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Primary prevention of gynecologic cancers.
Am J Obstet Gynecol 1995; 172(1 Pt 1):227-35AJ

Abstract

A shift from treatment to prevention of the three major gynecologic cancers is overdue. The traditional approach to cervical, endometrial, and ovarian cancers has been secondary or tertiary prevention--early detection and treatment or mitigation of damage, respectively. We reviewed the literature on these cancers to identify strategies for primary prevention. Cervical cancer behaves as a sexually transmitted disease. As with other such diseases, barrier and spermicidal contraceptives lower the risk of cervical cancer; the risk reduction approximates 50%. Combination oral contraceptives help prevent both endometrial and epithelial ovarian cancers. The risk of endometrial cancer among former oral contraceptive users is reduced by about 50% and that of ovarian cancer by about 30% to 60%. Weight control confers strong protection against endometrial cancer. Breast-feeding and tubal sterilization also appear to protect against ovarian cancer. Although women have a range of practical, effective measures available to reduce their risk of these cancers, few are aware of them. Without this information, women cannot make fully informed decisions about their health.

Authors+Show Affiliations

Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco.No affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.
Review

Language

eng

PubMed ID

7847546

Citation

Grimes, D A., and K E. Economy. "Primary Prevention of Gynecologic Cancers." American Journal of Obstetrics and Gynecology, vol. 172, no. 1 Pt 1, 1995, pp. 227-35.
Grimes DA, Economy KE. Primary prevention of gynecologic cancers. Am J Obstet Gynecol. 1995;172(1 Pt 1):227-35.
Grimes, D. A., & Economy, K. E. (1995). Primary prevention of gynecologic cancers. American Journal of Obstetrics and Gynecology, 172(1 Pt 1), pp. 227-35.
Grimes DA, Economy KE. Primary Prevention of Gynecologic Cancers. Am J Obstet Gynecol. 1995;172(1 Pt 1):227-35. PubMed PMID: 7847546.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary prevention of gynecologic cancers. AU - Grimes,D A, AU - Economy,K E, PY - 1995/1/1/pubmed PY - 1995/1/1/medline PY - 1995/1/1/entrez SP - 227 EP - 35 JF - American journal of obstetrics and gynecology JO - Am. J. Obstet. Gynecol. VL - 172 IS - 1 Pt 1 N2 - A shift from treatment to prevention of the three major gynecologic cancers is overdue. The traditional approach to cervical, endometrial, and ovarian cancers has been secondary or tertiary prevention--early detection and treatment or mitigation of damage, respectively. We reviewed the literature on these cancers to identify strategies for primary prevention. Cervical cancer behaves as a sexually transmitted disease. As with other such diseases, barrier and spermicidal contraceptives lower the risk of cervical cancer; the risk reduction approximates 50%. Combination oral contraceptives help prevent both endometrial and epithelial ovarian cancers. The risk of endometrial cancer among former oral contraceptive users is reduced by about 50% and that of ovarian cancer by about 30% to 60%. Weight control confers strong protection against endometrial cancer. Breast-feeding and tubal sterilization also appear to protect against ovarian cancer. Although women have a range of practical, effective measures available to reduce their risk of these cancers, few are aware of them. Without this information, women cannot make fully informed decisions about their health. SN - 0002-9378 UR - https://www.unboundmedicine.com/medline/citation/7847546/Primary_prevention_of_gynecologic_cancers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/0002-9378(95)90125-6 DB - PRIME DP - Unbound Medicine ER -