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Re: HRT and cervical cancer From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca) Wed Apr 25 11:16:03 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Rafael Haciski: "Re: HRT and cervical cancer" Previous message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: HRT and cervical cancer" In reply to: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: HRT and cervical cancer" Next in thread: Rafael Haciski: "Re: HRT and cervical cancer" Reply: Rafael Haciski: "Re: HRT and cervical cancer" 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 Next message: Rafael Haciski: "Re: HRT and cervical cancer" Previous message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: HRT and cervical cancer" In reply to: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: HRT and cervical cancer" Next in thread: Rafael Haciski: "Re: HRT and cervical cancer" Reply: Rafael Haciski: "Re: HRT and cervical cancer"

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