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Child-bearing and Breast Cancer

If a woman does not bear a child, is it true that she has a greater chance of getting breast cancer?
49 yr old, Female
49 yr old, Female
asked Dec 04, 2009 at 03:03PM in Oncology/Cancer
4 Answers
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  • 1
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    answered Dec 06, 2009 at 06:08PM
    Best Answer
    This is a very good question, and it is a controversial topic. I don't believe there is merit to the camp of individuals who link child-bearing with breast cancer. I have known many women who bore children at a young age and wound up getting breast cancer anyway. Conversely, there are quite a number of women who never had children and stayed healthy.

    I asked my oncologist the very same question, and he confirmed that child-bearing age or lack of child-bearing had nothing to do with getting breast cancer. Instead, he explained that breast cancer arises from changes to the cellular structure in the breast, basically due to mutations, and he wasn't referring to the BRCA1 or BRCA2 genes.
  • 4
    Votes
    answered Dec 07, 2009 at 04:02PM
    I answered this and the answer disappeared.
    In short, child bearing and breast feeding are both associated with a statistical reduction in the relative risk of the development of breast cancer.
    Statistics apply to populations, individuals may have different experiences based on their genetics and other factors.
    Answers based on individual experience, are just that. Individual experience and not rigorous statistical analysis.
    • Thank you for emphasizing that point, Dr. McGlone.
      Gina Pera commented Mar 01, 2010 at 09:18PM
  • 1
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    answered Dec 07, 2009 at 06:52PM
    Statistics are important, and many have validity.

    However, I gave my opinion based on discussions with doctors and many individuals who had experienced the opposite of what these studies have implied.
  • 2
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    answered Dec 14, 2009 at 06:49AM
    It is correct that breast cancer arises from cellular mutations. However, the reason why having children at a younger age decreases the lifetime risk of breast cancer is due to the changes in hormones that comes with pregnancy. In short, estrogen induces growth of breast tissue, and the cyclical rise and fall of estrogen can induce mutations in breast tissue. Pregnancy changes estrogen levels to be more constant, and it is thought that this provides the protection against breast cancer.

    It is important to recognize, however, that having a child at a young age does not reduce the risk of breast cancer to zero; nor does having no children increase the risk of breast cancer to 100%. These risk factors may have very little noticeable effect on subjective personal experience (as you say, people who have children young may still get breast cancer, and people who never have children may never get breast cancer), but if an oncologist or primary care physician were to look at their records and compare breast cancer rates versus age at first birth, they would find that a greater percentage of women who had a late birth or who never had children have had breast cancer.

    It is also important to recognize that no physician would recommend having children at a younger age simply to reduce the risk of breast cancer. The most important risk factor that people *can* change is smoking. If more people were to stop smoking, we could reduce rates of breast cancer, and many other types of cancer.

    I hope this helps.
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