Infertility treatments and risk of breast benign diseases: a case‒control study

Abstract Background Theoretically, endocrine fluctuations occurring during infertility treatments, including ovulation induction (OI) and assisted reproductive techniques (ART), could be associated with an increased risk of benign breast diseases (BBDs). To date, no studies have been conducted on th...

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Main Authors: Ashraf Moini, Sadaf Alipour, Zahra Zandi, Arezoo Maleki-Hajiagha, Ladan kashani, Fatemeh Shakki katouli, Maryam Farid Mojtahedi, Leila Bayani, Mahboubeh Abedi
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Women's Health
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Online Access:https://doi.org/10.1186/s12905-024-03429-w
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author Ashraf Moini
Sadaf Alipour
Zahra Zandi
Arezoo Maleki-Hajiagha
Ladan kashani
Fatemeh Shakki katouli
Maryam Farid Mojtahedi
Leila Bayani
Mahboubeh Abedi
author_facet Ashraf Moini
Sadaf Alipour
Zahra Zandi
Arezoo Maleki-Hajiagha
Ladan kashani
Fatemeh Shakki katouli
Maryam Farid Mojtahedi
Leila Bayani
Mahboubeh Abedi
author_sort Ashraf Moini
collection DOAJ
description Abstract Background Theoretically, endocrine fluctuations occurring during infertility treatments, including ovulation induction (OI) and assisted reproductive techniques (ART), could be associated with an increased risk of benign breast diseases (BBDs). To date, no studies have been conducted on this association. Therefore, the present study investigated the association between different types of infertility treatments and BBDs. Methods This case‒control study was conducted in Arash Women’s Hospital, Tehran, Iran. The case group included infertile women diagnosed with BBDs without atypia, and the control group included infertile women without breast disease. Breast imaging studies (mammography/ultrasound) were performed for BBD screening, and the diagnosis was confirmed by histopathological examination. Study variables were collected retrospectively from medical records, hospital databases, and questionnaires. Results Finally, 154 infertile women, including 50 cases (BBDs) and 104 controls (no BBDs), were compared. Our data showed that 66% of cases and 61.4% of controls had undergone at least one course of infertility treatment. There was no association between BBD risk and previous infertility treatments (OR = 1.21; 95% CI = 0.59–2.46), ART (OR = 1.14; 95% CI = 0.90–1.44), or OI cycles (OR = 1.13; 95% CI = 0.98–1.32). Stratification by confounding variables did not change these results. Conclusions It seems that there is no association between BBDs in infertile women and the type, duration, or number of prior infertility treatments; however, considering the small sample size of the study, the clinical significance of this finding should not be neglected. Therefore, we consider it essential to carry out more extensive, detailed, and prospective studies to distinguish the association of BBDs with different infertility treatments and medications.
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spelling doaj-art-70cefedf164b4091864c8255c6b3922f2025-08-20T02:18:28ZengBMCBMC Women's Health1472-68742024-11-0124111210.1186/s12905-024-03429-wInfertility treatments and risk of breast benign diseases: a case‒control studyAshraf Moini0Sadaf Alipour1Zahra Zandi2Arezoo Maleki-Hajiagha3Ladan kashani4Fatemeh Shakki katouli5Maryam Farid Mojtahedi6Leila Bayani7Mahboubeh Abedi8Endocrinology and Female Infertility Unit, Arash Women’s Hospital, Tehran University of Medical SciencesBreast Disease Research Center (BDRC), Cancer Institute, Tehran University of Medical SciencesDepartment of Obstetrics and Gynecology, Arash Women’s Hospital, Tehran University of Medical SciencesDepartment of Anatomy, School of Medicine, Tehran University of Medical SciencesEndocrinology and Female Infertility Unit, Arash Women’s Hospital, Tehran University of Medical SciencesAdvanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical SciencesEndocrinology and Female Infertility Unit, Arash Women’s Hospital, Tehran University of Medical SciencesDepartment of Radiology, Arash Women Hospital, Tehran University of Medical SciencesDepartment of Radiology, Arash Women Hospital, Tehran University of Medical SciencesAbstract Background Theoretically, endocrine fluctuations occurring during infertility treatments, including ovulation induction (OI) and assisted reproductive techniques (ART), could be associated with an increased risk of benign breast diseases (BBDs). To date, no studies have been conducted on this association. Therefore, the present study investigated the association between different types of infertility treatments and BBDs. Methods This case‒control study was conducted in Arash Women’s Hospital, Tehran, Iran. The case group included infertile women diagnosed with BBDs without atypia, and the control group included infertile women without breast disease. Breast imaging studies (mammography/ultrasound) were performed for BBD screening, and the diagnosis was confirmed by histopathological examination. Study variables were collected retrospectively from medical records, hospital databases, and questionnaires. Results Finally, 154 infertile women, including 50 cases (BBDs) and 104 controls (no BBDs), were compared. Our data showed that 66% of cases and 61.4% of controls had undergone at least one course of infertility treatment. There was no association between BBD risk and previous infertility treatments (OR = 1.21; 95% CI = 0.59–2.46), ART (OR = 1.14; 95% CI = 0.90–1.44), or OI cycles (OR = 1.13; 95% CI = 0.98–1.32). Stratification by confounding variables did not change these results. Conclusions It seems that there is no association between BBDs in infertile women and the type, duration, or number of prior infertility treatments; however, considering the small sample size of the study, the clinical significance of this finding should not be neglected. Therefore, we consider it essential to carry out more extensive, detailed, and prospective studies to distinguish the association of BBDs with different infertility treatments and medications.https://doi.org/10.1186/s12905-024-03429-wInfertility treatmentOvarian-stimulating hormonesAssisted reproductive techniquesOvulation inductionBreast benign diseases
spellingShingle Ashraf Moini
Sadaf Alipour
Zahra Zandi
Arezoo Maleki-Hajiagha
Ladan kashani
Fatemeh Shakki katouli
Maryam Farid Mojtahedi
Leila Bayani
Mahboubeh Abedi
Infertility treatments and risk of breast benign diseases: a case‒control study
BMC Women's Health
Infertility treatment
Ovarian-stimulating hormones
Assisted reproductive techniques
Ovulation induction
Breast benign diseases
title Infertility treatments and risk of breast benign diseases: a case‒control study
title_full Infertility treatments and risk of breast benign diseases: a case‒control study
title_fullStr Infertility treatments and risk of breast benign diseases: a case‒control study
title_full_unstemmed Infertility treatments and risk of breast benign diseases: a case‒control study
title_short Infertility treatments and risk of breast benign diseases: a case‒control study
title_sort infertility treatments and risk of breast benign diseases a case control study
topic Infertility treatment
Ovarian-stimulating hormones
Assisted reproductive techniques
Ovulation induction
Breast benign diseases
url https://doi.org/10.1186/s12905-024-03429-w
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AT arezoomalekihajiagha infertilitytreatmentsandriskofbreastbenigndiseasesacasecontrolstudy
AT ladankashani infertilitytreatmentsandriskofbreastbenigndiseasesacasecontrolstudy
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