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Generic for finasteride ), oral contraceptives (OCs), and estrogen, with use of oral contraceptives leading to a 60% increase in prostate cancer risk, based on several studies. For example, data from a systematic review of randomized clinical trials women aged 50 years or older found that OC use increases the risk of invasive breast cancer by approximately 10% [5]. Several studies have also shown that OCs increase prostate cancer risk. For example, in a randomized clinical trial of OCs in women with advanced breast cancer, men a previous history of prostate cancer treated with OCs were found to have a 5.5-fold increased risk of developing prostate cancer [6]. In the Multinational Prostate, Lung, Colorectal, and Ovarian (MPCO) Study, a case–control study of generic finasteride available in us 17,522 men in Japan, those who had been treated with OCs a 36% increased risk of developing prostate cancer [7]. The increased risk of prostate cancer associated with OC use appears to be dose–dependently associated with dose [8]. For example, in an analysis of data from 47 randomized controlled studies of OCs in women, the pooled relative risk for first 50 years of OC use was 2.0 (95% confidence interval [CI] = 1.3–2.4). For OCs containing >50% estrogen, the relative risk was best drugstore shampoo hair loss 3.5 (95% CI = 2.5–4.7) [9]. In addition, several studies have shown that combined oral contraceptives (COCs) increase the risk of endometrial cancer. A meta-analysis 11 studies found that COC's increased the risk of endometrial cancer by approximately 50% [10]. A large, prospective study of 3,872 women found that COC use was associated with a 50% increased risk of endometrial cancer [11]. There is limited information on the effects of use oral contraceptives on the risk of ovarian cancer. Several studies have shown that use of OCs increases the risk ovarian cancer, and a pooled analysis of 13 case–control studies found that women who used an OC for 15 yr had approximately a 1.1-fold increased risk of ovarian cancer compared with never-users [12]. However, it is difficult to differentiate between OC use and of other types oral contraceptives, such as the vaginal ring. Oral contraceptive use in the United States is generally limited to the use of pill (containing ethinylestradiol and/or progestogen) and the vaginal ring. Because ring is a newer type of oral contraceptive, its effect on ovarian cancer risk is not well established. There are several possible mechanisms related to the use of OCs that could influence ovarian cancer risk. First, some researchers have suggested Finast 5mg $201.87 - $2.24 Per pill that the use of OCs might increase the risk of ovarian cancer by increasing menstrual bleeding and possibly a woman's risk of exposure to infectious agents. For this reason, some women who use OCs as contraception should be excluded from some studies comparing use of the pill and vaginal ring. However, these investigators did not adequately control for exposure to infectious agents or for other factors that could influence risk of ovarian cancer such as prior history of endometrial cancer, body mass index (BMI), and use of oral contraceptives containing an estrogen-containing progestogen. A second mechanism related to the use of OCs involves changes in hormone levels. For example, a study involving women with history of endometrial cancer followed for 21.5 years found that compared with women who had never used OCs, those who had them for 6 months a 2.8-fold higher risk of endometrial cancer. Furthermore, a study involving women in the United States who have taken OCs for 6 months found that, compared with women who have never used OCs, those who them for 5 or more years had a 14% increased risk of endometrial cancer [13]. A third mechanism related to use of OCs involves the development resistance to estrogen component of OCs. The development resistance is a result of the presence portion hormone in OC, particularly the ethinylestradiol component. This portion can be readily absorbed by the human immune system, resulting in suppression of the receptor on surface cancer cells that normally recognizes the hormone. A fourth mechanism related to the use of OCs relates to changes in blood vessel growth. This mechanism is related to an interaction between the effects of OCs and their estrogen component, particularly the ethinylestradiol and prostaglandin E2 produced by the liver. It has also been reported that the progestogen component of OCs, especially the ethinylestradiol component, can interact with the vascular endothelial growth factor (VEGF), resulting in vasoconstriction and reduced blood flow to the organs concerned with menstrual cycle. The interaction of estrogen component with the VEGF may be.

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