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Hormone-sensitive cancers are cancers that depend on hormones like estrogen, progesterone, or testosterone for their growth and include breast cancer, prostate cancer, endometrial cancer, and ovarian cancer. These cancers develop when hormone receptors on cancer cells are activated by circulating sex hormones, promoting tumor growth. The Sex Hormone Binding Globulin (SHBG) test is the most important test for assessing hormonal environment and cancer risk because it measures the protein that regulates hormone availability in the body.
Hormone-sensitive cancers are caused by prolonged exposure to sex hormones like estrogen, progesterone, and testosterone that activate hormone receptors on cancer cells and promote tumor growth. Risk factors include early menstruation, late menopause, hormone replacement therapy, obesity (which increases estrogen production in fat tissue), and genetic mutations like BRCA1 and BRCA2. Lifestyle factors such as alcohol consumption, physical inactivity, and never having been pregnant also increase the risk by extending lifetime hormone exposure.
The Sex Hormone Binding Globulin (SHBG) test is the most important blood test for assessing hormone-sensitive cancer risk because it measures the protein that binds and regulates the availability of testosterone and estrogen in your body. Low SHBG levels mean more free hormones circulating in your bloodstream, which has been associated with increased risk of breast and prostate cancers. While blood tests cannot diagnose cancer directly, the SHBG test provides valuable information about your hormonal environment and helps identify individuals who may benefit from enhanced screening or preventive strategies. Additional hormone panels measuring estradiol, testosterone, and progesterone levels may also be recommended based on your specific situation.
You should get tested if you have a family history of breast, ovarian, or prostate cancer, if you are considering or currently using hormone replacement therapy, or if you have conditions like obesity or polycystic ovary syndrome that affect hormone levels. Women who started menstruating early, experienced late menopause, or never had children should also consider testing. Men with prostate concerns or anyone with unexplained symptoms like breast lumps, abnormal vaginal bleeding, or urinary changes should get tested promptly to establish their hormonal baseline and cancer risk profile.
What this means
Your SHBG level is elevated, which means more of your sex hormones are bound up and unavailable for your body to use. This can contribute to symptoms like low energy, reduced libido, and difficulty building muscle even when total hormone levels appear normal. High SHBG often responds well to dietary and lifestyle modifications.
Recommended actions
Ensure adequate protein intake at each meal to support hormone production
Include healthy fats from nuts, avocados, and fatty fish to support hormone balance
Focus on strength training 3-4 times per week to help optimize hormone utilization
Consider retesting in 8-12 weeks after implementing lifestyle changes
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