Table 5.
Relationship of Clomiphene and Gonadotropin Use to Breast Cancer Risk According to Selected Breast Cancer Risk Factors and Causes of Infertility
Clomiphene (ever versus never use of clomiphene or gonadotropins) | Gonadotropins (ever versus never use of clomiphene or gonadotropins) | |||||
---|---|---|---|---|---|---|
# exposed cases | HR1 | 95% CI | # exposed cases | HR1 | 95% CI | |
Age at follow-up | ||||||
<50 years | 100 | 0.86 | 0.67–1.11 | 25 | 0.90 | 0.58–1.38 |
50–59 years | 134 | 1.09 | 0.87–1.37 | 44 | 1.38 | 0.99–1.93 |
≥60 years | 50 | 0.94 | 0.66–1.33 | 13 | 0.82 | 0.45–1.47 |
Reproductive status at first clinic visit | ||||||
Gravid | 170 | 1.11 | 0.91–1.35 | 46 | 1.10 | 0.80–1.51 |
Nulligravid | 114 | 0.97 | 0.77–1.22 | 36 | 1.22 | 0.85–1.75 |
Reproductive status at follow-up | ||||||
Gravid | 200 | 1.02 | 0.85–1.23 | 54 | 1.04 | 0.78–1.39 |
Nulligravid | 48 | 1.20 | 0.82–1.75 | 19 | 1.58 | 0.93–2.68 |
Unknown | 36 | 1.04 | 0.70–1.57 | 9 | 1.12 | 0.55–2.27 |
Mother or sister with breast cancer | ||||||
No | 146 | 1.05 | 0.85–1.31 | 45 | 1.17 | 0.84–1.64 |
Yes | 36 | 1.41 | 0.88–2.27 | 11 | 1.29 | 0.64–2.58 |
Unknown | 102 | 0.92 | 0.72–1.17 | 26 | 0.95 | 0.63–1.44 |
Causes of infertility | ||||||
Endometriosis | 92 | 1.23 | 0.92–1.65 | 24 | 1.15 | 0.72–1.83 |
Anovulation | 120 | 1.03 | 0.78–1.35 | 33 | 1.02 | 0.68–1.53 |
Tubal disease/pelvic adhesions | 103 | 1.12 | 0.87–1.45 | 29 | 1.16 | 0.77–1.74 |
Cervical disorder | 21 | 0.77 | 0.41–1.42 | 9 | 0.80 | 0.36–1.80 |
Uterine disease | 31 | 1.02 | 0.64–1.62 | 10 | 1.25 | 0.62–2.51 |
Male factor | 74 | 1.25 | 0.92–1.69 | 20 | 1.29 | 0.79–2.11 |
HRs adjusted for study site, calendar year of first infertility evaluation, gravidity at first clinic visit.