The Real Truth About Estrogen and Breast Cancer
- Dr. Jackson
- Sep 19
- 2 min read
Estrogen is often blamed for increasing breast cancer risk, but is that claim supported by science — or outdated fear?
Newer data from two of the largest randomized trials ever conducted tell a different story, especially when it comes to estrogen-only therapy (used by women who’ve had a hysterectomy). The findings may surprise you — and could change how you think about your options.

What the Research Shows
The WHI trials followed thousands of women for up to 20 years. Here’s what they found:
Women on estrogen-only therapy (ET) had a 23% lower risk of developing breast cancer.
They also had a 44% lower risk of dying from breast cancer.
These benefits were strongest in women who started therapy close to menopause.
Why the Confusion?
The increased breast cancer risk originally reported was primarily seen in women on combined estrogen and synthetic progestin (EPT) — not estrogen alone.
Specifically, the culprit appears to be medroxyprogesterone acetate, a synthetic progestin rarely used today.
Modern protocols use micronized bioidentical progesterone, which has a safer profile and does not appear to carry the same risks.
Who Should Consider Estrogen-Only Therapy?
Women who have had a hysterectomy and are in their 40s, 50s, or early 60s
Women experiencing hot flashes, night sweats, or vaginal dryness
Those concerned about long-term bone, brain, or cardiovascular health
If you’ve been told that hormone therapy automatically increases your breast cancer risk, it’s time to take a closer look.

Bottom Line
Estrogen-only therapy has been unfairly vilified for years. The science now shows that, in the right women, it may actually lower the risk of breast cancer. If you’ve had a hysterectomy and are suffering with menopause symptoms, this could be a powerful, safe option for you.
Listen to Dr Jackson go into detail about this topic! You can hear the full episode on her podcast, Ageless and Outrageous. Be sure to like and follow so you don’t miss an episode!
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