From the Research
If you have a family history of breast cancer, using the NuvaRing requires careful consideration, and alternative contraceptive options with potentially lower risk, such as progestin-only methods or non-hormonal methods, should be discussed with your healthcare provider. Generally, having a family history of breast cancer alone does not automatically disqualify you from using hormonal contraceptives like NuvaRing. However, your personal risk depends on several factors including how many close relatives had breast cancer, their age at diagnosis, and whether they carried specific genetic mutations like BRCA1 or BRCA2. Before starting NuvaRing, consult with your healthcare provider for a thorough risk assessment, as they may recommend genetic testing if your family history suggests a hereditary cancer syndrome 1.
Combined hormonal contraceptives like NuvaRing contain estrogen, which may slightly increase breast cancer risk in current users, though this risk decreases after stopping use. A study published in the American Journal of Obstetrics and Gynecology found that the recent Danish cohort study reported a 20% increased risk of breast cancer among current and recent hormonal contraception users 1. Another study published in the journal Gynecological Endocrinology found that estradiol therapy combined with certain progestogens, such as medroxyprogesterone, norethisterone, and levonorgestrel, was associated with an increased risk of breast cancer, while estradiol therapy combined with dydrogesterone and progesterone carried no risk 2.
Some key points to consider when evaluating the risk of breast cancer with NuvaRing use include:
- The type and duration of hormonal contraceptive use
- The presence of specific genetic mutations, such as BRCA1 or BRCA2
- The number and age of close relatives with breast cancer
- The results of genetic testing, if recommended by your healthcare provider Regular breast cancer screening is important regardless of your contraceptive choice if you have a significant family history. Your healthcare provider can help you weigh the benefits and risks of NuvaRing and other contraceptive options, and make an informed decision about the best choice for your individual situation 1, 2.