Re: HRT and cervical cancer
From: Rafael Haciski (haciski@earthlink.net)
Wed Apr 25 11:45:28 2007
But John, HRT levels are lower than OCP levels
--
Rafael Haciski MD FACOG
Palmetto, FL.
On Apr 25, 2007, at 12:18 PM, Dr. John Provatopoulos B.Sc. M.D.C.M.
F.R.S.C. wrote:
> At Wed, 25 Apr 2007, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:
>>
>> John,
>>
>> That is OCP use. What about HRT use? It doesn't say anything
>> about its
>> use and should we assume that OCP use and HRT use have the same risk?
>>
>> Glen
>>
>> -----Original Message-----
>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr.
>> John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
>> Sent: Wednesday, April 25, 2007 3:13 PM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: Re: HRT and cervical cancer
>>
>> At Wed, 25 Apr 2007, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:
>>>
>>> I just had a question from the internist that several patients have
>>> asked her about a link between HRT and cervical cancer. I
>>> haven't seen
>>> or read anything about this link and frankly, it just doesn't
>>> make any
>>> sense. Has there been a report in Women's Day or something recent?
>>>
>>> Glen
>>
>
> Good point Glen, I agree we shouldn't assume same effects, my point is
> we don't see a second wave of cervical Ca. despite the decades of HRT
> use, there is a small blip but that's more related to women stoping
> routine screening to early in thier lives. If the premise is
> hyperestrogen cause cervical ca, then no OBCP >OPCP>HRT. People are
> surprised when I tell them being on the OBCP is relatively
> hypoestrogenic relative to natural cycles.
>> The american cancer society has a very nice site, a few studies have
>> shown a link with OBCP use, but most long term users of OBCP also
>> have
>> other risk factors so its probably not clear cut. We know it
>> takes at
>> least 3-5 years to develop invasive cervical cancer, most women start
>> HRT > 45 years,so if there was a strong association we would a seen a
>> large second wave of cervical cancer in the > 55 y.o. crowd, so I
>> don't
>> think we will ever see a strong link IMHO.
>>
>> http://www.cancer.org/docroot/CRI/content/
>> CRI_2_4_2X_What_are_the_risk_f
>> actors_for_cervical_cancer_8.asp
>>
>> --
>> Take care, John
>>
>
> --
> Take care, John
