Wednesday 23 July, 2014

IVF may up breast cancer risk in younger women

Published On: Tue, Jun 26th, 2012 | Women Health | By BioNews

Opting for IVF treatment early in adulthood dramatically increases a woman’s chance of developing breast cancer, a new study has warned.

According to the research, women who started taking fertility drugs and went through IVF around their 24th birthday were found to have a 56 percent greater chance of developing breast cancer than those in the same age group who went through treatments without IVF.

For younger women there is some cause for concern, because it appears that they may face an increased risk of breast cancer after IVF treatment, the Daily Mail quoted the researchers as saying.

The findings were based on a study of more than 21,000 women.

Study author Louise Stewart from the University of Western Australia said that the younger women might see an increased risk of breast cancer because they are exposed to higher levels of circulating estrogen during their cycles of IVF treatment.

I don’t think it’s a huge increased risk that you should worry or panic (about), she said.

The researchers collected information on 21,025 women between the ages of 20 and 40 who went through fertility treatment at the hospitals of Western Australia between 1983 and 2002.

They were able to piece together enough data to follow the women for some 16 years to see if they developed breast cancer.

Roughly 1.7 percent of the 13,644 women who only used fertility drugs without IVF ended up developing breast cancer by the end of the study.

That figure was about two percent for women who used fertility drugs and underwent IVF – a difference that researchers said wasn’t statistically significant.

This changed when women were divided into different age groups, with women aged 24 about one-and-a-half times more likely to develop breast cancer if they had IVF alongside other fertility treatments.

However, Stewart said that they couldn’t yet say for sure that IVF was causing the increased cancer risk in younger women, as these women could be different in some significant way from those who only have other types of fertility treatment.

If for example, younger women who had IVF were more likely to have a specific cause of infertility, and this was related to an increased risk of breast cancer, then it would appear that IVF was related to breast cancer when in fact it was the type of infertility that was more common in women who had IVF, she said.

Linda Giudice, president-elect of the American Society of Reproductive Medicine, said that development of breast cancer is linked to estrogen exposure and the longer one is exposed, the greater the risk.

In an IVF cycle there is a short, but significant elevation in circulating estrogen, and whether this is linked to the observations found in the study is not clear at this time,she said.

The researchers said the study results would reassure women who start IVF treatment in their 30s and 40s.

Women should be aware that delivering their first child late in reproductive life, whether assisted by IVF or not, is associated with an increased risk of breast cancer, they added.

Statistically, younger women have a greater chance of successfully having a baby following IVF.

The study was published in the journal Fertility and Sterility.

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