Why we ask regularity of menstrual cycle for breast cancer

The regularity of the menstrual cycle is important to assess for breast cancer risk because hormonal fluctuations during the menstrual cycle can have an impact on estrogen and progesterone levels. These hormones play a role in the development of breast tissue, and any disruptions or imbalances in their levels can increase the risk of breast cancer.

Irregular menstrual cycles, such as those with unpredictable timing or prolonged gaps between periods, may indicate hormonal imbalances or irregularities. Women with irregular cycles, particularly those with conditions like polycystic ovary syndrome (PCOS) or anovulation (lack of ovulation), are often exposed to higher levels of estrogen without the balancing effect of progesterone. This imbalance can increase the risk of breast cancer.

Monitoring the regularity of the menstrual cycle allows healthcare providers to identify any potential hormonal imbalances or irregularities that could increase a woman's breast cancer risk. It also helps in determining the potential effect of hormonal therapies, such as hormone replacement therapy (HRT), on breast cancer risk.

However, it is important to note that irregular menstrual cycles alone may not definitively indicate breast cancer risk, as there are various other factors that can contribute to the development of the disease. Screening and risk assessments for breast cancer involve evaluating multiple factors, including personal and family medical histories, age, genetic predispositions, lifestyle choices, and other risk factors.