Risk-benefit assessment of the combined oral contraceptive pill in women with a family history of female cancer.

Journal Article (Review)

INTRODUCTION: Oral contraceptive pills (OCPs) are the most frequently used form of effective, reversible contraception among women of childbearing potential. In the average risk population, OCPs may offer a protective benefit against ovarian, endometrial and colorectal malignancies. In women at high risk for breast, ovarian, endometrial or colorectal malignancies, the risk-benefit profile is less well studied. AREAS COVERED: In this article, we review pertinent literature on the use of OCPs in patients with genetic susceptibilities due to mutations in BRCA1, BRCA2 or mismatch repair genes implicated in hereditary nonpolyposis colorectal cancer as well as those with a strong family history of malignancies associated with these syndromes. EXPERT OPINION: For women at high risk for ovarian, endometrial and/or colorectal malignancies due to genetic susceptibilities or a strong family history, the possibility of chemoprevention with OCPs may be an attractive option; however, the potential increase in breast cancer, although small, must be considered in clinical decision-making. The ultimate decision to use OCPs in a high-risk woman should be based on a consideration of her specific genetic risk, her age, her reproductive plans and her willingness to consider surgical prophylaxis options.

Full Text

Duke Authors

Cited Authors

  • Davidson, BA; Moorman, PG

Published Date

  • October 2014

Published In

Volume / Issue

  • 13 / 10

Start / End Page

  • 1375 - 1382

PubMed ID

  • 25146351

Electronic International Standard Serial Number (EISSN)

  • 1744-764X

International Standard Serial Number (ISSN)

  • 1474-0338

Digital Object Identifier (DOI)

  • 10.1517/14740338.2014.951327

Language

  • eng