Abstract
The possibility that ovulatory stimulants used in the treatment of female infertility may influence the risk of cancer is an area of growing concern. Drugs and procedures administered to infertile women have changed dramatically during the past few decades, and few studies have been conducted to assess the effects of medications currently in use. Induction of ovulation with agents such as clomiphene, human chorionic gonadotropin (HCG), human menopausal gonadotropins (HMG), follicle-stimulating hormone (FSH), and gonadotropin-releasing hormone agonists (GnRHa) typically results in higher serum levels of estradiol and an increased number of ovulatory follicles per cycle than those occurring in naturally cycling women. Conceivably, the extent of these changes may be sufficient to affect the risk of some cancers, particularly those of the ovary, breast, and uterus.
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References
Mosher WD, Pratt WE Fecundity and Infertility in the United States, 1965–88. Advance Data from Vital and Health Statistics of the National Center for Health Statistics; no.192. Hyattsville, MD: National Center for Health Statistics, 1990.
Baird DT. Endocrinology of female infertility. Br Med Bull 1979; 35:193–198.
Healy DL, Trounson AO, Andersen AN. Female infertility: Causes and treatment. Lancet 1994; 343:1539–1544.
Pratt WF, Mosher WD, Bachrach C, Horn MC. Infertility—United States, 1982. MMWR 1985; 34:197–199.
Wysowski DK. Use of fertility drugs in the United States, 1973 through 1991. Fertil Steril 1993; 60:1096–1098.
Adashi EY. Ovulation induction: clomiphene citrate. In: Seibel MM (ed.). Infertility: A Comprehensive Text. East Norwalk, CT: Appleton and Lange, 1990: 303–310.
Seibel MM. Polycystic ovary disease. In: Seibel MM (ed.). Infertility: A Comprehensive Text. East Norwalk, CT: Appleton and Lange, 1990:61–82.
Wentz AC. Luteal phase inadequacy. In: Seibel MM (ed.). Infertility: A Comprehensive Text. East Norwalk, CT: Appleton and Lange, 1990:83–96.
Loy RA, Seibel MM. Therapeutic insemination. In: Seibel MM (ed.). Infertility: A Comprehensive Text. East Norwalk, CT: Appleton and Lange, 1990:199–216.
Seibel MM. A new era in reproductive technology: In vitro fertilization, gamete intrafallopian transfer, and donated gametes and embryos. New Engl J Med 1988; 318:828–834.
Bush TL, Helzlsouer KJ. Tamoxifen for the primary prevention of breast cancer: a review and critique of the trial. Epidemiol Rev 1993; 15:233–243.
Clark JH, Markaverich BM. The agonist-antagonist properties of clomiphene: a review. Pharmac Ther 1982; 15:467–519.
Scoccia B, Scommegna A. Gonadotropins and gonadotropin-releasing factors. In: Rivlin ME (ed.). Handbook of Drug Therapy in Reproductive Endocrinology and Infertility. Boston: Little, Brown, 1990:75–109.
Lunenfeld B, Lunenfeld E. Ovulation induction:HMG. In: Seibel MM (ed.). Infertility: A Comprehensive Text. East Norwalk, CT: Appleton and Lange, 1990: 311–322.
Seibel MM. Ovulation induction: FSH. In: Seibel MM (ed.). Infertility: A Comprehensive Text. East Norwalk, CT: Appleton and Lange, 1990:323–332.
Claman P, Seibel MM. Ovulation induction: GnRH. In: Seibel MM (ed.). Infertility: A Comprehensive Text. East Norwalk, CT: Appleton and Lange, 1990:333–350.
Conn PM, Crowley WF. Gonadotropin-releasing hormone and its analogues. N Engl J Med 1991; 324:93–103.
DeVane, GW. Prolactin inhibitors. In: Rivlin ME (ed.). Handbook of Drug Therapy in Reproductive Endocrinology and Infertility. Boston: Little, Brown, 1990:110–120.
Katz E, Adashi EY. Treatment of infertility using bromocriptine mesylate. In: Seibel MM (ed.). Infertility: A Comprehensive Text. East Norwalk, CT: Appleton and Lange, 1990:351–362.
Fischel S, Jackson P. Follicular stimulation for high tech pregnancies: Are we playing it safe? Br Med J 1989; 299:309–311.
Maxson WS, Pittaway DE, Herbert CM, Garner CH, Wentz AC. Antiestrogenic effect of clomiphene citrate: Correlation with serum estradiol concentrations. Fertil Steril 1984; 42:356–366.
Rutherford AJ, Subak-Sharpe RJ, Dawson KJ, Margaar RA, Franks S, Winston RML. Improvement of in vitro fertilisation after treatment with buserelin, an agonist of luteinizing hormone releasing hormone. Br Med J Clin Res 1988; 296:1765–1768.
Speroff L, Glass RH, Kase NG. Induction of ovulation. In: Clinical Gynecologic Endocrinology and Infertility, 3rd ed. Baltimore: Williams and Wilkins, 1983; 523–544.
McKenna M, Pepperell RJ. Anti-estrogens: Their clinical physiology and use in reproductive medicine. Baillieres Clin Obstet Gynaecol 1988; 2:545–565.
Key TJA, Beral V. Sex hormones and cancer. In: Vainio H, Magee PN, McGregor DB, McMichael, AJ (eds.). Mechanisms of Carcinogenesis in Risk Identification. IARC Sci Publ, Lyon. Vol 116:255–269,1992.
Henderson BE, Ross R, Bernstein L. Estrogens as a cause of human cancer: The Richard and Hilda Rosenthal Foundation Award Lecture. Cancer Res 1988; 48:246–253.
Cohen SM, Ellwein LB. Cell proliferation in carcinogenesis. Science 1990; 249:1007–1011.
Preston-Martin S, Pike MC, Ross RK, Jones PA, Henderson BE. Increased cell division as a cause of human cancer. Cancer Res 1990; 50:7415–7421.
Henderson BE, Ross RK, Pike MC, Casagrande JT. Endogenous hormones as a major factor in human cancer. Cancer Res 1982; 42:3232–3239.
Wells M, Scott JS. Hormonal relationships of ovarian cancer. Reviews on Endocrine-Related Cancer 1988; 28:29–33.
Whittemore AS, Harris R, Itnyre J, and the Collaborative Ovarian Cancer Group. Characteristics relating to ovarian cancer risk: Collaborative analysis of 12 U.S. case-control studies. IV. The pathogenesis of epithelial ovarian cancer. Am J Epidemiol 1992; 136:1212–1220.
Kaufman SC, Spirtas R, Alexander NJ. Do fertility drugs cause ovarian tumors? J Women’s Health 1995; 4:247–259.
Lais CW, Williams TJ, Gaffey TA. Prevalence of ovarian cancer found at the time of infertility microsurgery. Fertil Steril 1988; 49:551–553.
Whittemore AS, Harris R, Itnyre J, and the Collaborative Ovarian Cancer Group. Characteristics relating to ovarian cancer risk: Collaborative analysis of 12 U.S. case-control studies. II. Invasive epithelial ovarian cancers in white women. Am J Epidemiol 1992; 136:1184–1203.
Harris R, Whittemore AS, Itnyre J, and the Collaborative Ovarian Cancer Group. Characteristics relating to ovarian cancer risk: Collaborative analysis of 12 U.S. case-control studies. III Epithelial Tumors of Low Malignant Potential in White Woman. Am J Epidemiol 1992; 136:1204–1211.
Horn-Ross PL, Whittemore AS, Harris R, Itnyre J, and the Collaborative Ovarian Cancer Group. Characteristics relating to ovarian cancer risk: Collaborative analysis of 12 U.S. case-control studies. VI. Nonepithelial cancers among adults. Epidemiology 1992; 3:490–495.
Risch HA, Marrett LD, Howe GR. Parity, contraception, infertility, and the risk of epithelial ovarian cancer. Am J Epidemiol 1994; 140:585–597.
Franceschi S, La Vecchia C, Negri E, et al Fertility drugs and risk of epithelial ovarian cancer in Italy. Human Reprod 1994; 9:1673–1675.
Rossing MA, Daling JR, Weiss NS, Moore DE, Self SG. Ovarian tumors in a cohort of infertile women. N Engl J Med 1994; 331:771–776.
Pike MC, Spicer DV, Dahmoush L, Press MF. Estrogens, progestogens, normal breast cell proliferation, and breast cancer risk. Epidemiol Rev 1993; 15:17–35.
Malet C, Gompel A, Spritzer P, et al Tamoxifen and hydroxytamoxifen isomers versus estradiol effects on normal human breast cells in culture. Cancer Res 1988; 48:7193–7199.
Sutherland RL, Watts CKW, Hall RE, Ruenitz PC. Mechanisms of growth inhibition by nonsteroidal antiestrogens in human breast cancer cells. J Steroid Biochem 187; 27:891–897.
Lerner LJ, Jordan VC. Development of antiestrogens and their use in breast cancer: Eighth Cain Memorial Award Lecture. Cancer Res 1990; 50:4177–4189.
Hecker E, Vegh I, Levy CM, et al Clinical trial of clomiphene in advanced breast cancer. Eur J Cancer 1974; 10:747–749.
Bolton PM. Bilateral breast cancer associated with clomiphene. Lancet 1977; 2:1176.
Laing RW, Glaser MG, Barrett GS. A case of breast carcinoma in association with in vitro fertilization. J R Soc Med 1989; 82:503.
Arbour L, Narod S, Glendon G, et al In-vitro fertilisation and family history of breast cancer. Lancet 1994; 344:610–611.
Brzezinski A, Peretz T, Mor-Yosef S, et al Ovarian stimulation and breast cancer: Is there a link? Gynecol Oncol 1994; 52:292–295.
Rossing MA, Daling JR, Weiss NS, Moore DE, Self SG. Risk of breast cancer in a cohort of infertile women. Gynecol Oncol 1996; 60:3–7.
Whitehead MI, Townsend PT, Pryse-Davies J, et al Effects of estrogens and progestins on the biochemistry and morphology of the postmenopausal endometrium. N Engl J Med 1981; 305:1599–1605.
Staland B. Continuous treatment with a combination of estrogen and gestagen—A way of avoiding endometrial stimulation. Acta Obstet Gynecol Scand (Suppl) 1985; 130:29–35.
Gorodeski GI, Beery R, Lunenfeld B, Geier A. Tamoxifen increases plasma estrogen-binding equivalents and has an estradiol agonistic effect on histologically normal premenopausal and postmenopausal endometrium. Fertil Steril 1992; 57:320–327.
Neven P, de Muylder X, van Belle Y, Vanderick G, de Muylder E. Tamoxifen and the uterus and endometrium. Lancet 1989; i:375.
Fornander T, Rutqvist LE, Cedermark B, et al Adjuvant tamoxifen in early breast cancer: occurrence of new primary cancers. Lancet 1989; i: 117–120.
Bamford PN, Steele SJ. Uterine and ovarian carcinoma in a patient receiving gonadotrophin therapy. Case report. Br J Obstet Gynaecol 1982; 89:962–964.
Waterstone J, Parsons J. Endometrial stromal sarcoma two years after a successful in-vitro fertilization treatment cycle. Human Reprod 1992; 7:72.
Malkasian GD, Mayberry WE. Serum total and free thyroxine and thyrotropin in normal and pregnant women, neonates and women receiving progestogens. Am J Obstet Gynecol 1970; 108:1234–1238.
Rastogi GK, Sawhney RC, Sinha MK, et al Serum and urinary levels of thyroid hormones in normal pregnancy. Obstet Gynecol 1974; 44:176–180.
Pacchiarotti A, Martino E, Bartalena L, et al Serum thyrotropin by ultrasensitive immunoradiometric assay and serum free thyroid hormones in pregnancy. J Endocrinol Invest 1986; 9:185–189.
Kolonel LN, Hankin JH, Wilkens LR, Fukunaga FH, Hinds MW. An epidemiologic study of thyroid cancer in Hawaii. Cancer Causes and Control 1990; 1:223–234.
Goodman MT, Kolonel LN, Wilkens LR. The association of body size, reproductive factors and thyroid cancer. Br J Cancer 1992; 66:1180–1184.
Snell RS, Bischitz PG. The effect of large doses of oestrogen and oestrogen and progesterone on melanin pigmentation. J Invest Dermatol 1960; 35:73–82.
Zanetti R, Franceschi S, Rosso S, Bidoli E, Colonna S. Cutaneous malignant melanoma in females: The role of hormonal and reproductive factors. Int J Epidemiol 1990; 19:522–526.
Kuppens E, Bergman W, Welvaart K, Bruijn JA, Scheffer E. Multiple primary melanomas in a patient with familial-type DNS during clomiphene-induced pregnancy. Melanoma Res 1992; 2:71–74.
Rössing MA, Daling JR, Weiss NS, Moore DE, Self SG. Risk of cutaneous melanoma in a cohort of infertile women. Melanoma Res 1995; 5:123–127.
Nonogaki H, Fujii S, Konishi I, et al Estrogen receptor localization in normal and neoplastic epithelium of the uterine cervix. Cancer 1990; 66:2620–2627.
Gelety TJ, Buyalos RP. The effect of clomiphene citrate and menopausal gonadotropins on cervical mucus in ovulatory cycles. Fertil Steril 1993; 60:471–476.
Randall JM, Templeton A. Cervical mucus score and in vitro sperm mucus interaction in spontaneous and clomiphene citrate cycles. Fertil Steril 1991; 56:465–468.
Tepper R, Lunenfeld B, Shalev J, Ovadia J, Blankstein J. The effect of clomiphene citrate and tamoxifen on the cervical mucus. Acta Obstet Gynecol Scand 1988;67:311–314.
Rossing MA, Daling JR, Weiss NS, Moore DE, Self SG. In situ and invasive cervical carcinoma in a cohort of infertile women. Fertil Steril. 1996; 65:19–22.
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Rossing, M.A. (1997). Treatment for Infertility and Risk of Female Cancers. In: Pavlik, E.J. (eds) Estrogens, Progestins, and Their Antagonists. Hormones in Health and Disease. Birkhäuser Boston. https://doi.org/10.1007/978-1-4612-4096-9_4
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DOI: https://doi.org/10.1007/978-1-4612-4096-9_4
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