RT Journal Article SR Electronic T1 Does Transdermal Testosterone Increase the Risk of Developing Breast Cancer? A Systematic Review JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 6615 OP 6620 DO 10.21873/anticanres.13028 VO 38 IS 12 A1 RITIKA GERA A1 SALIM TAYEH A1 HIBA EL-HAGE CHEHADE A1 KEFAH MOKBEL YR 2018 UL http://ar.iiarjournals.org/content/38/12/6615.abstract AB Background/Aim: Hypoactive sexual desire disorder (HSDD) is hypothesised to manifest in postmenopausal women at onset of menopause due to decreased oestrogen levels. Transdermal testosterone is a potential treatment option. This systematic review explores the relationship between the incidence of breast cancer and transdermal testosterone use. Materials and Methods: Searches were conducted on the PubMed and Ovid databases. In Ovid, the advanced search function was used: ‘transdermal testosterone not male’. In PubMed, the following search terms were used: ‘transdermal, testosterone, menopausal, women, breast cancer, women’. Abstracts that fitted our initial criteria were further investigated. Results: A total of 25 publications from PubMed and 192 publications from Ovid were initially assessed. Three randomised control trials were judged to have sufficiently met our inclusion criteria. However, these trials were too heterogeneous for a meta-analysis. A systematic review was deemed the most appropriate analysis of the data available. Conclusion: The publications examined in this systematic review suggest that the use of transdermal testosterone to treat HSDD in postmenopausal women does not increase breast cancer incidence. However, further research in the form of adequately powered randomised controlled trials with breast cancer incidence being the primary end point is required in order to confirm this.