Depot medroxyprogesterone (Depo-Provera) and risk of breast cancer

• Published in: BMJ 1989-09, Vol.299 (6702), p.759-762
• Main Authors: Paul, C., Skegg, D. C., Spears, G. F.
• Format: Article
• Language: English
• Subjects: Acetates; Adult; Age Factors; Age groups; Birth control; Breast cancer; Breast Neoplasms - chemically induced; Case control studies; Confidence interval; Contraceptive Agents, Female - adverse effects; Delayed-Action Preparations; Ethnic groups; Female; Gender equality; Humans; Medroxyprogesterone; Medroxyprogesterone Acetate; Middle Aged; Pregnancy; Random Allocation; Risk Factors; Time Factors; Womens health
• ISSN: 0959-8138; 1468-5833; 1756-1833
• DOI: 10.1136/bmj.299.6702.759

OBJECTIVE--To determine whether use of the injectable contraceptive depot medroxyprogesterone acetate (Depo-Provera) affects the risk of breast cancer in women. DESIGN--A population based case-control study. SETTING--Nationwide community study. SUBJECTS--891 Women aged 25-54 with newly diagnosed breast cancer were compared with 1864 women selected at random from the electoral rolls. INTERVENTION--Women were interviewed by telephone about past use of contraceptives and about possible risk factors for breast cancer. MAIN OUTCOME MEASURE--Relative risk of breast cancer in women who had used medroxyprogesterone. RESULTS--Medroxyprogesterone had been used by 110 patients and 252 controls. Overall, the relative risk of breast cancer associated with any duration of use was 1.0 (95% confidence interval 0.80 to 1.3). In women aged 25-34 the relative risk was 2.0 (1.0 to 3.8). The relative risk was highest in women aged 25-34 who had used the drug for six years or longer, although there were few women in this category. Women who had used it for two years or longer before age 25 had an increased risk of breast cancer (relative risk 4.6; 1.4 to 15.1). CONCLUSION--Despite the lack of an overall association these findings suggest that medroxyprogesterone may increase the risk of breast cancer in young women.