Hormone therapy treats hormone receptor-positive (HR+) breast cancer, including the most common type of breast cancer — estrogen receptor-positive (ER+) breast cancer. Oncologists use hormone therapy to keep breast cancer from spreading or coming back after treatment. They often combine hormone therapy with surgery or targeted therapy.
Hormone therapy (also called endocrine therapy) is a common treatment for hormone receptor-positive (HR+) breast cancer. In HR+ breast cancer, you have cancerous tumors that rely on the hormones estrogen and progesterone to grow. Your body produces these hormones. HR+ breast cancer accounts for 2 of every 3 breast cancer cases in the U.S.
A tumor may be estrogen receptor-positive (ER+), progesterone receptor-positive (PR+) or both ER+ and PR+. ER+ is the most common type of breast cancer: About 8 out of 10 breast cancers are estrogen receptor- positive.
Hormone therapy for breast cancer works by:
Hormone therapy for breast cancer isn’t the same as hormone therapy for menopause. Hormone therapy for menopause boosts hormone levels to relieve menopause symptoms.
Oncologists may use hormone therapy:
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Hormone therapy for breast cancer may include aromatase inhibitors, selective estrogen receptor modulators (SERMs) or estrogen receptor down regulators (SERDs):
You may take prescription pills or liquid medication. Some drugs are given via injection at your healthcare provider’s office. Depending on your situation, you may need therapy for several years.
Side effects from hormone therapy vary from person to person. Common side effects may include:
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Advantages include:
Success rates vary depending on specific studies, but overall research shows hormone therapy for breast cancer helps people live longer and reduces the risk that breast cancer will come back (recur).
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Most people see their healthcare providers throughout their treatment, but you should contact yours if you notice changes in your breasts. You should also contact your oncologist if you notice changes that may be signs of metastatic breast cancer.
Both chemotherapy and hormone therapy are effective breast cancer treatments, but hormone therapy targets a specific breast cancer subtype.
The best hormone therapy is the one that meets your specific needs and situation. Your provider will recommend treatments that they feel will be most helpful given your situation.
If you have breast cancer, you should know you have many treatment options. Your oncologist recommends treatment plans based on what they know about the kind of breast cancer you have, your overall health, your lifestyle and your preferences. Take your time to study your options, talk to your oncologist and weigh the risks and benefits of hormone therapy.
If you have hormone receptor-positive (HR+) breast cancer, your treatment likely will include hormone therapy. Oncologists may combine hormone therapy with surgery and/or targeted therapy to slow down or stop breast cancer cells from growing. Ask your oncologist about specific hormone medications and how they may be helpful. Your oncologist will be glad to discuss treatment with you.
Last reviewed on 02/20/2024.
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