• Estrogen itself does not cause cancer.

• Estrogen-only therapy lowers breast cancer risk.

• Synthetic progestins (not progesterone) are the problem.

• Testosterone protects breast tissue.

• Vaginal estrogen is safe and helps with bladder/vaginal health.

• Avoiding hormones altogether may be riskier than using them.

Estrogen itself is a vital hormone. It protects your brain, heart, bones, and mood. What can cause trouble are certain estrogen breakdown products (metabolites) that may damage DNA if they aren’t cleared properly.

That’s why modern hormone therapy isn’t just about “giving estrogen.” It’s about supporting your body’s ability to process estrogen safely — so it’s used where it’s needed and excreted where it isn’t.

In 2002, the Women’s Health Initiative (WHI) study scared millions by claiming hormone therapy increased cancer risk. Doctors stopped prescribing it, and women suffered.

But later analysis revealed:

• Estrogen-only therapy (for women without a uterus) actually reduced breast cancer incidence and deaths.

• Estrogen + progestin therapy (for women with a uterus) did show a small increase in breast cancer cases — but the absolute risk was tiny (≈1 extra case per 1,000 women per year) and faded after stopping.

• The real culprit was synthetic progestins (like Provera), not natural progesterone.

Unfortunately, the media headlines boiled it down to: “Hormones cause cancer.”

• Myth: Estrogen replacement causes breast cancer.

• Fact: Natural estrogen alone lowers breast cancer risk, and testosterone is actually protective for breast tissue.

• Fact: Progestins (synthetic drugs) increase risk. Natural progesterone does not.

• Endometrial (uterine) cancer: Estrogen alone can stimulate the uterine lining. Adding progesterone prevents this and keeps it safe.

• Ovarian cancer: Long-term hormone therapy may slightly increase risk (about 1 extra case per 1,000 women after 5 years).

• Colon cancer: Women on estrogen + progesterone have a lower risk of colorectal cancer.

Most people don’t realize women make more testosterone than estrogen before menopause. It supports:

• Brain health

• Bone strength

• Libido and urinary health

• Breast protection

Multiple studies show that testosterone therapy in women lowers breast cancer risk, even in women with a history of breast cancer.

In Queens, we see far too many women scared away from hormone therapy by outdated information. The truth is:

• With the right hormones, in the right doses, and the right delivery method, therapy is safe and often protective against cancer.

• The real risk is hormone avoidance — which leads to higher rates of osteoporosis, dementia, cardiovascular disease, colon cancer, and poor quality of life.