Can dietary supplements that contain hormones be taken for fibrocystic adenoma?
Hello, doctor! I have been diagnosed with perimenopause but have not yet reached menopause.
My doctor advised me to supplement with isoflavones to prevent endometrial cancer, especially since my mother has a history of breast cancer and I have benign fibrocystic adenomas.
Can I still take soy isoflavones, evening primrose oil, royal jelly, yam, angelica, red clover, and chaste tree as hormone supplements? Will this increase my risk of breast cancer?
CW, 40~49 year old female. Ask Date: 2019/01/05
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the inquirer: Hormones may stimulate fibromas, so it is advisable to discuss this with your examining physician first.
If necessary, consider supplementation later.
Thank you! Wishing you peace and health.
Dr.
Chang
Reply Date: 2019/01/05
More Info
When considering the use of hormonal supplements, especially in the context of a family history of breast cancer and the presence of benign breast conditions such as fibroadenomas, it is crucial to approach the situation with caution and informed decision-making.
Firstly, it is important to understand that hormonal supplements, including phytoestrogens like soy isoflavones, evening primrose oil, and other herbal supplements, can have varying effects on the body. While some studies suggest that phytoestrogens may have a protective effect against breast cancer due to their weak estrogenic activity, the evidence is not definitive. The relationship between these supplements and breast cancer risk is complex and can be influenced by individual factors such as genetics, existing health conditions, and hormonal levels.
Given your family history of breast cancer, particularly your mother's diagnosis, and your own diagnosis of a benign fibroadenoma, it is advisable to consult with a healthcare professional, preferably an oncologist or a specialist in women's health. They can provide personalized advice based on your medical history, current health status, and the specifics of your fibroadenoma.
In general, the use of hormonal supplements in women with a family history of breast cancer is a topic of ongoing research. Some healthcare providers may recommend avoiding certain hormonal supplements, especially if there is a significant family history of breast cancer or if there are other risk factors present. The concern is that these supplements could potentially stimulate breast tissue, which may increase the risk of developing breast cancer, particularly in individuals who may already be predisposed due to genetic factors.
Regarding your specific question about taking supplements like soy isoflavones, evening primrose oil, royal jelly, yam, angelica, red clover, and chasteberry, it is essential to consider the following:
1. Soy Isoflavones: Some studies suggest that moderate consumption of soy foods may not increase breast cancer risk and may even be protective. However, the effects of concentrated supplements are less clear.
2. Evening Primrose Oil: This is often used for hormonal balance and alleviating symptoms of premenstrual syndrome (PMS). There is limited evidence regarding its impact on breast cancer risk.
3. Herbal Supplements: Many herbal supplements have not been extensively studied in relation to breast cancer risk. Caution is advised, as some herbs may have estrogenic effects.
4. Regular Monitoring: Since you have a benign fibroadenoma, regular monitoring through breast imaging (like ultrasounds or mammograms) is essential. This will help ensure that any changes in your breast tissue can be addressed promptly.
5. Lifestyle Factors: In addition to considering supplements, focus on maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding known risk factors for breast cancer, such as smoking and excessive alcohol consumption.
In summary, while some women with a family history of breast cancer may choose to take hormonal supplements, it is crucial to do so under the guidance of a healthcare professional. They can help you weigh the potential benefits against the risks based on your individual circumstances. Regular screenings and a proactive approach to your health will also play a significant role in managing your breast health.
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