Evidence map›Paper›PMID 42877633›Full record

ReviewCureus2026

The Impact of Assisted Reproduction Technology on Breast Cancer Risk for Women With Infertility: Current Insights and Future Perspectives.

Kanelina Bimpa, Emmanouil M Xydias, Dimitrios Varvaras, Dimitrios N Koronarchis, Elias Tsakos

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kanelina BimpaDepartment of Breast Health, BreastCare Outpatient Clinic, Thessaloniki, GRC.
Emmanouil M XydiasDepartment of Obstetrics and Gynecology, EmbryoClinic IVF, Thessaloniki, GRC.
Dimitrios VarvarasDepartment of Breast Surgery, Breast Health Clinic Pio XI, Rome, ITA.
Dimitrios N Koronarchis3rd Breast Clinic, Metropolitan General, Athens, GRC.
Elias TsakosDepartment of Obstetrics and Gynecology, EmbryoClinic IVF, Thessaloniki, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer is the most frequently diagnosed malignancy among women worldwide. Because assisted reproduction technology (ART) commonly involves controlled ovarian stimulation (COS) and temporary increases in circulating estradiol and progesterone, its possible effect on long-term breast cancer risk remains an important clinical question. This narrative review, supported by a structured literature search of MEDLINE/PubMed, Scopus, and Web of Science from January 2003 to March 2026, summarizes 31 primary observational studies with a cumulative reported sample exceeding 7.1 million participants, with follow-up extending beyond three decades in some cohorts. Most studies found no significant association between ART and breast cancer incidence. Signals of increased risk were reported in selected subgroups, including women undergoing multiple stimulation cycles, women starting treatment at younger or older ages, and some women with prolonged clomiphene citrate (CC) exposure. The review also considers evidence concerning letrozole, postpartum breast cancer risk, tumor subtype, and fertility preservation in women with breast cancer. Overall, the available evidence does not demonstrate a meaningful increase in breast cancer risk attributable to ART itself. However, substantial heterogeneity, the predominance of older treatment protocols, and the lack of long-term incidence data for contemporary letrozole-based treatment limit definitive conclusions. Prospective studies using current ART protocols and long-term, subtype-specific follow-up are needed.

Indexed as

assisted reproduction technologybreast cancerclomiphene citratecontrolled ovarian stimulationfertility preservinginfertilityin vitro fertilization (ivf)letrozoleovulation induction

Identifiers

PMID42877633
PMCPMC13663403

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.