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Hormones 2016

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The risks of breast cancer<br />

was not seen when given via injections, or through the skin. Furthermore,<br />

a more recent review of the data (Corona et al., 2014) revealed that no link<br />

was established between a higher risk of cardiovascular problems and the<br />

therapy.<br />

Prostate problems - The area of greatest concern is the data suggesting<br />

an increased risk of prostate cancer or noncancerous enlargement of the<br />

prostate. This was first analysed in research (Kang and H. J. Li, 2015)<br />

which showed that testosterone replacement therapy increases the levels of<br />

prostate-specific antigen, a marker used in the detection of prostate cancer.<br />

However, not a single study has yet shown a clear correlation between<br />

testosterone replacement therapy and actual prostate cancer diagnosis. It is<br />

not fully clear the role testosterone plays in prostate cancer risk, especially<br />

given that most men are diagnosed as they age, when testosterone levels are<br />

naturally declining.<br />

What is clear from the data is that more research is required. For those<br />

considering testosterone replacement therapy, its vital that you are properly<br />

screened for prostate cancer, both with a digital rectal examination and<br />

blood test. Alongside this, cardiovascular health should be assessed<br />

before making a decision as to whether the therapy is appropriate. It<br />

has been recommended (Isidori et al., 2015) that anyone who has preexisting<br />

prostate problems or prostate cancer should avoid taking the<br />

therapy, and those who are deemed appropriate for starting testosterone<br />

replacement therapy should be regularly reviewed, re-examined and have<br />

their blood analysed to ensure their risk of developing health problems has<br />

not increased. There are of course many natural agents which may help<br />

to support testosterone levels without the need for hormone replacement<br />

therapy, including zinc, vitamin E and various herbal preparations (Jeans,<br />

<strong>2016</strong>).<br />

The risks of breast cancer<br />

There is a possible side-effect of some drugs, that there is an increased risk<br />

of breast cancer. The risks to us are negligible, but, it could happen. So here<br />

are some articles which seem relevant. The last article is very interesting, a<br />

very large sample, over an extended period, and some unfortunate folk did<br />

get breast cancer.<br />

The increased risk of breast cancer due to use of oestrogens is controversial.<br />

Several studies have suggested that long-term oestrogen therapy may be<br />

associated with a slightly increased risk of breast cancer. Meta analysis of 51<br />

studies (epidemiological data) supports a modest risk increase associated<br />

with long-term hormone replacement therapy (HRT) (Kaufman, Palmer,<br />

and Mouzon, 1991).<br />

622<br />

Version <strong>2016</strong>.3576– – Document LATEXed – 1st May <strong>2016</strong><br />

[git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (<strong>2016</strong>-05-01)

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