver cancer.
… but decreases risk of endometrial and ovarian cancer
In contrast, the risks of endometrial and ovarian cancer are consistently decreased in women who used combined oral contraceptives. The reduction is generally greater with longer duration o | |