[Benefit-risk balance of hormone replacement therapy: Cancers and mortality. Postmenopausal women management - CNGOF and GEMVi clinical practice guidelines]

Gynecol Obstet Fertil Senol. 2021 May;49(5):462-473. doi: 10.1016/j.gofs.2021.03.031. Epub 2021 Mar 23.
[Article in French]

Abstract

The use of hormone replacement therapy (HRT) for menopausal women has been the subject of much controversy in recent years, particularly concerning the carcinologic risks. The purpose of this review is to evaluate the impact of the use of HRT on the risk of gynecological but also extra-gynecological cancers. The effect of the type and the duration of use of HRT in menopausal women will also be discussed. The beneficial impact of HRT on overall mortality is also an element that will be discussed and must be taken into account when evaluating the benefit-risk balance of HRT for menopausal women.

Keywords: Breast cancer; Cancer colorectal; Cancer de l’endomètre; Cancer de l’ovaire; Cancer du sein; Colorectal cancer; Endometrial cancer; Hormone replacement therapy (HRT); Mortality; Mortalité; Ovarian cancer; Traitement hormonal de la ménopause (THM).

Publication types

  • Practice Guideline
  • Review

MeSH terms

  • Breast Neoplasms* / therapy
  • Female
  • Hormone Replacement Therapy / adverse effects
  • Humans
  • Menopause
  • Neoplasms*
  • Postmenopause
  • Risk Assessment