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'Pill' Hormone Linked to Lower Ovarian Cancer Risk
[01/02/2002; Reuters Health]
NEW YORK (Reuters Health)
Evidence suggests that women
who use birth control pills have a decreased risk of ovarian
cancer.
Now new research has zeroed in on the hormone progestin
as the reason why. In a review of data from a large US study from
the early 1980s, investigators found that women who used combination
oral contraceptives--which contain both estrogen and progestin--had
a lower risk of ovarian cancer than non-users. And birth control
pill combinations that carried the highest progestin potency
also carried the lowest ovarian cancer risk.
Progestin is a synthetic
version of the female hormone progesterone.Dr. Joellen M. Schildkraut
of Duke University Medical Center in Durham, North Carolina,
led the study. The findings are published in the January 2nd
issue of the Journal of the National Cancer Institute (news -
web sites).
According to the researchers, their findings are in
line with new Duke research in macaque monkeys showing that animals
given progestin had heightened rates of cell death and turnover
in the lining of the ovaries. An acceleration in this process
may make it more likely that abnormal cells are pushed to commit
suicide, thereby reducing cancer risk.
Schildkraut's team reviewed
data on 390 women with ovarian cancer and close to 3,000 healthy
women, all between the ages of 20 and 54. Women who had used
birth control pills for at least 3 months were compared with
non-users, and users were evaluated according to whether their
pill combinations had high or low levels of estrogen and progestin.
The
investigators found that women on low-potency progestin were
twice as likely as those on high levels of the hormone to develop
ovarian cancer.
Overall, pill users were less likely than non-users
to develop the disease. The lower risk was seen even among women
who used pill combinations for only a few months.
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