Original Investigation

Hormone Therapy After Oophorectomy and Breast Cancer Risk in Women With Pathogenic Variant

JAMA Network Open 10.1001/jamanetworkopen.2026.5648

April 08, 2026 at 11:00 AM EDT

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Is hormone replacement therapy (HRT) use after risk-reducing bilateral oophorectomy (RRBO) associated with increased breast cancer (BC) risk in women carrying and pathogenic variants (PVs)?In this cohort study of 919 women, HRT after RRBO was not associated with increased BC risk. Estrogen-only therapy was associated with reduced BC risk among women with PV. Combined estrogen-progestin HRT was not associated with BC risk modification.Findings of this study suggest that estrogen-only HRT after RRBO is associated with lower BC risk in women with PV and does not appear to increase risk in those with PV.

Corresponding Author: Shira Regev-Sadeh, MD, Department of Obstetrics and Gynecology, Carmel Medical Center, 7 Michal St, Haifa 3436212 Israel (shira1017@gmail.com).

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