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Hormone Therapy

Drugs and Surgery Reduce Risk of Recurrence in Estrogen-Sensitive Breast Cancer

Hormone Therapy for Breast Cancer

Most cases of breast cancer are fueled by the hormones estrogen and progesterone. If your cancer is hormone-sensitive, then hormone therapy may be part of your treatment plan. Hormone therapy, also called endocrine therapy, is used to remove or block hormones, to stop or slow down the growth of cancer cells. If your doctor prescribes this for your early stage breast cancer, plan on taking hormonal therapy for five years after completing your primary treatments. The main benefit of this type of therapy is to prevent estrogen from fueling of estrogen responsive cancer cells, thereby reducing your risk of recurrence. For breast cancer that is estrogen-receptor negative, hormonal therapy is not effective.

Drugs and Surgery Can Be Hormonal Therapies

Hormones can be lowered by drugs and by surgery. In pre-menopausal women, the ovaries create most of the estrogen, and after primary treatment, taking Tamoxifen will be sufficient to block estrogen from cancer cells. If needed, for young women with estrogen-sensitive breast cancer, ovaries can be temporarily shut down with ovarian suppression injections. For high-risk women, ovaries can be surgically removed (oophorectomy). Oophorectomy is a significant step to take, as you will no longer be fertile, so discuss this issue with your doctor before starting treatment.

Two Classes of Anti-Estrogen Hormone Drugs

Two classes of drugs are used for hormone therapy, and these are given based on your menopausal status and your breast cancer diagnosis.

* Selective Estrogen Receptor Modulators (SERMs)
* Aromatase Inhibitors (AIs)

Common Side Effects of Hormone Therapy

Having your ovaries shut down or removed, or taking hormone therapy can bring on medical menopause. You may not get all of the symptoms of menopause, but here are some common side effects you may experience from this type of therapy:

* Hot flashes
* Night sweats
* Mood swings
* Vaginal dryness
* Fatigue

In Summary

Hormonal therapies are used after surgery and other primary treatments for breast cancer. These help prevent recurrence or disease progression in estrogen-receptor positive breast cancers, preventing estrogen from fueling the growth of estrogen responsive cancer cells. If your doctor prescribes anti-estrogen drugs for you, it is important to take them regularly and for as long as you need them.

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