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Menopause and Cancer Risk: Key Facts for Women Over 45

Understanding Hormonal Shifts, Screening, and Prevention

Women, have you hit the menopausal stage? Well, you may be worried about the risk of cancer. Hence, understanding hormonal changes, screening needs, and practical steps will help to protect your health in midlife and beyond.

Dr. Jyoti Mehta, Consultant Radiation and Clinical Oncologist, TGH Onco Life Cancer Centre
Dr. Jyoti Mehta, Consultant Radiation and Clinical Oncologist, TGH Onco Life Cancer Centre

Menopause is a natural phase in every woman’s life, usually occurring between 45 and 55 years of age. While it marks the end of menstrual cycles, it also brings hormonal shifts that can influence overall health, including cancer risk. Hence, during menopause, estrogen and progesterone levels tend to go down. These hormonal fluctuations can affect tissues such as the breast, uterus, and ovaries. For example, prolonged exposure to estrogen over a lifetime, especially without the balancing effect of progesterone, is associated with the chances of breast and endometrial (uterine) cancer. Women who experience early menstruation, late menopause, obesity, or hormone replacement therapy without proper medical supervision can have a higher risk of suffering from these cancers.

Did you know? Breast cancer is commonly seen in women above 45. Hence, regular mammography screening for breast cancer begins between the ages of 40 and 45. Similarly, any postmenopausal bleeding should never be ignored, as it may be a concerning sign of uterine cancer. Ovarian cancer can be harder to detect because symptoms such as bloating, pelvic pain, or changes in appetite are often vague and can overlap with other conditions. Paying attention to persistent symptoms and discussing family history with a doctor is important. Women with a strong family history of breast or ovarian cancer will be advised to undergo genetic counselling.

However, with lifestyle choices, it is possible to stay alert and reduce the incidence of cancer. Women should make sure to maintain an optimum weight, exercise regularly, quit alcohol and tobacco, and have a balanced diet rich in fruits and vegetables, which can help women to prevent cancer. So, know that menopause is not a disease; it is a transition phase that every woman goes through. So, menopausal women should take charge of their overall well-being. Ensure to go for timely health check-ups and follow-ups, which are key to catching the cancer early and treating it promptly before it advances and impacts the quality of life. Early diagnosis and treatment remain key to managing cancer and improving survival rates.

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His camera is his canvas. Photojournalist Azhar Khan is best known for his travel-based stories and women-centric articles, besides his lens eyes that cover Bollywood. With over a decade in journalism, Azhar Khan's works have featured in Indian and International media including Mid-Day, HT Media Ltd, Mumbai Mirror, Chitralekha Magazine, Metro Now (Delhi), Urban Asian, Getty Images, Warner Bros. Pictures, BBC, Alamy News, Sopa Images, Pacific News Agencies, among others.